Mental Health and Substance Abuse Services
Behavioral health care includes mental health (your emotional, psychological, and social well-being) and substance (alcohol and drugs) use disorder treatment and rehabilitation services. All members have access to services to help with mental health issues like depression or anxiety, or to help with alcohol or other substance use disorders. These services can include:
Medication-assisted therapy (MAT)
Tobacco cessation (to help you quit using tobacco)
Mental health crisis services
| Service | Children (Under 21) | Non-Expansion Adults | Expansion Adults |
| Medication-assisted treatment services |
Covered Includes: Drugs/agents used for substance use disorder treatment. Some may require prior authorization. Opioid treatment programs (OTPs) OTP services require prior authorization. |
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| Mental/behavioral health inpatient services | Covered Prior authorization required. |
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| Mental/behavioral health outpatient services | Covered Some services may require prior authorization. |
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| Psychiatric residential treatment facility for Individuals under 21 years of age. | Covered Prior authorization required. |
Covered for individuals under 21. Prior authorization required. |
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| Detox & Residential Substance use disorder services | Covered Prior authorization required. |
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| Substance use disorder outpatient services |
Covered Prior authorization required. |
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Resources
Helpline Numbers
- 2-1-1
Dial 211 - Suicide Prevention:
1-800-273-TALK (8255) - Gambling Hotline:
1-800-522-4700 - Reachout Hotline (for help with mental health or substance abuse issues):
1-800-522-9054 - Safeline (for help with domestic violence):
1-800-522-7233 - Teenline (for teens who need to talk to a concerned listener):
1-800-522-8336 (noon to midnight) - Child/Adult Abuse Hotline:
1-800-522-3511 - National Eating Disorder Association (for information and referral):
1-800-931-2237 - Tobacco Helpline:
1-800-QUIT-NOW (784-8669) - Disaster Distress Hotline:
1-800-985-5990 - Veterans Crisis Line:
1-800-273-8255 ( Press 1 )
