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Behavioral health and substance abuse resources

Behavioral Health Services, including all mental health, drug and alcohol services are provided by county-specific behavioral health plans.

Members may self-refer for behavioral health services. However, PCPs and other physical healthcare providers often need to recommend that a Member access behavioral health services. 

Health Care Providers may call AmeriHealth Caritas Pennsylvania Provider Services Department at 1-800-521-6007 or AmeriHealth Caritas Northeast’s Provider Services Department at 1-888-208-7370 whenever they need help referring a Member for behavioral health services

Cooperation between Network Providers and the Behavioral Health Managed Care Organization/s (BH-MCO) is essential to assure Members receive appropriate and effective care.

Network Providers are required to:

  • Adhere to state and Federal confidentiality guidelines for Member medical records, including obtaining any required written Member consents to disclose confidential mental health and drug and alcohol records.
  • Refer Members to the appropriate BH-MCO, once a mental health or drug and alcohol problem is suspected or diagnosed.
  • To the extent permitted by law, participate in the appropriate sharing of necessary clinical information with the Behavioral Health Provider including, if requested, all prescriptions the Member is taking.
  • Be available to the Behavioral Health Provider on a timely basis for consultation.
  • Participate in the coordination of care when appropriate.
  • Make referrals for social, vocational, educational and human services when a need is identified through an assessment.
  • Refer to the Behavioral Health Provider when it is necessary to prescribe a behavioral health drug, so that the Member may receive appropriate support and services necessary to effectively treat the problem.

The BH-MCO provides access to diagnostic, assessment, referral and treatment services including but not limited to:

  • Inpatient and outpatient psychiatric services.
  • Inpatient and outpatient drug and alcohol services (detoxification and rehabilitation).
  • EPSDT behavioral health rehabilitation services for Members up to age 21.

Provider training and education

Behavioral health and substance abuse – by county

Additional links

http://www.nami.org/Learn-More/Mental-Health-Conditions/Depression

Behavioral health resources

Substance abuse resources