Behavioral Health Collaboration Requests

May 25, 2022

If you provide behavioral health services to our members, you may receive a request to work with us as part of our Behavioral Health Case Management program. 

Certain Blue Cross and Blue Shield of Illinois (BCBSIL) members can participate in this program. BCBSIL case managers – including Licensed Clinical Social Workers, Licensed Professional Counselors and Registered Nurses – help with planning and coordinating these members’ care. 

Next Steps
If you receive a Provider Collaboration Fax Form from a BCBSIL case manager requesting clinical information about a member participating in this program: 

  • Please fill out the form with the most recent clinical data, including diagnoses, medications and collaborations with other providers.

  • Return the form as soon as possible to the secure fax number or email listed on the form. 

The information you provide helps the case managers close gaps related to our members’ care.