Employee Assistance Network of North Carolina

CONNECT:
800.454.1477 800.454.1477
  • Home
  • About
    • Our Staff
    • What is an EAP?
    • Blog
  • Employers
    • EAP Services
    • Managed Care Services
  • Employees/Family
    • Tips for Communicating Effectively With Your Boss
    • Eight Tips to Help You Get Organized at Work
    • Survival Strategies for Single Parents
    • Combining Work and Family
    • Resources
    • Employee Forms
  • Managers/Supervisors
    • Training Options for Supervisors
    • Identifying Troubled Employees
    • Management Referral Guidelines
    • Frontline Supervisor
  • Providers
    • Levels of Care Criteria
    • Procedures for EAN Providers
  • Workshops
    • Workshops for Managers & Supervisors
    • Communications Workshops
    • Emergency First Responders
    • Workshops for Employees
  • Locations
    • Asheville
    • Hendersonville
    • Sylva
    • Waynesville
  • Contact

Procedures for EAN Providers

Effective January 1, 2011, all Employer Health Plans managed by EAN will have been amended to be compliant with the Mental Health Parity and Addiction Equity Act of 2008. EAN will use a case review and case management model which is a model based on an outlier system and is designed to be substantially equivalent to medical management models used for medical/surgical care.

New Clients and Active Established Clients

Effective January 1, 2011, providers will not be required to obtain pre-authorization before delivering services to clients whose health plan is managed by EAN.   Providers can file claims according to the usual procedures. As in the past, provider can contact EAN with any issues or questions.

Medication management will not be included in case reviews, all other EAN service codes will be subject to the review.  If providers have a question about service codes and reimbursement, we encourage them to contact EAN.

It is important to understand that sessions are counted by the third party administrator based on the accumulation of claims submitted by all behavioral health providers. Therefore, it may be helpful for providers to know if the health plan member is also being treated by another provider.

Health plan members will still be encouraged to obtain referrals from EAN so providers will still receive referrals directly from EAN clinical staff; however, health plan members will no longer be required to contact EAN prior to initiating services through their insurance.  Typically a provider will receive a phone call from the EAN clinician about the referral, or the health plan member will contact the provider directly.

Announcements

 Introducing EAN’s newest staff counselor ~  Tatiana Martinez, M.A., LCMHCA, NCC

Tatiana is a counselor at EAN. She provides assessment, coaching, referrals, and brief counseling services. Tatiana has experience working with children, adolescents, adults, and families in individual and group settings. She has had the privilege of offering therapeutic services in residential, transitional, and private practice settings. She provides a person-centered and trauma informed care approach when working with clients managing issues related to trauma, depression, anxiety, and stress. She believes in meeting the client where they are at in effort to provide the best possible care. Tatiana holds a Master’s in Clinical Mental Health Counseling from Lenoir-Rhyne University, and is a Licensed Clinical Mental Health Counselor in NC.

 

2021 List of mini webinars  – read more for list and links below

Read More

Learn More

  • EAN brochure (PDF)
  • Frontline Supervisor Newsletter
  • Balanced Living Newsletter

Testimonials

"The EAN is a wonderful tool for our organization's health."

Mary Beth Herman
St Gerard House

Read More

My Life Expert

This is a service available to employees and family members of organizations that incorporate on-line services in their EAP contract.

Login

Locations

Asheville Office

Hendersonville Office

Sylva Office

Waynesville Office

Appointments

Want to make an appointment to see an EAN counselor?

Call 800-454-1477 and talk with the person who answers the phone. We will need to know the employer you or your family member has the EAN benefit through and some other demographic information to schedule your first appointment.

Insurance

Want to know who is in network to see a mental health provider through your insurance?

Call 800-454-1477 and talk with the person who answers the phone. We will need to know the employer who provides your health plan and if we manage the benefit, we will be able to connect you to an in network provider who specializes in the issues you want to work on.

EAP

Looking for an EAP?

Call 800-454-1477 and we will talk with you about the unique needs of your organization and how best to develop an Employee Assistance Program that meets those needs.

© 2011 - 2021 Employee Assistance Network of North Carolina | All Rights Reserved | Privacy Notice

Site by Asheville Web Fix