Launch Availity
Precertification
Claims & Disputes
Forms
Education & Training

Behavioral Health

Integrated health care

Simply Healthcare Plans, Inc. (Simply) facilitates integrated physical and behavioral health services as a vital part of health care. Our mission is to address the physical and behavioral health care of members by offering a wide range of targeted interventions, education and enhanced access to care to ensure improved outcomes and quality of life for members. We work collaboratively with hospitals, group practices, independent behavioral health care providers, community, government agencies, human service districts and other resources. This enables Simply to successfully meet the needs of members with mental health and substance use disorders as well as those with intellectual and developmental disabilities.

In Lieu of Services (ILOS)

Simply provides in lieu of services (ILOS), medically appropriate alternatives to certain covered Medicaid benefits. ILOS can give members and care providers the flexibility to choose the right care, with a focus on helping prevent or reduce the need for higher levels of care and more costly services in the future.

Telehealth Resources

Behavioral Health Reimbursement Policies

Access our library of Behavioral Health reimbursement policies to guide you in claims submissions for behavioral health services that could be available in a member’s benefit plan, addressing billable HCPCS or CPT® codes, and more.

If you cannot find the policy information you are searching for, please check our Reimbursement Policies page for additional guidance.

Note: Determination of coverage under a member's plan does not necessarily ensure reimbursement. Industry practices are constantly changing, and Simply reserves the right to review and revise these policies periodically.

Behavioral Health Reimbursement Policy Definitions (coming soon)

Behavioral Health Reimbursement Policy Disclaimer (coming soon)

Coming soon.

 

Related resources


Carelon Behavioral Health Phone Numbers for Members and Providers:
  • 1-844-375-7215: Medicaid 
  • 1-855-861-2142: Florida Healthy Kids
  • 1-877-698-7787: Medicare
  • 1-800-397-1630: Providers wanting to join Carelon Behavioral Health Network
 
Preauthorizations:  
  • 1-800-221-5487: IP, IOP, PHP, SIPP, RTC  
  • 1-844-375-7215: OP Medicaid
  • 1-855-861-2142: FHK
 
Carelon Behavioral Health Fax Numbers:
  • IP, IOP, PHP, SIPP, RTC Preauthorization:  We do not accept faxes for this LOC, only phone calls.    
  • 1-800-370-1116: Medicare Outpatient Preauthorization
  • 1-800-370-1116: Medicaid Outpatient Preauthorization
 
Join Network for Providers
 
Crisis Calls for Members
  • 1-844-375-7215, Press 9, Press 1 for English or 2 for Spanish, Press 9 for Emergency, will then be transferred to a clinician

Provider tools & resources

Interested in becoming a provider in the Simply network?

We look forward to working with you to provide quality service for our members.