July 2024 Issue
Diversify Your Business With EAP Referrals
As a behavioral health professional, you’re aware of the critical role you play in helping people navigate the complex seasons of life. But did you know with EWS you earn the same rate for EAP sessions (allowable codes) as you do for routine outpatient therapy?
This is not the case for EAP programs offered by most other payers.
EWS also is a great way to grow your business since it can provide the opportunity to build long-term patient relationships.
Offering EWS services is easy:
All network therapists – those who have completed our credentialing and contracting process – may provide Emotional Wellbeing services*
This step-by-step guide includes everything you need to know about EWS.
Need an EAP refresher?
Register for a free online course, EAP 101 for Behavioral Health Providers, and earn 1 Continuing Education Unit (CEU). To register for the course, log in to your Optum Health Education account and search for the course name. If you don’t have an account, create one.
Can’t access your account or have questions about your account? Email Optum Health Education.
*The typical Emotional Wellbeing Solutions benefit offers a limited number of sessions with a mental health or substance use disorder clinician for counseling services. There are limitations around the use of these benefits with a psychiatrist or other clinician for medication management, as these services are not included in the Emotional Wellbeing Solutions program.
Once the Emotional Wellbeing session limits have been reached, you can continue to see the member under their behavioral health benefit.
All you need to do is submit the claim via EDI or the portal. Members have no financial responsibility because employers cover the cost of services.
Claims must be billed with one of the allowable procedure codes, the HJ modifier and the appropriate ICD-10 diagnosis code (Z code).
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Article published July 9, 2024