The Holman Group - Provider Manual

Departments

Below is a description of the activities and services of the various departments within The Holman Group.

Intake Department:

  • Receives calls from clients requesting treatment.
  • Gathers demographic information.
  • Refers clients to individual contracted providers.
  • The Intake Specialist authorizes the initial EAP/MAP and/or insurance treatment sessions, coordinates all incoming crisis calls and verifies client's eligibility to receive benefits. Records provider's diagnostic information and conveys it to the Care Manager who will authorize, if appropriate, additional EAP/MAP and/or insurance treatment sessions.
  • CONTACT STAFF: Intake Manager, Intake Specialists

Provider Relations Department:

  • Contracts with and credentials individual providers and facilities nationwide for mental health and chemical dependency treatment services.
  • Provides information and referral services (e.g., community resources, self-help groups and adjunctive therapies).
  • Responds to provider inquiries and concerns regarding Holman policies and procedures.
  • Provides The Holman Group forms required for use as a contracted provider. These include billing forms, client information forms, clinical assessment forms, progress notes and discharge summaries.
  • Supervises and monitors over the Provider Dispute Resolution Committee.
  • CONTACT STAFF: Director of Provider Relations; Provider Relations Specialists; Provider Services Representative and Credentialing Coordinator.

You may contact each of these departments by calling (818) 704-1444 or (800) 321-2843 (nationwide) Monday through Friday from 8:00 a.m. to 5:00 p.m. (PST)

Inpatient Care Management:

  • Makes all treatment authorization decisions on inpatient and higher level of care cases.
  • Carefully monitors all inpatient and higher level of care cases (residential, day treatment, sober living and intensive outpatient).
  • Maintains regular contact with provider to ensure treatment goals are being met.
  • Coordinates and makes discharge plans from one level of care to another (i.e., hospital to residential).
  • Interprets and explains patient benefits to providers and patients.
  • CONTACT STAFF: Senior Inpatient Care Manager, Inpatient Care Managers.

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Outpatient Care Management:

  • Makes all treatment authorization decisions on outpatient cases.
  • Carefully monitors outpatient cases including the review of clinical assessments and requests for continued authorizations (renewals).
  • Coordinates assignments of patients to psychiatrists.
  • Interprets and explains patient benefits to providers and patients.
  • Provides supervision, remediation and education to providers when necessary.
  • CONTACT STAFF: Outpatient Care Managers.

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Quality Management:

  • Monitors integration of Quality Management Plan into day-to-day operations.
  • Facilitates analysis of data obtained through Quality Improvement monitoring.
  • Interprets Provider/Client Satisfaction Survey findings in the interest of identifying areas in need of improvement.
  • CONTACT STAFF: Quality Improvement Manager.

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Compliance Department:

  • Oversees the patient Grievance Process.

You may contact each of these departments by calling (818) 704-1444 or (800) 321-2843 (nationwide) Monday through Friday from 8:00 a.m. to 5:00 p.m. (PST)

Utilization Review Department:

  • Creates and maintains patient files.
  • Processes requests for authorization extensions for individual treatment sessions.
  • Mails out all written verification of authorization to providers.
  • Provides the Request for Treatment Authorization (Renewal) forms to providers.
  • CONTACT STAFF: Utilization Review Specialist, Utilization Review Staff.

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Claims / Accounting Department:

  • Reimburses providers for services rendered to Holman referred clients.
  • CONTACT STAFF: Claims Manager, Claims Coordinators.

Sales & Client Services:

  • Maintains smooth functioning of corporate/labor accounts.
  • Consults with client account management/personnel on issues related to employees' mental health and job functioning.
  • Monitors Formal Management Referrals.
  • CONTACT STAFF: Account Executives and Client Services Representative.
  • Marketing Department - Markets The Holman Group HMO/EAP/MAP plans to potential corporate/labor accounts.

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Additional Departments:

  • MIS (Management Information Systems)) - Data processing, Web development.
  • Administration (includes Desk Top Publishing).

You may contact each of these departments by calling (818) 704-1444 or (800) 321-2843 (nationwide) Monday through Friday from 8:00 a.m. to 5:00 p.m. (PST)

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