SAMARITAN BEHAVIORAL HEALTH SERVICES
General Acute Care Hospital
/Mental Health Counselor
/Occupational Therapist
/Radiation Oncology Physician
/Hematology & Oncology Physician
/Case Management Agency
/Speech-Language Pathologist
/Clinical Social Worker
/Multi-Specialty Clinic/Center
/Physical Therapist
/Family Medicine Physician
/Internal Medicine Physician
/Psychiatric Hospital Unit
/Rehabilitation Hospital Unit
/General Acute Care Hospital
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SAMARITAN BEHAVIORAL HEALTH SERVICES
 
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A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Health Insurance Plans SAMARITAN BEHAVIORAL HEALTH SERVICES accepts
Issuer | Network | State | Plan Year | New Patients | Last Updated |
---|---|---|---|---|---|
Humana Insurance Company | PREFERRED | IN | 2025 | None | Oct 21 2024 |
CHRISTUS Health Plan Louisiana | NONPREFERRED | LA | 2025 | None | Aug 09 2024 |
Blue Cross and Blue Shield of Kansas City | NETWORK | KS | 2025 | None | Sep 17 2024 |
Medica Insurance Company | PREFERRED | IA | 2025 | None | Dec 31 2019 |
Oscar Insurance Company | PREFERRED | OK | 2025 | None | Oct 21 2024 |
Sanford Health Plan | NETWORK | ND | 2025 | None | Sep 17 2024 |
Common Ground Healthcare Cooperative | NETWORK | WI | 2024 | None | Sep 17 2024 |
Oscar Insurance Company | PREFERRED | MI | 2025 | None | Oct 22 2024 |
Medica Health Plans | PREFERRED | ND | 2025 | None | Dec 31 2019 |
Oscar Health Plan of North Carolina, Inc | PREFERRED | NC | 2025 | None | Oct 22 2024 |
Oscar Insurance Company | PREFERRED | MO | 2025 | None | Oct 22 2024 |
Physicians Health Plan | PREFERRED | MI | 2025 | None | Oct 09 2024 |
Avera Health Plans, Inc. | COMMERCIAL | SD | 2024 | None | Oct 09 2024 |
Oscar Health Plan of Georgia | PREFERRED | GA | 2024 | None | Oct 21 2024 |
Medica Community Health Plan | PREFERRED | WI | 2025 | None | Dec 31 2019 |
Oscar Insurance Company | PREFERRED | NE | 2025 | None | Oct 22 2024 |
Medica Insurance Company | PREFERRED | MO | 2025 | None | Dec 31 2019 |
Summa Insurance Company, Inc. | SCCONNECT | OH | 2025 | None | Oct 15 2024 |
Summa Insurance Company, Inc. | SCCONNECT | OH | 2024 | None | Oct 15 2024 |
Oscar Insurance Corporation of Ohio | PREFERRED | OH | 2025 | None | Oct 22 2024 |
Oscar Insurance Company | PREFERRED | IA | 2025 | None | Oct 21 2024 |
Oscar Insurance Company | PREFERRED | KS | 2025 | None | Oct 22 2024 |
Scott and White Health Plan | BSW-PREMIER | TX | 2025 | None | Jun 05 2023 |
Scott and White Health Plan | NETWORK | TX | 2024 | None | Sep 17 2024 |
Oscar Insurance Company of Florida | PREFERRED | FL | 2025 | None | Oct 21 2024 |
Medica Insurance Company | PREFERRED | KS | 2025 | None | Dec 31 2019 |
Medica Community Health Plan | PREFERRED | AZ | 2024 | None | Dec 31 2019 |
Highmark Blue Cross Blue Shield West Virginia | NONPREFERRED | WV | 2025 | None | Oct 09 2024 |
Priority Health | NONPREFERRED | MI | 2025 | None | Sep 09 2024 |
Oscar Insurance Company | PREFERRED | VA | 2024 | None | Oct 21 2024 |
Oscar Insurance Company | PREFERRED | TN | 2025 | None | Oct 21 2024 |
Medica Insurance Company | PREFERRED | OK | 2025 | None | Dec 31 2019 |
Aetna Health of California, Inc. | NON-PREFERRED | CA | 2025 | None | Oct 19 2024 |
Medica Insurance Company | PREFERRED | NE | 2025 | None | Dec 31 2019 |
HealthPartners Insurance Company | NETWORK | WI | 2025 | None | Oct 01 2024 |
AvMed, Inc. | PREFERRED | FL | 2025 | None | Aug 09 2024 |
Chorus Community Health Plans | PREFERRED | WI | 2025 | None | Sep 09 2024 |
Primewell Health Services of Mississippi, Inc. | PREFERRED | MS | 2025 | None | Sep 18 2023 |
BlueCross BlueShield of Tennessee | PHARMACY | TN | 2025 | None | Sep 27 2024 |
Oscar Health Plan, Inc. | PREFERRED | AZ | 2025 | None | Oct 21 2024 |
Oscar Health Plan, Inc. | PREFERRED | IL | 2025 | None | Oct 22 2024 |
Source: CMS.gov, HealthPorta API