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.

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

Contact Moda Health Behavioral Health

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

Local: 503-624-9382
Toll-free: 800-799-9391
Fax: 503-670-8349

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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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