Provider Communications

PLEASE SEE LATEST NEWS FROM WHA in Clinical Connections BELOW

Resource for WHA Providers

WHA developed the Clinical Provider Handbook as a comprehensive resource for our clinical providers and their staff to have access to our policies, procedures, and standards in patient (member) care, as well as important contacts, tools, and processes for communications with WHA, and the ongoing delivery of health care services to our members.

WHA mails this resource annually to contracted clinical providers. You can also download the handbook or request copies from WHA’s Provider Relations at 844.870.2178 or providerrelations@westernhealth.com.

WHA Clinical Provider Handbook


Clinical Connections E-newsletter  

Welcome to our new Clinical Connections e-newsletter! These quarterly communications will share WHA programs, vital information, and news updates. Feel free to pass this on to your staff and colleagues; or tell them to use the form (to the right on this page) to subscribe.

NEWS: Optum for Behavioral Health Services, starting January 1, 2023

Optum is now our behavioral health partner for mental health and substance use disorders, starting Jan.1, 2023.  This move to Optum expands the network of behavioral health providers (both in-person and virtual) and gives members an enhanced digital portal for resources, and self-help evaluation tools.

Our members will enjoy access to more providers, an extensive knowledge base of tools and resources, and an easy-to-use provider directory, to choose a qualified behavioral health professional.  Please direct your patients to our mywha.org/bh webpage for details and links to Optum's provider directory, and if you are currently using behavioral/mental health services, how to transition to an Optum in-network provider. Providers, follow the phone prompts to contact Optum directly (as of 1/1/23) for assistance:

Western Health Advantage Commercial Members: 800.765.6820

Western Health Advantage Medicare Advantage Members: 855.857.9748

 

OTHER UPDATES

Virta Diabetes Reversal Program

We're seeing great results for the Virta diabetes reversal program among WHA members. You can see member information on the Virta webpage. Please check back as we are updating new provider materials to access from WHA’s Provider Portal. Here's what's coming specific to providers:

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New Provider Information

As a new practitioner, you will receive a New Provider Orientation Packet from WHA within 10 days of your effective date (based on the new direct provider contract date). The packet includes a welcome letter and the Clinical Provider Handbook. Other provider orientation materials will be distributed through your contracted medical group directly to the providers, as applicable.

Important Note: Your contracted medical group or IPA must notify WHA immediately when a new practitioner has been contracted as a WHA participating provider.

Last review date: October 22, 2022

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