Disclaimer

For California Residents
Enrollees, potential enrollees, providers, and members of the public may request a printed copy of providers in your area by contacting the Plan by phone, 1-800-999-9585; by email bnswest@optum.com;  or by mail: OptumHealth Behavioral Solutions of California P.O. Box 880609 San Diego, CA  92108.

Directory was last updated online on 12/06/2019

Provider Accuracy: The accuracy of provider information is verified at least every 6 months for individual clinicians not affiliated with a provider group, and at least annually for provider groups and facilities.  Information in the provider directory is updated at least on a weekly basis.

Reporting inaccuracies : California residents may report possible inaccurate, incomplete or misleading information listed in the provider directory by using the "Report Invalid Info" button found on the Provider's detail page, calling 1-800-999-9585, or emailing provider_feedback@optum.com. If you are an enrollee and believe that you reasonably relied upon materially inaccurate, incomplete, or misleading information in our provider directory, you may submit a complaint by calling the number on the back of your Enrollee ID card.

American Disabilities Act Notice: In accordance with the requirements of federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), we provide full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

Timely Access to Care: Enrollees have the right to appointments within the following timeframes:  Emergency (Non-Life Threatening) – 6 hours; Urgent – 48 hours; Routine (Non-Urgent) – 10 business days. The wait time for a routine appointment may be longer if the provider has determined and documented that a longer time period will not negatively impact the enrollee’s health.  Telephone Wait Times for OptumHealth Behavioral Solutions of California Representatives: During Normal Business Hours - Not to Exceed 10 minutes; After Normal Business Hours – Not to Exceed 30 minutes.  Interpreter services are available to enrollees at the time of the appointment as requested. If you are unable to obtain a timely referral to an appropriate provider or would like to request interpreter services, please contact the number of the back of your Enrollee ID card.  Additionally, the DMHC Help Center may be contacted at 1-888-466-2219 to file a complaint if you are unable to obtain a timely referral to an appropriate provider.  For more information regarding Timely Access to Care, please click here:  Timely Access to Care pdf_icon

Language Interpreter Services: Under California law, you may be entitled to free interpretation services.  To get help in your language, please call 1-800-999-9585 or call the number on your member identification card. Language interpretation services are available at no cost to the member.

Servicios de Interpretación de Idiomas: Conforme a las leyes de California, usted puede tener derecho a servicios de interpretación gratuitos. Para obtener ayuda en su idioma, llame al o llame al número que figura en su tarjeta de identificación de membresía. Los servicios de interpretación de idiomas se ofrecen sin costo para el miembro.

語言口譯服務:依據加州法律規定,您可能有資格取得免費口譯服務。如欲使用您的語言 取得幫助,請致電 1-800-999-9585 或撥打您會員卡上的號碼。語言口譯服務免費為 會員提供。

For Members Outside of California

Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. Non-members may download and print search results from the online directory.

Directory was last updated online on 12/06/2019

Please check with your provider before scheduling your appointment or receiving services to confirm that the provider is participating in our network.

Provider information contained in this directory is updated weekly at a minimum, but may have changed since the last update.

Reporting Inaccuracies: Members may report possible inaccurate, incomplete or misleading information listed in the provider directory by using the “Report Invalid Info” button found on the Provider’s detail page, calling 1-800-557-5745, or emailing provider_feedback@optum.com.

Illinois Only:  For IL provider demographic inaccuracies, you may also contact the IL Office of Consumer Health Insurance at 1-877-527-9431

For CT Residents

Important Notice: Any physician included in this directory is listed for outpatient office visits. In addition, the directory includes information regarding whether the provider is currently accepting new patients.

Criteria Description: Our provider network is built to provide an array of licensed qualified professionals and programs/facilities in mental health and substance use disorders. This network represents an array of clinical specialties and expertise to allow timely access and availability for our membership taking into account geographic access in terms of distance and travel time as well as member population density. In addition, we continually work to ensure the diversity of our network to enable us to meet the clinical, cultural, linguistic and geographic needs of our members.

Source Statement: The source of the information required to be included in this provider directory is our participating providers.

Disclosure Statement: The information provided or included in this directory is accurate as of the date posted to the web or as of the date of updating/printing. Covered persons or prospective covered persons should consult this electronic provider directory on this website or call the specified customer service telephone number on the covered person's insurance card to obtain more or current provider directory information.

