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Integrated behavioral health
Whole health means focusing on the whole person. So it just makes sense to integrate medical, mental and behavioral health as equal parts on the health care continuum.
Whole health is the goal
We help members and their families by making key connections between medical, mental and behavioral health, as well as disability, wellness and prevention. These are the connections that help members take steps toward whole health.
Everyone wins with coordination of care
Everyone wins with coordination of care
Working closely with providers to coordinate medical and behavioral care for members ensures appropriate screening, evaluation, treatment and referral for:
- Physical health
- Behavioral health or substance use disorders
- Dual or multiple diagnoses
- Developmental disabilities
Sharing information for healthier members
Sharing information for healthier members
When medical and behavioral health providers work together, members benefit. Our behavioral health and medical providers share information with that goal in mind. This results in appropriate and effective coordination between medical and behavioral health care.
We ask primary care physicians (PCPs) and behavioral health providers to share:
- Pertinent history and test results within 24 hours of receipt in urgent or emergent cases
- Results for nonurgent or non-emergent lab results within 10 business days of receipt
PCPs screen for behavioral health issues
If you’re a PCP, you’ll want to:
- Use behavioral health screening tools
- Treat behavioral health issues within your scope of practice
- Refer members to behavioral health providers, when appropriate
Behavioral health providers screen for physical health issues
If you’re a behavioral health provider, you’ll want to:
- Screen members for coexisting medical issues
- Refer those who have untreated physical health issues to their PCP (with consent)
- Provide physical health care services only if you’re licensed to do so
- Share any concerns with their PCP and work together on a care plan (with consent)
See how members benefit
See how members benefit
You can be sure we’re doing all we can to help members take steps toward whole health. Want to see the kinds of benefits members receive? Just visit our member page on behavioral health benefits.
More information
Questions? You can always check your provider manual (PDF) for behavioral health guidelines and other information you need.
You can also call 1-855-772-9076 (TTY: 711).
Or send us an email.