Behavioral HealthCare Program partners with many of the leading healthcare organizations in Northern New England. Our network includes more than 2600 outpatient providers and 100 hospitals and behavioral health centers. Our fully accredited providers offer a range of treatment options, including:
- Inpatient care for mental health and substance abuse
- Partial hospitalization programs
- Intensive outpatient programs
- Residential services
- Crisis services
- Individual outpatient therapy
- Group and Family therapy
- Medication evaluation and management
BHCP has toll-free telephone lines for access to services for members and providers. Utilization Management services are available 8am to 5pm each business day. The phones are answered 24 hours a day by clinicians for urgent member/provider calls.
When a member calls the toll-free number they reach a call center representative who assists them with collecting the demographic information, reviewing benefits (for Martin's Point members) and searching for providers. All requests for pre-certification of inpatient, partial hospital programs, and intensive outpatient programs are handled by the clinical case managers.
Member Rights & Responsibilities
- Members have a right to be treated with respect, dignity, courtesy and fairness.
- Members have the right of easy access to the program and to privacy and confidentiality. This includes evaluation and referral in a timely fashion to a practitioner familiar with the aspects of your problem.
- Members have a right to complete, clear and concise information about their program benefits as well as the program’s services, practitioners and clinical guidelines.
- Members have the right to notification of their rights and responsibilities under the program, and to make recommendations about these policies.
- Members have a right to participate in decision making and treatment planning.
- Members have a right to a candid discussion of appropriate or medically necessary treatment options for their condition or problem, regardless of cost or benefit structure or coverage.
- Members have a responsibility to provide needed information, to the extent possible, to the program and its practitioners in order to provide care for the member.
- Members have a responsibility to understand their behavioral health problem, to participate in treatment planning, and to follow the plans and instructions for care that they have agreed to with their practitioner.
- Members have the right to voice complaints or appeals about the program or the care provided.
- Aetna (MaineHealth members): https://www.aetna.com/
- US Family Health Plan at Martin's Point members (USFHP): https://martinspoint.org/
- Generations Advantage: https://martinspoint.org/