Behavioral health discharge process
To ensure members who're being discharged from an inpatient setting are receiving follow-up care and contacts in a timely manner, please complete the Discharge section in our Behavioral Health authorization form and submit as follows:
- In-network providers: Submit to the member's discharge instructions via the GuidingCare Auth portal within 24 hours or 1 business day of discharge.
- Out-of-network providers: Fax the form along with the member's Discharge Instructions to our Behavioral Health department at 616.975.0249
If the member is discharged early and the facility won't be billing for all authorized dates of service, specify the date range and number of days used during the member's treatment.
Submit the discharge information no more than 24 hours or 1 business day after the member exits the facility.
If you're helping a member with their discharge plan and need support finding in-network providers who can address a specific need, please call 1.800.673.8043 for care coordination.
Discharge information should include:
- Discharge Date
- Discharge Diagnosis
- All details regarding a treatment order if applicable
- Outpatient Therapy Appointments including provider name(s), date(s), and time(s)
- Medications (please note whether member is on a long acting injectable)
- Member’s current stage of change
- Guardian information if applicable
- Member contact information including current address and phone number
- Autism services
- Community care management
- Clinical guidelines
- Coordination of care
- Discharge process
- Electroconvulsive therapy
- Medicaid behavioral health
- Mental health services
- Neuropsych/psychological exams, testing
- Psychological E&M of non-mental-health disorders
- Substance use disorder services
- Telemedicine
- Transcranial magnetic stimulation