USBHPC FACILITY MANUAL

US BEHAVIORAL HEALTH PLAN, CA FACILITY MANUAL

Disclaimer, Introduction, Contacts 

FAQ

Glossary 

Mission and Core Values, Treatment Philosophy 

Behavioral Health Network Requirements 

Benefit Plans, Coordinated Care Management, Access to Care and Consumer Rights  

Treatment Record Documentation Requirements 

Consumer Complaints 

Appeals

Dispute Resolution 

Compensation and Claims Processing

Quality Improvement  

Manual Updates and Governing Law, Privacy Practices

Appendix A: USBHPC Enrollee Rights and Responsibilities (English) 

Appendix B: USBHPC Enrollee Rights and Responsibilities (Spanish) 

Appendix C: UBH Patient Rights and Responsibilities 

Appendix D: Member Grievance Form 

Appendix E: Preferred List of Revenut Codes 

Appendix F: Patient Financial Responsibility Form  

Appendix G: Blue Shield MHSA Enrollee Rights and Responsibilities  

Appendix H: Blue Shield MHSA Member Grievance Form