PacifiCare Behavioral Health has established the following
goals for submission of clinical information by individual
practitioners:
To give providers simplified forms to submit data
To provide a minimum data set which will allow PBH to
monitor the quality of services provided within the PBH
system, while reducing the effort devoted to managing individual
cases
To give PBH the data necessary for routine provider profiling
and to provide feedback to PBH providers on their performance.
To ensure that behavioral health care and primary health
care services are coordinated
The requirements outlined in the next section are mandatory
for all PBH providers. A provider's compliance with these
documentation requirements will be routinely considered as
one variable in profiling and recredentialing.
