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7.4.2 Provider Requirements and Information
In the STAR Program, clients select a primary care provider from among the providers who have contracted with a STAR HMO or PCCM. In the NorthSTAR Program, a client may have several different providers for different specialty behavioral health services. The BHO will arrange behavioral health services and make referrals to specific providers within the BHO network.
Providers are encouraged to coordinate care with physical health providers in the Medicaid Managed Care and traditional Medicaid programs. Behavioral health providers may do this by notifying the Medicaid Managed Care or traditional Medicaid provider. Behavioral health providers may also notify the BHO that the client is receiving services.
Providers interested in becoming a ValueOptions network provider can obtain additional information by contacting ValueOptions at 1-888-800-6799.
Note: If a behavioral health provider practices in the Dallas SA, he must be enrolled as a network provider in the NorthSTAR BHO (ValueOptions) to provide services to NorthSTAR enrollees. Providers who serve NorthSTAR enrollees without being in the provider network or without prior authorization in nonemergency situations risk non-payment of claims.
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