MEMBER HANDBOOK - Community Care Behavioral Health

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10 Customer Services 1-855-520-9715
11 Covered Services Community Care pays for the mental health and drug and alcohol services listed below. Treatment team: The group of health professionals who are taking care of you, including people from Community Care and your provider’s office. You must have permission from your treatment team to use these services and they must be considered medically necessary. Covered Services: • Admission to a hospital for 24-hour care for a mental health or emotional condition. • 24-hour care and rehabilitation for alcohol or other drug problems in a hospital or non-hospital setting. • Partial hospital day programs for mental health condition. • Outpatient services for mental health or drug and alcohol treatment. • Detox (detoxification) from alcohol and other drugs. • Methadone maintenance (for treating people with drug addiction). • Laboratory services (if ordered by a psychiatrist in our network). • Case management services. • Crisis services. • Peer Support services. Medically necessary: This describes services that are used on a regular basis to treat a mental health or a drug and alcohol problem. These services are needed to help you to become and stay well. Customer Services 1-855-520-9715
Page 1 and 2: Behavioral Health Services MEMBER H
Page 3 and 4: Welcome to Community Care! Customer
Page 5 and 6: 3 Section 1 About Community Care Pa
Page 7 and 8: 5 Community Care Community Care is
Page 9 and 10: 7 Emergency Help If you have a beha
Page 11: 9 Section 2 Behavioral Health Servi
Page 15 and 16: 13 Payment for Treatment We pay you
Page 17 and 18: 15 Section 3 Getting Help Page How
Page 19 and 20: 17 Getting Help Call us when: • Y
Page 21 and 22: 19 If You Have an Urgent Need for C
Page 23 and 24: 21 Section 4 Your Rights and Respon
Page 25 and 26: 23 As required by the federal law a
Page 27 and 28: 25 C. To be treated in a considerat
Page 29 and 30: 27 D. Carry your ACCESS, Physical H
Page 31 and 32: 29 Section 5 Complaints, Grievances
Page 33 and 34: 31 What is a Complaint A complaint
Page 35 and 36: 33 If you file a complaint because
Page 37 and 38: 35 • The committee will make a de
Page 39 and 40: 37 What is a Grievance A grievance
Page 41 and 42: 39 What if I do not like Community
Page 43 and 44: 41 You will receive a decision lett
Page 45 and 46: 43 who does not work for Community
Page 47 and 48: 45 What kinds of things can I reque
Page 49 and 50: 47 You may come to the Fair Hearing
Page 51 and 52: 49 Section 6 Your Advocate Page Wha
Page 53 and 54: 51 An Advocate An advocate is a per
Page 55 and 56: 53 Section 7 Consumer/Family Satisf
Page 57 and 58: 55 Consumer/Family Satisfaction Tea
Page 59 and 60: 57 Section 8 How To Get More Involv
Page 61 and 62: 59 How can I get more involved We w
Page 63 and 64:
61 Section 9 Important Contact Info
Page 65 and 66:
63 Call Community Care Customer Ser
Page 67 and 68:
65 Section 10 Definitions Customer
Page 69 and 70:
67 HealthChoices HMO A Health Maint
Page 71 and 72:
COMMUNITY CARE'S MISSION... To impr
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MEMBER HANDBOOK - Community Care Behavioral Health

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