MEMBER HANDBOOK - Community Care Behavioral Health

11
Covered Services
Community Care pays for the
mental health and drug and
alcohol services listed below.
You must have permission
from your treatment team to
use these services and they
must be considered medically
necessary.
Treatment team: The group of health
professionals who are taking care
of you. This includes people from
Community Care and your provider’s
office.
Medically Necessary: This describes
services that are used on a regular
basis to treat a mental health or drug
and alcohol problem. These services
are needed to keep you stable and
healthy.
Covered Services:
• Admission to a hospital for 24-hour care for mental or emotional
illness
• 24-hour care and rehabilitation for alcohol or other drug problems in
a hospital or non-hospital setting
• Partial hospital day programs for mental illness
• Outpatient services for mental health or drug and alcohol treatment
• Detox (detoxification) from alcohol and other drugs
• Methadone maintenance (for treating people with drug addiction)
• Laboratory services (if ordered by a psychiatrist in our network)
• Case management services
• Crisis services
Customer Services 1-800-553-7499