PrimariLink is part of the Brattleboro Retreat, one of the nation's top providers of psychiatric and addiction care. Our services are provided by members of the Retreat's experienced and highly-trained staff of practicing psychiatrists, psychologists, social workers, and nurses.
We currently work with MVP Healthcare in Vermont, and are responsible for managing the behavioral health care needs of approximately 30,000 Vermont residents.
PrimariLink began operating in 1997 with the simple philosophy of providing "The right care, at the right time and in the right setting." It's a belief that has led to cost-effective services and a solid reputation in an often difficult managed care environment.
- Referrals to providers who support best practice guidelines
- Clinically oriented review process(es)
- Responsive and respectful service to members and providers
- Utilization management (coordinated with medical care when necessary)
- Case Management (for complex co-occurring cases)
- 24/7 access to care, 365 days a year
The Department of Financial Regulation, the state agency that oversees managed care in Vermont, requires that any plan working in Vermont use nationally recognized clinical criteria as guidelines in their utilization review activities. We chose the American Society of Addiction Medicine (ASAM) because it was developed by providers and is the most recognized criteria for substance abuse work known throughout the country.
We chose the Level of Care Utilization System (LOCUS) for several reasons. The first reason is that it is a nationally known set of criteria. The second reason is that Stephen Cole, who was a practicing psychiatrist in Vermont at the time (connected to both the Retreat and HCRS) had helped to author the criteria. Stephen was familiar with practicing behavioral healthcare in a rural setting. Finally, several of the mental health centers in the state decided to use the criteria as a way of establishing a common language amongst them. We thought that both ASAM and LOCUS would be familiar to most of us working in the state.
Written into each of the criteria, the state regulations and our own policies, is the very clear belief that the criteria are employed only as a guide. The numbers do not dictate the level of care but make suggestions to be used along with clinical judgment.
We can help with:
- Getting authorizations,
- Matching our knowledge of providers with member’s specific needs,
- Assistance finding a provider if you are away from home,
- Assistance finding programs/facilities in a crisis.
Please contact MVP Member Services at 1-888-687-6277 for assistance with plan benefits, updating member information, if you are a member calling about claims, or for general questions related to the plan.
Please contact MVP Provider Customer Service at 1-800-684-9286 if you are a provider having problems with claims.
Please contact MVP Professional Relations at 1-800-380-3530 if you are a provider who is interested in joining the MVP network or need to update your address with MVP.