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.
• Acute partial hospital day programs for mental illness.
• Psych Rehab and Clubhouse programs.
• 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 1-866-622-4228