Behavioral Health Services - Community Care Behavioral Health

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4 HealthChoices People in Pennsylvania who have Medical Assistance for their health care needs are members (also referred to as "customers") of a program called HealthChoices. The mental health services and drug and alcohol services that are offered to you through HealthChoices are called "behavioral health care" services and are managed by Community Care Behavioral Health Organization (Community Care). What is Community Care? Community Care is a non-profit company that answers your questions, and your service provider's questions, and helps you find a service provider. Community Care works to make sure that you can find a provider near you and that you have a choice of providers. Community Care makes sure that you are receiving the kind of services that you need and that the services are covered under HealthChoices. Community Care pays your provider's bills. Community Care may not cover all of your health care expenses. Read your handbook carefully to determine which health care services are covered. Call Community Care Customer Services if you have questions about which health care services are covered (Customer Services toll-free phone numbers: Adams County 1-866-738-9849; Berks County 1-866-292-7886; York County 1-866-542-0299). Customer Services: Adams 1-866-738-9849 • Berks 1-866-292-7886 • York 1-866-542-0299
5 About Community Care Community Care is a managed care company that takes care of your behavioral health services. Use the services of Community Care when you need information about or want to get care for: • A mental health condition • An alcohol problem • A drug problem Use this handbook to learn how to get the help you need, or call us. Calling Community Care All calls are toll free. Call us 24 hours a day, 7 days a week with your questions. Customer Services Phone Number: Adams County............................ 1-866-738-9849 Berks County.............................. 1-866-292-7886 York County................................ 1-866-542-0299 TTY for the Hearing Impaired............. 1-877-877-3580 En Español.......................................... 1-866-229-3187 Calls are sometimes monitored to help us improve the quality of service. You can ask for your call not to be monitored. Customer Services: Adams 1-866-738-9849 • Berks 1-866-292-7886 • York 1-866-542-0299
Page 1 and 2: Behavioral Health Services MEMBER H
Page 3: Si Ud. necesita la versión en Espa
Page 8 and 9: 6 Community Care Offers Information
Page 10 and 11: 8 Your Physical Health Community Ca
Page 12 and 13: 10 Customer Services: Adams 1-866-7
Page 14 and 15: 12 Services Specific To Children an
Page 20 and 21: 18 Your child or teen might get hel
Page 22 and 23: 20 If the situation is life-threate
Page 24 and 25: 22 Privacy We will not let anyone e
Page 26 and 27: 24 C. Any reasons why you could not
Page 28 and 29: 26 You Also Have the Right... (cont
Page 30 and 31: 28 You Can Ask About Mental Health
Page 34 and 35: 32 When should I file a First Level
Page 36 and 37: 34 What if I do not like Community
Page 38 and 39: 36 You must send your request for a
Page 40 and 41: 38 When should I file a First Level
Page 42 and 43: 40 A letter will be mailed to you w
Page 44 and 45: 42 What can I do if my health is at
Page 46 and 47: 44 Persons Whose Primary Language i
Page 48 and 49: 46 How do I ask for a Fair Hearing?
Page 50 and 51: 48 Who can I call if my health is a
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54 Customer Services: Adams 1-866-7
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62 DPW Fraud and Abuse Hotline The
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64 Call Community Care Customer Ser
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Section 10 Definitions
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69 HealthChoices HMO A Health Maint
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COMMUNITY CARE'S MISSION... To impr
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