Behavioral health

Moda Health Behavioral Health (MHBH) works with medical plan members to secure the most effective care, by the most appropriate provider, in the most befitting setting, with the most efficient use of the member's benefits. MHBH continuously evaluates the healthcare received by Moda Health members, monitoring developments in treatment technology and research then recommending best practices to providers.

Moda Health Behavioral Health provider webinar sessions

Sign up today!

Keeping up with the latest healthcare changes is how we can help build and support healthy communities. Join Moda Health's Behavioral Health team for a live webinar to learn about our 2017 updates and get a glimpse of what's ahead for 2018! Our upcoming webinars will help you understand:

Sign up for one of the webinar sessions below and reserve your seat today. We look forward to seeing you there!

October 24, 2017 - Session 1
(RSVP by Oct. 20)
12:00 - 1:00 p.m.

November 9, 2017 - Session 2
(RSVP by Nov. 7)
12:00 - 1:00 p.m.

Forms

General forms

Clinical guidelines

Depression

Moda Health has adopted the Institute for Clinical Systems Improvement guideline for treatment of major depression in adults in primary care.

Adjustment disorder

Recommendations for assessment and treatment of adjustment disorder.

Outpatient psychotherapy

Moda Health recommends consistent use of outcomes measures in outpatient psychotherapy.

Attention-deficit/hyperactivity disorder (ADHD) in children and adolescents

Moda Health has adopted the American Academy of Pediatrics clinical practice guideline for the diagnosis, evaluation, and treatment of ADHD in children and adolescents.

Clinical tools

Chemical dependency

Moda Health encourages all providers to screen for possible chemical dependency problems using a validated tool such as CAGE or AUDIT screening.

The CRAFFT is appropriate for screening adolescents and children for substance abuse, including prescription drug misuse.

Depression

Moda Health encourages all providers to screen for possible depression problems using a validated tool such as the PHQ-9. PHQ-9 scoring instructions.

Outcomes measures

Providers can use validated outcomes measures and supporting documentation, usually free of charge, available at ACORN and Heart & Soul of Change.

Preparing for telephonic review

Tips for ensuring a successful telephonic review for outpatient mental health services.

Medical Necessity

Moda Health Commercial Medical Necessity Criteria

Moda Health Provider Networks

Moda Health offers provider participation in multiple networks in order to meet the needs of its members, from large employer groups to individual subscribers. Participation in each network may be limited due to the number of providers who are currently in the network, and geographical location of the practice.

To view a complete list of Oregon Individual, small group and large group plans and networks, please visit our networks page.

If you are a new provider without an established relationship with Moda Health and you would like more information on how to become contracted, please visit our Become a provider page.

Contact Moda Health Behavioral Health

Moda Health Behavioral Health Customer Service
Local: 503-624-9382
Toll-free: 800-799-9391

Authorization and Treatment plan requests
Fax: 503-670-8349

Moda Health Behavioral Health
P.O. Box 5817
Portland, OR 97228-5817

Find Your Provider Services Representative

Provider Services Representatives help translate and define contract language and contracting requirements driven by Administrative Rules and Federal Regulations. They help to identify the root cause of claim issues, trends and participate in developing solutions.

To locate your region's Provider Services Representative, visit our Find Your Rep page.

Moda Health Provider Network

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Employer web tools

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Producer web tools


Hello.

We have exciting news to share. ODS is changing its name to Moda Health.

Moda comes from the latin term "modus" and means "a way". We picked it because that's what we are here to do: help our communities find a way to better health.

Together, we can be more, be better.

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