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Welcome to the Managed Care Catalog!

Welcome to CEU By Net!  This Is the Managed Care Courses Catalog, Where Counselors and Social Workers and Program Administrators Can Get Straight Talk About How to Survive Managed Care (Under the Private Insurance Carriers, and the 'ACA' or ObamaCare or Whatever It Becomes Next!) . . . and Do It Ethically. 

 

Read  Specific Examples of How to Document Your Client's Need for Treatment In the Clinical Record, and How to Audit Your Own Program Records Before the HMO, Insurance Company or State Contractor Shows Up at Your Door!  

 

Note:  The courses in this catalog have been significantly revised to include current information about the impact of the National Health Care Reform Movement upon mental health and addiction treatment providers.  Regardless of how the ACA (ObamaCare) is revised at the national level, there are key features that are here to stay.  The private insurance companies and the Medicaid HMOs are way ahead of the Feds in terms of what is necessary to control costs - and that's a carefully controlled Care Management System.

 

Does This Managed Care Stuff Apply to YOU? 

 

Announcement!  All of the courses on our site can now be viewed for FREE, including their quizzes, before you decide if you want to enroll.  That now includes all of our PDF slide show courses that you will see here in the Manged Care Catalog and elsewhere on the site (like our Geriatrics Course 4G and some of our Documentation Courses).  Everything on the site is now 'Quiz Only!'  You don't even have to register to view our courses.  So go for it!   

 

 


JUST WANT TO SEE THE LIST OF MANAGED CARE COURSES?   Ok, go to the bottom of the page to view the entire list of these unique courses.  Click the + sign next to any course that you want to know more about. 

Then, you can click the links to view the course materials and the quizzes for FREE, at the bottom of each course description in the catalog. Then enroll if you like, by clicking the 'SIGN UP NOW' button.  Note:  If you have an Annual Subscription, when you click the SIGN  UP NOW button, please IGNORE the price tag;  that's for people who don't have a subscription.  

 

  • Our Managed Care courses are a bit different than the majority of our courses because they are PDF self-guided slide shows.  (The majority of CE Credit Hours on this site are earned through traditional text-based professional publications and training manuals.) 

We offer 10 courses pertaining to Managed Care, all of which address the impact of Managed Care upon private practitioners, agencies, and traditional Provider Networks (read: 'Narrow Networks' and 'Integrated or Vertical Networks') - and upon the funding of treatment services. 

  • We also address the newly enhanced demands for documentation of the need for treatment and the results of that treatment.  It may be 'light years' different than how you were trained to document sensitive and personal client information - but if you want to be paid for the services you provide, it's necessary.  

 


 

 

We are NBCC ACEP #6338 We Offer UNLIMITED COURSES AND CREDIT HOURS for An Entire Year with Our Annual Subscription - and It's Only $54.95 Per Year!  There Are None of Those Frustrating Limitations Found On Some Subscription Websites.  Very Affordable - Especially If You Need More Than a Handful of Credit Hours.  We Offer Approved NBCC Hours for Every Course on Our Website.  And EACC PDHs and State Board CE Credit, Too.  And NAADAC and IC&RC CEUs   

Note: FOR THE DEFINITION OF HOW WE COUNT CREDIT HOURS WHEN EARNED ON THIS WEBSITE, CLICK HERE.

 


Try our FREE Managed Care CE COURSE  - Course 1B 

Free Course 1B awards 1.5 Clock Hours of CE Credit for all credentialing authorities - NBCC, EACC, TCBAP-TAAP, FCB, NAADAC, IC&RC and State Mental Health and Addiction Licensing Boards who accept our credits (see our Approved States Map for your state).  This course is a self-paced slide show offered in a PDF format so that mobile devices can view it.

 


 

The ACA - A Shift In How We Provide TreatmentHEALTH CARE REFORM - The Affordable Care Act (ACA) or ObamaCare or However It's Titled Next:  It's now a national movement, whether we are looking at private commercial insurance companies, or State contractors, or Medicaid, or Federal Health Care Reform arrangements.  

For mental health and addiction treatment, there are still many things that are not yet clear - such as how will mental health and addiction treatment be integrated into a 'Medical Home' where primary health care is integrated with behavioral health.  It is now understood that some form of that is essential to deliver quality health care.  But exactly how? 

There are some pilot programs gearing up to test how Integrated (or 'Vertical') Health Care will work for behavioral health, but details are far from clear.   But one thing is certain:  All services will be delivered as a closely monitored 'MANAGED HEALTH CARE' initiative.  That's critical, if we are to control the rising cost of health care. 

 


Does This Apply to YOU?  Yes.

Health Care Reform (aka, 'Managed Care') is now a fact of life, REGARDLESS of the state in which you practice, or what the new Administration does to modify the Affordable Care Act, or the type of environment in which you work. While many states are not new to Managed Care, the pervasiveness of working under such a regulated system of health care IS new, with the national need to control the cost of healthcare at all levels. 

 

Those who were able to 'dodge' the limits placed on delivery of treatment to their clients when Managed Care first appeared in their state will now find it hard to do so, under national Health Care Reform.  Even if you are a private practitioner working with commercial insurance companies, it's a 'given' that you will be significantly impacted.

 

Do you wonder if you can work in a Behavioral Health system that's driven by 'Managed Care', and hold on to your professional ethics?  Are you struggling with insurance carriers on a daily basis, regarding the 'Medical Necessity' of treatment for your clients?  Are you uncertain how to protect yourself and your program from adverse audit findings and negative chart reviews?  Are you uncertain how to hold on to your professional ethics under a system such as this?  You can find some answers here!Managed_care_answers_here 

 

Our Managed Care CEU courses present clear explanations and practical approaches to the oftentimes confusing scenarios brought about by Managed Health Care - newly relevant with the coming of the Federal Health Care Reform initiative.  

