Idaho Behavioral Health Plan (IBHP)
Idaho Medicaid has been meeting with stakeholders since 2004 to address needed reforms in the benefits and delivery system for behavioral health services. On September 1, 2013, Idaho Medicaid implemented the Idaho Behavioral Health Plan (IBHP). United Behavioral Health (dba Optum Idaho) was selected to administer the plan using a managed care approach. This approach allows Idaho to develop an accountable care system to improve health outcomes. Optum is nationally accredited by the National Council on Quality Assurance (NCQA) which puts Optum in position to create a higher standard of care for the Medicaid population.
The IBHP represents a huge step forward in the transformation of the behavioral health care system in Idaho by:
- Requiring the use of evidence-based practices in the delivery of services
- Integrating the services of mental health clinic, psychosocial rehabilitation (PSR) agencies, services coordination agencies and substance used disorder agencies into one, “behavioral health” service system
- Replacing artificial service limits with a care management process that relies on individualized clinical reviews of a member’s medical necessity for services
The IBHP provides services for children with serious emotional disturbance and adults with serious mental illness or serious and persistent mental illness as well as any adults or children who manifest symptoms indicative of behavioral health issues. Members are still able to choose their provider within the Optum network.
Optum’s care managers are actively engaged with providers, members and other stakeholders throughout Idaho to ensure that patients receive the right care at the right time. Optum offers a 24/7 Member phone line so Members have access to a care manager whenever needed. The Member phone number is: (855) 202-0973 (toll-free). Providers also have access to Optum’s care managers during regular business hours. The provider phone number is: (855) 202-0983.
For more information regarding the IBHP, please visit the Optum website. The website has pages dedicated to Members, Providers, PCPs, and other stakeholders.