Tiering: While every provider and group listed here has passed rigorous evaluation, Platinum providers have consistently demonstrated care and performance that exceeds both effectiveness and efficiency benchmarks as measured by an internal evaluation program

Disability/Language Assistance: This site offers web-based solutions that are accessible and usable to everyone, including those with disabilities. We have made every effort to ensure that all features on the site are accessible as possible, however because of technological constraints, some features cannot be fully accessible through assistive technologies, such as screen readers. If you find that you are having accessibility issues with any of our content, we’d like to know about it.  We also offer language assistance services. These services are free and available to help you communicate with us and with your health plan. We are able to provide letters in other languages or you can ask for an interpreter. Details on how to obtain these services is available (https://www.optum.com/nondiscrimination.html).

Complex Case Management Program:The Complex Case Management Program is for members who could be helped through more intensive coordination of services. This program is intended to help members with complex behavioral health conditions connect with needed services and resources. For additional information about the  Complex Case Management Program, please call the number on the back of your insurance card, Please Click here: Complex Case Management Program pdf_icon

Authorization for Services: Many benefit plans require you to call to obtain authorization, certification, or referral before you obtain services. Use the number on the back of your insurance card to confirm benefits and authorization requirements. There are some services that are not guaranteed until the requirements for utilization review have been completed and documentation of authorization has been issued. Use the number on the back of your card to obtain information on how to seek authorization, if you (and/or your representative) believe the necessary care is not available from contracted providers; initiate a grievance if coverage has been denied, reduced, modified, or terminated; and obtain information concerning the potential consequences if authorization is not obtained.

Joining Our Network : Providers of mental health or substance use services not currently under contract with the managed care organization that are willing to meet the terms and conditions for participation may apply for contracted status and may become contracted after successful completion of credentialing. Please refer provider to providerexpress.com for further details.

Notice about virtual visits for Medicaid/Medicare members:  Your virtual visit coverage may vary depending on your Medicaid/Medicare plan. To find out if you’re covered for virtual visits, please call the number on the back of your insurance card. If you’re covered, and once you choose a provider, that provider must confirm your coverage, determine if the service is right for you, and tell you if you need to complete a consent form(s).

State Specific Notice : Maryland Accommodation Process pdf_icon

For Florida Residents

Florida Medicaid Network Adequacy Standards pdf_icon

For Ohio Residents

UnitedHealthcare Connected MyCare Ohio - OHMM: http://www.myuhc.com/content/myuhc/Member/Assets/Pdfs/Medicaid/OHMM_Disclaimers.pdf

UnitedHealthcare Community Plan - OHMD: http://www.myuhc.com/content/myuhc/Member/Assets/Pdfs/Medicaid/OHMD_Disclaimers.pdf

Provider

Except where noted, all information about provider's name, gender, hospital affiliation, office location, phone number, language spoken and whether they are accepting new patients is voluntarily self-reported by the provider and only updated upon his or her request.

Discipline/provider type, specialty and board certification information is self-reported by the provider and verified when the provider first joins the network by verification of the provider's training in the specialty or his/her board certification status.

The accuracy of clinician credentialing data and other information is validated at least every 36 months. Information is updated on a real-time basis.

Facility

Except where noted, all information about the facility name, location, and phone number is self-reported by the facility and only updated upon request. Accreditation information is self-reported by the facility and verified when the facility first joins the network. The accuracy of this information is validated at least every 36 months.

Accreditation is a process in which certification of competency, authority or credibility is presented. Hospital Accreditation status is verified directly with the accreditation body when the facility is first credentialed and then at least every 36 months thereafter. For more information, please visit the following accreditation websites:

Joint Commission (JCAHO)

Commission on Accreditation of Rehabilitation Facilities (CARF)

American Osteopathic Association (AOA)

American Association for Ambulatory Health Care (AAAHC)

Council on Accreditation (COA)

Community Health Accreditation Program (CHAP)

Critical Access Hospitals (CAH)

Accreditation Commission for Healthcare (ACHC)

Healthcare Facilities Accreditation Program (HFAP)

National Integrated Accreditation for Healthcare Organizations (NIAHO)

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