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Network Matters
News and Information for the
Harvard Pilgrim Health Care Network

June 2016

Substance Abuse Resources and New MA Opioid Bill


As we have noted in an ongoing series of articles in Network Matters, the current opioid crisis has been increasingly devastating to communities across the nation. In response to this crisis, the governor of Massachusetts recently passed a bill that, among other things, places limits on opioid prescriptions in an effort to stifle the flow of these addictive drugs into homes across the state. You can read more about this new bill in this article from Boston Magazine.

Harvard Pilgrim supports such efforts to combat the far-reaching effects of substance abuse. We place a heavy emphasis on patient education in this realm, and on the effective communication and coordination of care between providers involved in the treatment of a common patient who demonstrates signs of substance use disorder. 

Harvard Pilgrim encourages providers with patients who may struggle with drugs or alcohol to direct them to Optum/UBH’s Substance Use Treatment Helpline at
855-780-5955. This confidential service — which is available 24 hours a day, seven days a week, and provided at no added cost to members — features education on appropriate treatment options and highly personalized attention from substance abuse treatment advocates who are specialized licensed clinicians. Also available is an online help and support page at https://liveandworkwell.com/recovery, where your patients can find the answers to many frequently asked questions, as well as links to numerous topics related to substance use.

Additionally, Harvard Pilgrim and Optum/UBH will soon be publishing a number of materials for providers to share with patients and their families. The materials will offer information about warning signs and treatment programs for substance use disorders, resources for guidance and support, and much more. Look for more information in the next issue of Network Matters.

How Optum/UBH can help your patients — For complex clinical situations, Optum/UBH is available to provide consultative assistance. Practitioners can call the Optum/UBH Physicians Consultation Service at
800-292-2922. To refer a patient for behavioral health services and to facilitate the coordination of care, call Optum at 888-777-4742.

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HPHCURRENT EVENTS

GIC Product Updates Effective July 1

Harvard Pilgrim’s Telemedicine Coverage

CT Providers: Member Incentive for Annual Wellness Visit

CLINICIAN CORNER

Clinical Policy and Prior Authorization Updates

Serum IgG Allergy Testing Medical Policy Updated

Substance Abuse Resources and New MA Opioid Bill

OFFICE ASSISTANT

Early Intervention Provider Fee Schedule Update

Notice Required For Skilled Nursing Facility Ownership Changes

PUBLICATION INFORMATION

Eric H. Schultz,
President and Chief Executive Officer

Robert Farias,
Vice President, Network Services

Annmarie Dadoly,
Editor

Joseph O'Riordan,
Writer

Kristin Edmonston,
Production Coordinator