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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.

Mental/behavioral health inpatient services 

Covered

Prior authorization required.

Mental/behavioral health outpatient services

Covered

Some services may require prior authorization.

Psychiatric residential treatment facility for Individuals under 21 years of age.

Covered 

Prior authorization required.

Covered for individuals under 21.

Prior authorization required.

Detox  & Residential Substance use disorder services 

Covered

Prior authorization required.

Substance use disorder outpatient services

Covered

Prior authorization required.

 

Resources

Helpline Numbers

Last Modified on Nov 17, 2021
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