Versions Compared

Key

  • This line was added.
  • This line was removed.
  • Formatting was changed.

1. Setting up information in Rethink:

...

c. Clients who only have DPH funders without at least one non-DPH funder that contains a DPH service line will be considered “uninsured” by DPH(see section 5, service lines, for information on setting up a DPH service line.).

...

Funders

DPH Code (Sent in XML)

1

Aetna

28

2

Aetna CVS Health

100

3

Allways / NHP

3

4

Allways ACO Legacy

8

5

Beacon Health Options/Strategies

71

6

BeHealthy Partnership Plan

101

7

Berkshire Fallon Health Collaborative

102

8

Blue Cross / Blue Shield - Out of State

60

9

Blue Cross / Blue Shield

36

10

BMC Health Net

35

11

Carelon Behavioral Health

103

12

Champus/TriCARE

40

13

Children's Medical Security

38

14

CIGNA

25

15

Cigna Care Link

75

16

CommonHealth

43

17

Community Care Cooperative (C3)

104

18

East Boston Neighborhood Health WellSense Alliance

105

19

Evernorth Behavioral Health

106

20

Fallon 365 Care

107

21

Fallon Community Health Plan (FCHP)

22

22

Fallon Health - Atrius Health Care Collaborative

108

23

FCHP ACO Legacy

6

24

Harvard Pilgrim Health Care (HPHC)

20

25

Health New England

27

26

Health New England ACO Legacy

67

27

Health Plans, Inc.

63

28

Mass General Brigham Health Plan with Mass General Brigham ACO

110

29

Massachusetts Behavioral Health Partnership (MBHP)

111

30

MassHealth

2

31

MassHealth: Family Assist

44

32

MassHealth: HSN (Health Safety Net)

48

33

Optum

70

34

Steward Health Choice

112

35

Tufts Health Plan (THP) Commercial

21

36

Tufts Health Plan (THP) Public MCO

34

37

Tufts Health Together MCO

123

38

Tufts Health Together with Cambridge Health Alliance (CHA)

113

39

Tufts Health Together with UMass Memorial Health

114

40

Unicare

66

41

United Health

26

42

WellSense Beth Israel Lahey Health (BILH) Performance Network ACO

115

43

WellSense Boston Children's ACO

116

44

WellSense Care Alliance

117

45

WellSense Community Alliance

118

46

WellSense Essential MCO

119

47

WellSense Mercy Alliance

120

48

WellSense Signature Alliance

121

49

WellSense Southcoast Alliance

122

50

Other

OTHER

51

ComPsych

74

...

6. Client Enrollment and Consent to Access Information (UPDATED 2/26/22)

  1. Enter the DPH assigned Enrollment Number into the Enrollment Number Field

  2. Select Consent to Access approval options Yes or No (updated 2/26/22)

  3. Enter the Consent to Access Start Date to document when you approved or denied access DPH to the client record.

...