April 2, 2015

Now Available Online: Behavioral Health Coordination of Care Form

The Blue Cross and Blue Shield of Oklahoma (BCBSOK) Behavioral Health Care Management team continually strives to promote coordination of member care between medical and behavioral health providers. We understand that communication between providers regarding the treatment and coordination of a patient’s care can pose difficult challenges. To provide assistance when coordinating care, BCBSOK has created a Coordination of Care form that is now available on our provider website.

This new form may help in communicating patient information:

• To provide member treatment information to another treating provider
• To request member treatment information from another treating provider

It is important to note that, prior to using this form, a written release to share clinical information with the member’s medical provider(s) must be obtained prior to the onset of treatment.

If you are requesting member treatment informationfrom another provider, it is recommended that the Patient Information and Referring Provider sections of the form be completed in order to expedite the care coordination process for the receiving provider.

The Coordination of Care form is available in the Education and Reference Center/Forms/Behavioral Health section of our website at bcbsok.com/provider.