COVID-19 / Providers

PRIOR AUTHORIZATION DURING THE COVID-19 DISASTER EMERGENCY DECLARATION PERIOD

ALTERNATIVE PAYMENT ARRANGEMENTS UNDER COVID-19

Beacon and the primary contractors are working on an alternative payment method that will allow providers to restructure services in a way that will maintain consistency of services for members. 

We’ve determined a provider pool based on 2019 paid claims information and are relying on utilization dollars to make the final assessment as to which providers would be included. Providers that meet the utilization measure for a specific county will receive a written correspondence to begin the process.

While not all providers have the business model to qualify, know that partnering with providers to ensure the safety of our members is our chief concern. We are committed to supplying you with the most up-to-date direction from the Commonwealth, requesting waivers to allow you the space to deliver services without administrative burden, offering interactive video conferencing with Beacon staff and other in-network providers and complex care management assistance.

Coronavirus (COVID-19)

Beacon Health Options is actively monitoring the COVID-19 (coronavirus) pandemic along with all recommendations from the CDC and state and local public health officials. The safety of our members, providers and employees is our primary concern. As such we have taken measures to ensure business continuity during this time.

Beacon Health Options hosts weekly meetings with all of our in-network providers on Fridays at noon to discuss issues as they emerge during the COVID 19 crisis. We will continue this and other gatherings as long as is necessary. We are looking to hear your experiences, needs, barriers, as well as sharing what our interventions and strategies are to support our providers and members during this time from Beacon and primary contractors. If you have not already received an invitation, please contact your Provider Field Coordinator and ask for the link to join the meeting. To ensure your email is a part of our distribution list for all electronic communications and invitations going forward, please join our mailing list to receive the latest updates, including our monthly provider newsletter, ValueAdded.

Beacon Health Options wants to provide you with information on local resources, give you tips and answer some common questions. These resources may be helpful to you.

Keep Kids Safe – Child Abuse Hotline 
1-800-932-0313   TTY 1-866-872-1677

PA Child Welfare Information Solution
1-800-932-0313   TTY 1-866-872-1677

National Domestic Violence Hotline 
1-800-799-7233    TTY 1-800-787-3224

PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES

PENNSYLVANIA DEPARTMENT OF HEALTH

BEACON HEALTH OPTIONS OF PENNSYLVANIA CORRESPONDENCE

BEACON HEALTH OPTIONS INFORMATION

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA)

NATIONAL COUNCIL FOR BEHAVIORAL HEALTH (BH) 

DEPARTMENT OF DRUG AND ALCOHOL PROGRAMS

DRUG ENFORCEMENT ADMINISTRATION

U.S. ATTORNEY’S OFFICE OF WESTERN DISTRICT OF PENNSYLVANIA