MEMBER HANDBOOK - Community Care Behavioral Health

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You Can Ask About Mental Health “Advance Directives” 28 Mental Health Advance Directives are a way of planning for your future mental health care in case you can no longer make mental health care decisions on your own as a result of illness. You can do this by creating a Mental Health Declaration or by appointing a Mental Health Power of Attorney or both. A Mental Health Declaration is a set of written instructions that will tell your provider: • What kind of treatment or care that you prefer. • Where you would like to have your care take place. • Your specific instructions about your mental health treatment. A Mental Health Power of Attorney is a document that allows you to name a person, in writing, to make mental health care decisions for you if you are unable to make them on your own. Your Mental Health Power of Attorney will make decisions about your mental health care based on your written instructions. If you would like to have a Mental Health Declaration or a Mental Health Power of Attorney or both, please contact an advocacy organization such as the Mental Health Association in Pennsylvania at toll-free 1-866-578-3659, or e-mail info@mhapa.org. They will provide you with forms and answer any questions. It is important that you share your written Mental Health Advance Directives with your mental health provider. If you do not share your Mental Health Advance Directives with your provider, he or she will not be able to follow them. If you or your representative believe that your provider has not handled your Mental Health Advance Directives properly or if you have any other complaints about Mental Health Advance Directives, you can follow the standard complaint process. Customer Services 1-855-520-9715
29 Section 5 Complaints, Grievances, and Fair Hearing Procedures Page What if I am unhappy about my care . . . . . . 31 What happens when I file a complaint . . . . . 31 How do I continue to get services . . . . . . . . 36 What happens when I file a grievance . . . . . 37 How do I continue to get services . . . . . . . . 41 What is a Fair Hearing . . . . . . . . . . . . . . . . . 45 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 and 12: 9 Section 2 Behavioral Health Servi
Page 13 and 14: 11 Covered Services Community Care
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: 27 D. Carry your ACCESS, Physical H
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

MEMBER HANDBOOK - Community Care Behavioral Health

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