Integrated Behavioral Health Program (IBHP)

The Integrated Behavioral Health Program (IBHP), administered for Regence BlueShield of Idaho by Reliant Behavioral Health, provides a comprehensive and coordinated approach to a member's mental health care needs. The benefits and services of Regence BlueShield of Idaho’s health care plan IBHP include:

• Up to eight counseling sessions through the Employee Assistance Program (EAP) for members covered under a plan through their employer.
• EAP/IAP services provided at no out-of pocket expense to the members.
• Outpatient therapy - individual, marital and family treatment
• Intensive outpatient program
• Partial day treatment
• Inpatient treatment
• Psychiatric services
• Educational materials to assist you with common and recurring life stressors
• Care coordination
• 24-hour crisis hotline
• Informational and referral services

Any inpatient admission must be authorized within 24 hours of admission. Preauthorization is required for partial hospitalization, intensive outpatient programs, psychological testing, and routine outpatient treatment beyond 12 sessions

How do the EAP/IAP services work?
The EAP/IAP provides confidential services covering a wide range of issues that may affect an individual’s personal and family life, such as stress, grief, parenting concerns, relationship difficulties, chemical dependency problems, aging, work related difficulties, financial and legal concerns.

At times we all can use some help with a problem or issue that is interfering with our work or personal life. Obtaining services early minimizes the chances of a problem becoming serious and requiring more extensive treatment. An EAP/IAP therapist may also coordinate care with your physician when a physical illness results in emotional pain and discomfort.

Confidentiality
All discussions between you and the EAP/IAP and IBHP providers are confidential. A Reliant Behavioral Health care manager may ask your therapist or provider for relevant clinical data and the treatment plan to evaluate how services may best be structured to assist you. You will be asked to sign a consent form which lets you know when information will be shared with other health care professionals. Personal information is never shared with anyone, including your employer, without your direct knowledge and approval. (Exceptions are made only in cases governed by law to protect individuals threatened by violence.)

Who Provides Care?
Regence BlueShield of Idaho’s IBHP network includes credentialed psychiatrists, psychologists, social workers, and therapists - all licensed to provide therapy in Idaho. Ask your provider if he or she is a member of the network or call APS. If a provider is not a member of the IBHP network, your benefits are reduced and your out-of-pocket expenses are increased.

IBHP provides access and flexibility in obtaining care within the established provider network. You may contact an IBHP provider directly for outpatient treatment or you may contact Reliant Behavioral Health to schedule an EAP/IAP counseling session. All EAP/IAP counselors and therapists have masters or doctoral degrees.

Obtaining Care
Anytime you need help, want to schedule an appointment, or have a question about your behavioral health benefits or the IBHP providers, you may call Reliant Behavioral Health’s toll-free number. Calls are answered by caring professionals who are there to assist you!

Behavioral Health Benefit Levels and Costs
IBHP benefits are designed to provide flexibility and ease in obtaining care to best meet your needs. During the benefit year, you have a total number of units of care available for treatment of behavioral health issues (mental health and chemical dependency) when services are received from an IBHP provider. A portion of the total units is also available if you seek services from non-IBHP providers.

Examples of units of care are:

• ongoing 50-minute outpatient therapy session requires 4 units (non-EAP/IAP therapy)
• one 50-minute outpatient therapy with medical evaluation and management requires 8 units (non-EAP/IAP therapy)
• one chemical dependency residential day requires 14 units
• one inpatient day requires 28 units.

In addition, the EAP/IAP provides eight counseling sessions with no copayment, and use of the EAP/IAP does not decrease the total number of units available to you during the benefit year.

Copayment
For all behavioral health services beyond the EAP/IAP, your benefits include a per-unit copayment if services are received from an IBHP provider. If services are received from a non-IBHP provider, a higher copayment is applied.

Refer to your benefit summary and member handbook or call Reliant Behavioral Health toll-free at 1 (866) 750-1327 if you have questions about how these benefits apply to you.