This is supplemental information to the BPA Health Provider Manual, specific to EAP Providers. The EAP Provider Manual Supplement can be accessed here.

With this form you can add or remove addresses/locations, update office operations, upload a new W-9, change specialties, and request to transfer clients.

EAP/BH Provider Information Update Form

Here is the link for the EAP Client Record and Site Review tool

EAP Record and Site Review Tool

Fillable Form: EAP Client Record and Site Review Submission Form

Please click on the link below to complete a Separate Incident Request for a client or their family member.

EAP Separate Incident Request Form

For EAP Providers: Important information is attached in regards to Secure Electronic Authorizations, Electronic Billing Submission, Automatic Deposit of Funds and additional information.

09-06-2018 EAP Provider Communication

Welcome to BPA Health’s Employee Assistance Program (EAP) and Behavioral Health (BH) Provider Network Resource page.  BPA Health, with our focus on better instead of bigger, is ready to be an active partner with you in your work to improve people’s lives.

Below you will find essential links to additional information. Feel free to bookmark this page in your browser, as updated information will be posted here on an ongoing basis.

Questions? Contact BPA Health at 800-688-4013 or email us at [email protected].

Promoting the EAP will provide information on how to assist your company in communicating the EAP to employees and family members.

Frequently asked questions about the EAP program.

Please use this form for providing information to BPA Health for new Employee Assistance Program (EAP) Accounts.

New EAP Account Profile

Please click this link below to fill out the EAP Billing Form to submit for payment.

EAP BILLING SUBMISSION

How to file a claim

Click on the link provided above, or the red down arrow icon. All claims must be submitted within 60 days from the date of service. Claims submitted after 60 days will be denied. BPA Health will accept claims either as an uploaded CMS (HCFA) 1500 form or by filling in the requested information.

In addition, you may fax forms to 208-344-7430 to the attention of the Claims Department or mail them to:
BPA Health
Claims Department
8050 W Rifleman St., Ste 100
Boise, Idaho 83704

For questions, please contact the Claims Department at 800-486-4372 or 208-947-1290.

Claims submitted with insufficient information will be returned and may be re-submitted after they have been
corrected. All clean claims will be processed within 30 days.

Information on the Critical Incident Response process and how to access this valuable resource for EAP

Please click the link below or the box with the arrow above to fill out a request for an EAP quote for employers and brokers.

Request a Quote

The Supervisor Manual provides an overview of the EAP program and how to utilize the program as a management resource.

To file a complaint, please fill in the form linked below.

Complaint Submission Form

This is a sample template for a standard release of information form.

BPA Health offers regular in person and web-based training for Providers in the BPA Health networks. Upcoming and archived trainings are listed below.

BPA Health has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6910. Programs that do not qualify for NBCC credit are clearly identified. BPA Health is solely responsible for all aspects of the programs.

Please direct concerns about BPA Health training  to the Complaints Department at BPA Health at 208-947-1290 or via fax to 208-344-7430. More information on our complaint policy and procedure can be found HERE.

Overview of Legal Financial and ID Theft Recovery benefit.

Overview of Work-Life website topics and information available.

BPA Health Member Rights and Responsibilities (Spanish)

This is a sample form to allow the provider to preview what information is required before completing the form.  To view the blank form, please click the download button.  To fill out the online form, please click here.

Online Authorization for Use and Disclosure form: https://www.cognitoforms.com/BPAHealth/authorizationforuseanddisclosure

Printable Authorization for Use and Disclosure form: Authorization for Use and Disclosure

BPA Health reviews the Provider Manual annually, at a minimum, incorporating changes since prior version. This document includes a general description of changes since the last manual update and the date of the change. They will be written into the next manual revision. List of updates can be found here.

This document includes instructions on how to submit an appeal to BPA Health.  SUD Network providers, please see the associated SUD Appeals Submission Form.

Our Student Services are designed to give your students access to the same behavioral health benefits of a world class Employee Assistance Program. Students who access behavioral health care are more engaged, present, resilient, and have the tools they need to be confident and productive.

Our services are completely confidential and can be designed to fit any school’s budget or needs.

Enrollment in BPA Health’s EAP is not necessary.

Browse our options below. When you are ready to talk or need a quote, give us a call at 800-211-9477 or email us at [email protected]

If you would like to be removed from the EAP or SUD Networks, please complete this brief form.

https://www.cognitoforms.com/BPAHealth/bpahealthprovidernetworkoptoutrequest

If you are an SUD Agency or EAP-BH Provider with BPA Health, we will electronically transfer funds directly into your account if you would like. Signing up for automatic deposits, also ensures a quicker turn-around time for you to receive your funds.

To sign up, please click below or click on the arrow above.

AUTOMATIC DEPOSIT SIGN-UP

Member Rights and Responsibilities Policy

SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.

Call 1-800-662-HELP (4357).

The BPA Health Provider Manual can be found here.

There are additional benefit specific supplement manuals to augment the Provider Manual.

The one for EAP Providers that can be found here.

The one for SUD Providers can be found here.

Welcome to BPA Health’s Substance Use Disorder (SUD) Provider Network resource page.  We serve SUD clients funded by the Idaho Department of Health & Welfare, Idaho Department of Correction, Idaho Supreme Court and Idaho Department of Juvenile Corrections,

Below you will find essential links to additional information. Feel free to bookmark this page in your browser, as updated information will be posted here on an ongoing basis.

