Integrated
behavioral health

Whole health means focusing on the whole person. So it just makes sense to integrate physical, mental and behavioral health as equal parts on the health care continuum.

Questions?

Check your provider manual (PDF) for answers. Or call us at 1-888-348-2922 (TTY: 711). We’re here for you Monday through Friday, 8:30 AM to 5 PM.

Whole health is the goal

Whole health is the goal

We help members and their families by making key connections between physical, mental and behavioral health, as well as disability, wellness and prevention. These are the connections that help members take steps toward whole health.

Behavioral health includes services provided for the assessment and treatment of mental health and substance use disorders. Members managing or at risk for mental health, addictive or other behavioral disorders have access to services to meet their needs.

We work with members and providers to focus on prevention and wellness by:

Screening for issues that could lead to illness and treating them early with a whole-health approach
Offering care coordination services to our members and providers to support integrated behavioral health care

Treating a member in crisis?

You can call our Crisis Line. Just call Member Services at 1-888-348-2922 (TTY: 711) and choose the Crisis Line option.

The National Suicide Prevention Lifeline is now the 988 Suicide & Crisis Lifeline. The 988 Suicide and Crisis Lifeline is available in three formats:

Dialing 988 on any phone
Text to 988
Chat 988lifeline.org

Behavioral health coverage

Basic behavioral health

These services are provided by medical professionals or behavioral health consultants in medical clinics. Some common services include:

Screening for common mental health conditions
Screening for alcohol or substance use issues
Medication management
Coordination of referrals to specialized behavioral health services

Members have access to behavioral health education and resources on the:

Member behavioral health page
Member local resources and services page, which includes the community resource tools Find Help and WV 211

Mental or behavioral health professionals provide these services in a setting that works best for the member and their family. Outpatient clinics or intensive treatment programs may provide nonemergency services. Some members may also be eligible for home and community-based services.

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

For healthier members

When physical and behavioral health providers work together, members benefit. Our behavioral health and primary care providers (PCPs) share information with that goal in mind. This results in appropriate and effective coordination between physical and behavioral health care.

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 physical 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)