Intensive Outpatient Treatment or Day Treatment. A structured array of treatment services, offered by practice groups or facilities to treat Behavioral Health Conditions. Intensive Outpatient Programs provide 3 hours of treatment per day, and the program is available at least 2-3 days per week. Intensive Outpatient Programs may offer group, DBT, individual, and family services. Outpatient Treatment or Individual or Group Treatment. Office-based services, for example Diagnostic evaluation, counseling, psychotherapy, family therapy, and medication evaluation. The service may be provided by a licensed mental health professional and is coordinated with the psychiatrist. Smoking Cessation Treatment Services. Smoking cessation treatment is available for two individual smoking cessation counseling treatments per member per calendar year. Prior authorization is not required for this treatment. Smoking cessation is considered a preventive benefit and thus member cost-sharing (e.g. copays) does not apply. Each attempt may include a maximum of four (4) intermediate and/or intensive sessions, with a total benefit covering up to 8 sessions per year per member who uses tobacco. The provider and member have the flexibility to choose between intermediate (more than 3 minutes but less than 10 minutes), or intensive (more than 10 minutes) cessation counseling sessions for each attempt. All Food and Drug Administration (FDA)-approved cessation medications (including both prescription and over-the-counter medications) for a 90-day treatment regimen, when prescribed by a health care provider, are covered without prior authorization. To assist You in obtaining appropriate and quality care, We mayask Your Provider to submit a treatment plan to Us. We may discuss the goals of treatment and changes in the treatment plan, including alternative courses of treatment, with Your Provider in order to manage Your benefits effectively and efficiently. Non-Covered Behavioral Health Services include all of the following. Supervised living or halfway houses. Health Services or care provided by a school, halfway house, Custodial Care center for the developmentally disabled. Health Services related to non-compliance of care if the Enrollee ends treatment for Substance Abuse against the medical advice of a Provider.
Intensive Outpatient Treatment or Day Treatment. A structured array of treatment services, offered by practice groups or facilities to treat Behavioral Health Conditions. Intensive Outpatient Programs provide 3 hours of treatment per day, and the program is available at least 2-3 days per week. Intensive Outpatient Programs may offer group, DBT, individual, and family services. Outpatient Treatment or Individual or Group Treatment. Office-based services, for example Diagnostic evaluation, counseling, psychotherapy, family therapy, and medication evaluation. The service may be provided by a licensed mental health professional and is coordinated with the psychiatrist. To assist You in obtaining appropriate and quality care, We may ask Your Provider to submit a treatment plan to Us. We may discuss the goals of treatment and changes in the treatment plan, including alternative courses of treatment, with Your Provider in order to manage Your benefits effectively and efficiently. Non-Covered Behavioral Health Services include all of the following. Supervised living or halfway houses. Health Services or care provided by a school, halfway house, Custodial Care center for the developmentally disabled Health Services related to non-compliance of care if the Enrollee ends treatment for Substance Abuse against the medical advice of a Provider.
Intensive Outpatient Treatment or Day Treatment. A structured array of treatment services, offered by practice groups or facilities to treat Behavioral Health Conditions. Intensive Outpatient Programs provide 3 hours of treatment per day, and the program is available at least 2-3 days per week. Intensive Outpatient Programs may offer group, DBT, individual, and family services. Outpatient Treatment or Individual or Group Treatment. Office-based services, for example Diagnostic evaluation, counseling, psychotherapy, family therapy, and medication evaluation. The service may be provided by a licensed mental health professional and is coordinated with the psychiatrist. To assist You in obtaining appropriate and quality care, We will ask Your Provider to submit a treatment plan to Us within 48 hours of an inpatient or observation level of care, or after You have had an initial outpatient evaluation and nine (9) subsequent visits in an outpatient setting. We may discuss the goals of treatment and changes in the treatment plan, including alternative courses of treatment, with Your Provider in order to manage Your benefits effectively and efficiently. Non-Covered Behavioral Health Services include all of the following. Supervised living or halfway houses. Health Services or care provided by a residential treatment center, school, halfway house, Custodial Care center for the developmentally disabled Health Services related to non-compliance of care if the Enrollee ends treatment for Substance Abuse against the medical advice of a Provider.
Intensive Outpatient Treatment or Day Treatment. A structured array of treatment services, offered by practice groups or facilities to treat Behavioral Health conditions. Intensive Outpatient programs provide 3 hours of treatment per day, and the program is available at least 2-3 days per week. Intensive Outpatient programs may offer group, DBT, individual, and family services.
