Covered Behavioral Health Services Sample Clauses


Covered Behavioral Health Services. The Contractor shall assure the provision of all Medically Necessary Behavioral Health Services for Members. These services are described in Appendix I. All Behavioral Health services shall be provided in conformance with the access standards established by the Department. When assessing Members for BH Services, the Contractor and its providers shall use the DSM-V multi-axial classification. The Contractor may require use of other diagnostic and assessment instrument/outcome measures in addition to the DMS-V. Providers shall document DSM-V diagnosis and assessment/outcome information in the Member’s medical record.An expansion of substance abuse services will begin January 2014. The Department also anticipates enhanced services to the Severely Mentally Ill Medicaid population to take effect on or by July 2014.