Behavioral Health Administrative Service Organization Transition
The Maryland Department of Health is pleased
to announce UnitedHealth Group’s health services platform, Optum Maryland, will
be the next Administrative Service Organization (ASO) for the Public Behavioral
Health System. The contract award begins January 1, 2020. The contract
base period is five years (January 1, 2020—December 31, 2024) with a single
two-year option which could extend the contract award period through December
Optum Maryland performs similar functions
to those required by Maryland in other states and has a successful history in
provider management, provider maintenance, participant education, authorization and
utilization management. Additional functions include participant and provider assistance and communication,
provider audits and training, quality management and evaluation, provider and
participant appeals and grievances, claims processing and payment, progressive
data analytics, reports, and special projects/new
Optum Maryland is working closely with MDH as well as Beacon Health Options, the current ASO, to ensure the transition is
successful. The transition process includes transferring authorizations, claims
payment processing, participant history, and other information and materials
from Beacon Health Options to Optum Maryland. As Optum opens
its Maryland operations, it will execute an aggressive plan to conduct
outreach, train providers to use its system.
Please come back to this page for regular updates.
MDH will use this site to introduce
changes to the Maryland Public Behavioral Health System (PBHS) and other
important information. Specifically we'll use this site for ongoing
Frequently Asked Questions (FAQs) and to highlight important changes
throughout the transition.
Providers will need to
pay special attention to highlighted, Provider Actions which will identify
what is needed from Providers to ensure a smooth transition to Optum Maryland.
Please direct all questions regarding the ASO transition to: firstname.lastname@example.org.
It is essential
that once the provider portal is live, that ALL programs/providers REGISTER within
the Optum system. This registration
process (not to be confused with the enrollment process) will make you “known”
to the Optum system as an active provider. Existing authorizations will
transfer to Optum, but providers still need to register in Optum to continue
their authorizations and to submit claims for payment. This is also your opportunity to make sure
that your primary contact email for your program or office, your enrollment,
group affiliation, etc. are up to date.
Chief Executive Officer- Scott
Green, MBA, MSW
Scott is the former Director of
the Montgomery County Maryland Local Behavioral Health Authority and the Deputy
Chief of Behavioral Health and Crisis Services. He has extensive
experience on both the mental health and substance use disorder sides of our
system, has a background in health care consulting and was an adjunct faculty
member at the University of Maryland Graduate school of Social work.
Chief Medical Officer- Lisa
Hadley, MD, JD
Dr. Hadley has extensive experience as a provider of behavioral
health services in Maryland, and in management of behavioral healthcare.
She formerly served as Medical Director for the Maryland Behavioral
Health Administration and as Maryland State Opioid Treatment Authority. Dr.
Hadley is board certified in General Psychiatry and Addiction Medicine.
Director, Provider Relations- Karl
Karl is the former Director of
Provider Relations for Beacon Health Options Maryland. He has 39 years of
health care administration experience in provider relations, provider
contracting, member services, claims administration and overall health plan
201 W. Preston Street, Baltimore, MD 21201-2399
(410) 767-6500 or 1-877-463-3464