Questions? Contact BPA Health at 800-922-3406 or email us at [email protected].

This is supplemental information to the BPA Health Provider Manual, specific to SUD Providers. The SUD Provider Manual Supplement can be accessed here.

Authorization for Use and Disclosure for a Management Referral

BPA Health conducts its business fairly, impartially, in an ethical and proper manner, and in compliance with all laws and regulations. We are committed to conducting business with integrity underlying all relationships, including those with citizens, customers, suppliers, communities, and employees. We will investigate and address any instance of fraud, waste, or abuse that occurs in relation to our business.

See the attached for reporting fraud, waste and abuse.

The Idaho Behavioral Health Standards eManual can be found on the Idaho Department of Health and Welfare’s website. A link can be found here.

If you you have a question about the Idaho Standards can’t find what you need you there please follow up with IDHW. Their email is [email protected]

Thank you!

BPA Health’s Legal Disclaimer.

BPA Health’s Privacy Policy.

The YES Practice Manual provides information on how the system of care is used in practice.  It is a guide for youth, families, and providers.

To view the YES Practice Manual, please click HERE.

The Youth Empowerment Services (YES) Principles of Care & Practice Model is a guide for child-serving agencies/providers in the delivery and management of mental health services and supports for Class Members.

To view the YES Principles of Care & Practice Model, click HERE.

Request for taxpayer identification number (TIN) for reporting on an information return (e.g., 1099-MISC) the amount paid.

Click here for W-9 fillable form

Haga clic aquí para ver el Aviso de prácticas de privacidad

Notice of Privacy Practices in Spanish

Welcome to your Student and Family Assistance Program (SFAP) resources page. The materials included below are meant to help to better understand the SFAP program. When you are ready to access services, or would like more information, please give us a call toll free at 833-935-3816.

BPA Health’s Notice of Privacy Practices can be found here.

Informed Consent Form

All providers are required to report to BPA Health within 24 hours any incident or event that threatens the safe and efficient operations of BPA Health or any contracted provider, involving a client who received authorized services within the last thirty (30) days. Failure to comply with reporting requirements may result in sanctions.

The Adverse Event Reporting form can be accessed here.

A list of reportable events can be found here:

BPA Health may follow-up on adverse events for additional information.

This webinar will discuss important considerations and resources for counselors prior to using telehealth with individuals who are experiencing domestic violence.

The Power Point can be found here.

SAMHSA’s tips for survivors coping with grief after a disaster or traumatic event. Access here.

This document includes instructions on how to submit an adverse action appeal to BPA Health. Adverse actions include suspension or termination.

The Americans with Disabilities Act (ADA) guideline overview and resources for SUD Providers.

Resource information can be found here.

Informational card on opioid overdose resuscitation.

Whether you are an employer interested in meaningful benefits like an Employee Assistance Program (EAP) for your employees or an organization looking to provide efficient, effective and high-quality managed behavioral health services, BPA Health works with you to build and deliver services that are tailored to your organization’s unique needs.

Quick Links:

• Request a quote for Employee Assistance Program (EAP) services
• About Student Services
• Students: K-12 Request a quote for Student and Family Assistance Program (SFAP) Services
• Students: Technical Schools, Colleges, Universities Request a quote for Student Wellness Program (SWP) Services
• Website materials

For Brokers or Health Plans:  If you are looking for additional information, please email us at [email protected].

Take our Employer/Broker Survey

BPA Health Corporate Headquarters

Address:  8050 W. Rifleman St., Ste. 100, Boise, ID 83704

Corporate Fax: (208) 344-7430

EAP Members & Employers

Contact our Customer Service Department at (800) 726-0003

Student & Family Assistance Program (SFAP)

Contact our Customer Service Department at (833) 935-3816

Customers, Brokers, Consultants & Visitors

Contact our Customer Relations Department at (800) 211-9477 or [email protected].

For an EAP quote, click here.

Providers

Contact our Provider Relations Department at (800) 688-4013 or [email protected].

State of Idaho Substance Use Disorder Treatment Clients

For information about benefits funded by the Idaho Department of Health & Welfare, Idaho Department of Correction, Idaho Department of Juvenile Corrections or the Idaho Supreme Court, Drug Court or Problem Solving Court, call (800) 922-3406.

SUD Fax: (208) 947-4392.

Hearing and Speech Impaired or Interpreter Services

Please note:  For hearing and speech impaired callers can use TTY or dial 711 from your telephone to be automatically connected to a TRS operator. Additional information on 711.  For callers needing interpreter services, you may access it by calling (800) 922-3406. Interpreter services are available for any language. Written information is available in English and Spanish.

________________________________________________________________________________________________________

Fraud, Waste or Abuse

Fraud, waste, or abuse may be reported directly to BPA Health by emailing [email protected].  Fraud, waste, or abuse may also be reported to a third-party anonymous and confidential reporting service by calling (855) FRAUD-HL ((855) 372-8345) or online at www.FRAUDHL.com using the company ID: BPAHealth.

General Inquiries

Please note: Our general inbox is not regularly monitored.  If you have a question specific to programs or services provided by BPA Health, please contact us directly using the options listed above.

Phone:  (800) 486-4372
E-mail:  [email protected]

COMPLAINTS