With the stresses of today’s world, our mental health is as important as our physical health. For this reason, CareSource offers behavioral health as part of your core benefits. This means counseling and addiction services are covered benefits by your CareSource health plan.
CareSource covers services to help you with mental health or addiction
Whether it’s depression, anxiety, alcohol or drug dependence, we provide treatment and counseling options to help you through difficult times in your life. We believe in recovery. We believe that treatment works. These are just a few of the services CareSource covers to take care of you.
Services for you:
|Addiction services||Treatment options to help you with your dependence; prior authorization required for inpatient only.|
|Assertive Community Treatment (ACT)||Individualized help for members 18 and older with serious mental illness; prior authorization required.|
|Assessments & Screenings||Tools to help you and your doctors find areas you may need help with to improve your health and well-being; no prior authorization.|
|Partial Hospitalization||A structured program of active psychiatric treatment provided as a hospital outpatient service or by a community mental health center, that is more intense than the care received in your doctor’s or therapist’s office and is an alternative to inpatient hospitalization. No prior authorization for the first 30 visits.|
|Counseling||Individual, family and group sessions to talk it out; no prior authorization.|
|Detoxification||Treatment to help with your dependence on alcohol/drugs; prior authorization required for inpatient only.|
|Intensive Home Based Treatment (IHBT)||Treatment for emotional disturbed members 18 and under; in some circumstances IHBT may be available to members aged 18 – 21. Prior authorization required for IHBT.|
|Opioid treatment||Opioid treatment, including Medication Assisted Treatment (MAT); specialized medications and therapy for maintenance and detoxification; no prior authorization required.|
|Psychiatry||Advanced therapy and medications to treat your condition (in medical office or home); no prior authorization for office visits.|
|Residential treatment||Live-in recovery treatment for mental illness or drug dependence; prior authorization required after 31 days of first two stays and any additional stays.|
CareSource® MyCare Ohio (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. This information is not a complete description of benefits. Limitations and restrictions may apply. For more information, call CareSource MyCare Ohio Member Services or read the CareSource MyCare Ohio Member Handbook. Benefits may change on January 1 of each year. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
CMS Approved 10/1/2018