Delivering premier service with the highest level of quality and maximum savings
Midwest Behavioral Health Network, a division of New Avenues, Inc., delivers customized behavioral health provider networks and administrative services for the management of behavioral health benefits.
Who do we serve?
- Self-insured groups
- Managed care entities including HMO and point of service
- Medicare Advantage plans
- Employee trust health plan groups
- Employers with integrated EAP and self insured health plans
Behavioral Health Benefit Administration Products:
- Midwest Behavioral Health Network (MBHN) - a registered behavioral health PPO -network access only- credentialing and contracting according to NCQA standards, will build network anywhere to support a client’s program
- Integrated EAP and behavioral health benefit administration programs
- Utilization Review including comprehensive inpatient and outpatient programs for parity environments, Medical Director oversight and 1st level review
- Comprehensive behavioral health benefit administrative services - MBHN network, utilization review, case management, claims re-pricing or claims adjudication services
Cost Containment and Risk Management Features:
- Dynamic Risk Management program including post hospital follow-up, case management of high risk cases, special protocols
- Autism Spectrum Disorder Provider Network featuring BCBA and ABA facility and home-based provider credentialing and contracting, utilization review and case management protocols
- High Risk Case Management
- Disease Management for depression and substance abuse
- Staff comprised of highly seasoned psychiatric nurses and licensed masters level social workers
- Identification and stratification of high risk persons with co-morbid medical conditions
- Medical Director who is a board certified psychiatrist, together with psychologist and psychiatry peer reviewers handle all first level denial determinations and appeals
- Electronic interface with TPA for eligibility, claims, and reporting
Incorporating MBHN into your health plan, provides assurance that members are receiving cost-effective quality treatment while achieving maximum savings and service.