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VALUEOPTIONS RESOURCE GUIDE FOR HORIZON …

VALUEOPTIONS RESOURCE GUIDE for HORIZON Behavioral HealthSM Copyright 2014-15: 1 VALUEOPTIONS RESOURCE GUIDE FOR HORIZON BEHAVIORAL HEALTHSM Table of Contents Overview ..4 About VALUEOPTIONS ..4-9 Contact Information .. 5 Electronic Requirements .. 6 Electronic Resources .. 6 ProviderConnect .. 6 CAQH .. 6 .. 7 Achieve Solutions .. 7 Participating Providers .. 7 VALUEOPTIONS Provider Identification Numbers .. 7 Provider Satisfaction Survey .. 8 Changes to VALUEOPTIONS Provider Records .. 8 Policies & Procedures .. 9 Credentialing & Re-Credentialing ..9-13 Credentialing .. 9 Re-Credentialing .. 10 Standards .. 11 Site Visits .. 12 12 Delegation .. 13 Sanctions ..13-15 Appeals of National Credentialing Committee (NCC)/Provider Appeals Committee (PAC) Decisions.

ValueOptions® SMResource Guide for Horizon Behavioral Health

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