Optum is In-Network with AAC

Optum Platinum Recognition Drug & Alcohol Rehab Facilities Near Me

Yes. Optum covers drug and alcohol rehab.
American Addiction Centers (AAC) aims to provide you with the most current and updated information on addiction insurance coverage.
Step 1/4 Check Coverage
* These fields are required
*
Aetna
WXY1030Z0
HIPAA badge
The Platinum Recognition Program

What is Optum’s Platinum Recognition Program?

Optum’s platinum recognition program recognizes and rewards facilities and programs based on an evaluation of unbiased data compared to regional program benchmarks.1 Conditions evaluated include general mental health, substance use disorder (SUD), and eating disorders. American Addiction Centers’ Recovery First Treatment Center in Hollywood, Florida has been recognized as an Optum Platinum Recognition program.

Optum Platinum Recognition Goals

The goals of the program are to:1

  1. Identify and reward programs that deliver effective and efficient care.
  2. Share facility performance data quantified and compared against regional program benchmarks.
  3. Utilize data to measure variations in practice patterns, which drive increased costs and poor clinical outcomes.

Qualifying for Optum Platinum Recognition

To qualify for evaluation, programs must be in-network and meet the minimum volume requirement of 20 eligible admissions within the calendar year.1

Optum Platinum Recognition Metrics & Benchmarks

Qualified programs that meet at least 4 of the 5 metric benchmarks will receive Platinum designation. Effectiveness metrics include:1

  • Readmission rates: Rate of unplanned readmissions to any level of behavioral health care within 30 or 90 days of discharge from that same level of care
  • Follow-up measures are applied by diagnostic category: Rate of follow-up appointments kept within 7 or 30 days of discharge from an Inpatient or Intermediate Level of Care.

Efficiency metrics include:1

  • Outlier Length of Stay (LOS): Measures admissions to a facility program and compares LOS to associated cohort benchmarks. The facility program is provided with a percentage of admissions that have a LOS that is higher than the associated benchmarks.
  • Outlier Behavioral Health Episode Spend: Measures admissions to a facility program and compares episode costs to associated cohort benchmarks. The facility program is provided with a percentage of admissions that have an episode cost that is higher than the associated benchmarks.
Sources
  1. “Platinum Recognition for Facility-Based Programs.” Optum. https://public.providerexpress.com/content/ope-provexpr/us/en/clinical-resources/platRecog.html

Insurance Coverage Survey

  1. What would be your primary reason for verifying your insurance coverage? *
  2. Are you aware of any specific addiction treatment centers or programs you are interested in? *
  3. How would you like to receive information about your insurance coverage options?*
    Email
    Phone Call
    SMS Text
  4. What additional information on this page would you like to see?
Disclaimer

Rehabs That May Accept Optum Insurance

American Addiction Centers (AAC) owns and operates facilities at various locations nationwide to provide you or your loved one addiction and mental health care.
Top Reasons to Choose American Addiction Centers
We know you have options when it comes to addiction treatment. That’s why American Addiction Centers goes above and beyond to help you achieve and maintain sobriety.
About The Contributor
The editorial staff of American Addiction Centers is made up of credentialed clinical reviewers with hands-on experience in or expert knowledge of ad … Read More

Need more info?
Take the first step towards recovery.
Make the process simple. Ensure your benefits cover treatment.
Explore American Addiction Centers locations nationwide.
View Our Treatment Centers