Mental Health Services Crisis interventions for mental health-related emergency situations and/or  conditions. Identification, assessment and diagnostic evaluation to determine the beneficiary’s  mental health status, condition and specific needs. Inpatient hospital psychiatric care for mentally ill beneficiaries who require care in a  24-hour medically-structured and supervised licensed facility. Other medically necessary mental health services:  Psychotherapy or counseling (individual, family, group) when indicated;  Interpretation or explanation of results of psychiatric examination, other medical  examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist the beneficiary; Pharmacological management, including prescription, administration, and review of  medication use and effects; or Specialized community mental health clinical and rehabilitation services, including  case management, psychosocial interventions and other community supports, as medically necessary, and when utilized as an approved alternative to more restrictive care or placement. Substance Abuse Services Initial assessment, diagnostic evaluation, referral and patient placement; Outpatient Treatment;  Federal Food and Drug Administration (FDA) approved pharmacological supports for  Levo-Alpha-Acetyl-Methadol (LAAM) and Methadone only; or substance abuse services that may be provided, at the discretion of the PIHP,  to enhance outcomes. Medicaid Health Plan Services If you are enrolled in a Medicaid Health Plan, the following kinds of health care services are available to you when your medical condition requires them. visits planning ups aids and speech therapy Health Care (shots) and X-ray Home Care supplies health (limit of 20 outpatient visits)
Mental Health Services  Crisis interventions for mental health-related emergency situations and/or conditions.  Identification, assessment and diagnostic evaluation to determine the beneficiary’s mental health status, condition and specific needs.  Inpatient hospital psychiatric care for mentally ill beneficiaries who require care in a 24-hour medically-structured and supervised licensed facility.  Other medically necessary mental health services:  Psychotherapy or counseling (individual, family, group) when indicated;  Interpretation or explanation of results of psychiatric examination, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist the beneficiary;  Pharmacological management, including prescription, administration, and review of medication use and effects; or  Specialized community mental health clinical and rehabilitation services, including case management, psychosocial interventions and other community supports, as medically necessary, and when utilized as an approved alternative to more restrictive care or placement. Substance Abuse Services Initial assessment, diagnostic evaluation, referral and patient placement;  Outpatient Treatment;  Federal Food and Drug Administration (FDA) approved pharmacological supports for Levo-Alpha-Acetyl-Methadol (LAAM) and Methadone only; or  substance abuse services that may be provided, at the discretion of the PIHP, to enhance outcomes. Medicaid Health Plan Services If you are enrolled in a Medicaid Health Plan, the following kinds of health care services are available to you when your medical condition requires them. visits planning ups aids and speech therapy Health Care (shots) and X-ray Home Care supplies health (limit of 20 outpatient visits)
P6.3.1.1_CUSTOMER_SERVICES_STANDARDS_FY14_Clean_453635_7.docx