How can we fit in - programmatically and clinically?  Does it apply ONLY to those working in publicly operated Medicaid programs such as Community MHMR Centers and AOD Block Grant Programs?  Are there options in the types of programs we can operate within this type of a health care system?  Can we continue to work in the same way that we always have?  Can we keep our professional ethics intact?  Get the answers, here.   

 

WHY IS THIS SUCH AN IMPORTANT ISSUE, FOR MENTAL HEALTH AND AOD TREATMENT PROVIDERS?     With the implementation of Health Care Reform at the federal and state levels, virtually all insurance carriers and their provider networks will be affected.  CEU By Net's Managed Care Courses cover the gamut of issues which should concern behavioral health treatment providers, in this new day of expanding 'Care Management' and 'Health Care Reform'. 

 

Select from Managed Care courses which address the 'hot' issues in a manner which is not often found in an open forum:  

- The ETHICS of documentation in client charts when insurance is paying the bill.  

- UNDERSTANDING how Care Managers 'think' .... so that you can effectively structure your requests for treatment, your treatment plans, and your progress notations in a way which will JUSTIFY APPROVAL for treatment. 

- Learning how to AUDIT your own charts, to ensure that you will pass the most rigorous of clinical chart reviews by insurance companies and HMOs-BHOs.   

- The issue of 'provider risk' with certain types of Provider Agreements, and an understanding of the types of NON-traditional programs which CAN be included in Provider Agreements, as well as things to avoid.  And more.

 

Programs affected include outpatient treatment programs and practices, hospitals, nursing facilities, Community MHMR Centers, residential and day treatment centers, Block Grant Substance Abuse treatment  programs, recovery and rehabilitation centers, etc. - any program which utilizes 'Care Management' as a core feature of cost control.  Health Plan Contractors administering these programs include private insurance carriers as well as those who administer Medicaid, Medicare, and state or local mental health and chemical dependency contracts. 

Therefore, these courses are relevant for all behavioral health providers who are (or will be) providing treatment under a Care Management system, whether in private practice, or working for a private or publicly funded program.   

 

To see DETAILS of courses, or to enroll in any of the courses in this particular catalog (the Managed Care Catalog), go to the BOTTOM of this page and click the + sign next to any course title that interests you.  

Remember, you don't have to pay the 'individual purchase' price; you can purchase an Annual Subscription for $54.95 and take unlimited courses for FREE for one entire year.  With an Annual Subscription, you can ignore the 'price tags' on the courses;  take as many courses as you like, at no additional charge.

 

 


  

 

REGARDING OUR MANAGED CARE FLEXI-COURSES ....  FlexiCourses  4A and  5A:  These two Managed Care courses are organized into convenient modules or chapters which allow you to collect a certificate for each separate module - collect all now, or save some for later when you need them!  [NOTE:  IN FLORIDA YOU MUST COMPLETE BOTH MODULES IN COURSE 4A AND ALL THREE MODULES IN COURSE 5A TO GET CREDIT.] 

 

  •  FlexiCourse 4A – This Is Managed Behavioral Health Care - and Its Impact On YOU  

  • FlexiCourse 5A – Welcome to Care Management! a.k.a., 'Do They Really Need Treatment?' 

FlexiCourse 4A contains two modules - MC 101 and MC201.  FlexiCourse 5A contains all three of the modules below:  

  • MC101 Managed Care in Public Health Programs:  It’s Not Your Grandpa’s Chevy   

  • MC201  The Good, The Bad, and The Ugly of Managed Care Contracts – Including Clinical and Program Options for Professionals

  •  MC301  Professional and Clinical Issues in Managed Care  - The Necessary Shifts in Program Design and Treatment Approach Under a Level of Care System 

Each module earns a separate certificate, and each has its own PDH Approval Number.    

   

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The CORRECT NUMBER of Credit Hours for each course  - for all certifying entities - appears in the first paragraph of the COURSE DESCRIPTION IN THE CATALOG WHERE YOU ENROLL IN THE COURSE. 

If you click a link to open a course, but the link doesn't open  up, please TURN OFF YOUR POPUP BLOCKERS!  Click here to see how.  

 

Plus    FREE Course 1B - It's Not Your Grandpa's Chevy - Intro to Goals, Clinical Concerns, and Opportunities In Behavioral Health Managed Care
Plus    Ethics 4D - When Insurance and State Contracts Are Paying the Bill – The Ethics of Treatment Documentation and Other Ethical Dilemmas
Plus    Ethics 3D - The Ethics of Treatment Documentation When Insurance Is Paying The Bill
Plus    Course 2B - They're Coming to Audit WHEN? a.k.a. 'What Can Go WRONG In That Chart?'
Plus    Course 2C - We Have to Change WHAT?
Plus    Course 3B - The Big Transition in the AOD Field: Managed Care, the ACA, Justifying Need for Treatment - Oh How It's Changed!
Plus    Course 3A - Managed Care - Is There Anything GOOD About It?
Plus    Managed Care Course 5A - Welcome to Care Management! Do They REALLY Need Treatment?
Plus    Managed Care Course 4A - This Is Managed Behavioral Health Care - and It's Not Your Grandpa's Chevy!
Plus    Course 1C - Cost Containment (Capitation) and You!
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