Neighborhood Health Partnership: Transplant Services Request

To help facilitate the Transplant process, effective July 1, 2012 all requests for Transplant Services for Neighborhood Health Partnership will be made to OptumHealth. You may initiate a pre-certification request through OptumHealth by calling 888-936-7246 or by fax to 855-250-8157.

Update to Imaging Services Pre-Certification's

Effective February 2009, please contact Care Core National, (CCN) for Pre-certification of the following Radiology/Cardiology/Nuclear Imaging Services listed below. Pre-Certifications are required for studies rendered in a physician’s office or in a hospital outpatient setting:

• CT Scans
• MRI/MRA
• PET Scans
• Echo Stress Tests
• Nuclear Medicine
• Nuclear Cardiology

Update to Diagnostic Cardiac Catheterizations and Electrophysiology Implant Pre-Certification's

Effective December 1, 2011 please contact Care Core National, (CCN) for Pre-certification of the following cardiology services described below.

• Diagnostic Cardiac Catheterization performed in any place of service except inpatient hospital
• Electrophysiology Implants performed in any place of service, even if an inpatient authorization is in place

Please refer to the updated Protocol III for a listing of all services requiring Pre-certification.

Advocare Health Alliance

For Durable Medical Equipment, Home Health, Home Infusion, and Respiratory Services, please contact Advocare Health Alliance, formerly known as Pharmed Health Alliance.

Advocare Health Alliance Customer Services Department
In Miami-Dade County: 305-728-2747
Outside Miami-Dade County: 866-374-4326

Hours are: Monday to Friday, 8:30 a.m. to 7:00 p.m.
                    Saturday, 8:30 a.m. to 5:30 p.m.

United Behavioral Health (UBH)

Neighborhood Health Partnership (NHP) is committed to providing our members with the finest quality health care. Effective November 1, 2006,United Behavioral Health (UBH) will manage the mental health and substance abuse treatment for all our members.

This administrative change will affect how mental health and substance abuse benefits are accessed. Effective November 1, 2006 all affected members must be referred to UBH to obtain referral/authorization formental health and substance abuse care. You or the member may contact UBH directly at (800)817-4705 to obtain a referral or an authorization. Member benefits are not impacted by this change.

United Behavioral Health has established a network of providers throughout the South Florida area. This network consists of professionals from a variety of disciplines, including psychiatry, psychology, psychiatric nursing, clinical social work and substance abuse.

If you have any questions, please do not hesitate to contact Neighborhood Health Partnership at (877)972-8845 or UBH at (800)817-4705. Effective November 1, 2006 crisis intervention and emergency care are available 24 hours a day, 7 days a week through UBH’s toll-free number.