Medication Management and Psychiatric Services: Using medication to treat symptoms of mental health or substance use disorders; prescribed by a primary care provider or behavioral health provider.

Counseling/Psychotherapy: Outpatient therapy for individuals with a confirmed or suspected psychiatric condition, which makes it hard for them to deal with mental health or substance use problems. Providers deliver treatment one on one, in a group format, or with a family unit. With the help of treatment, people can learn to deal with their mental illness symptoms. Sessions are usually 45-60 minutes once or twice a week, unless more treatment is needed.

Mental Health Rehabilitative Services: Services that address a person’s inability to care for themselves because of serious mental illness, which can make it hard for a person to live on their own. These services may include:

• Medication training and support services.
• Crisis intervention services.
• Day programs for critical needs.

Targeted Case Management: Service that helps members find the support they need, including medical, social, and educational assistance.

Psychological and Neurological Testing: Formal tests and other tools that measure a person’s development and thoughts, feelings, and behaviors. These tests help the provider to make a diagnosis and find the best treatment.

Withdrawal Management (also called detoxification): Helping people who develop withdrawal symptoms after decreasing or stopping substance use. This can include medical and behavioral methods:

• Assessment
• Observation and monitoring
• Medication
• Supportive care

Medication Assisted Treatment (MAT): Using FDA-approved medications along with counseling to treat substance use disorders like alcohol and opioid use disorders.

For a complete list of services, please contact Carelon Behavioral Health at 1-800-945-4644.

Partial Hospitalization: Partial hospitalization services provide a structured day program of outpatient behavioral health services including individual, group, and family therapy along with other therapeutic activities. Partial Hospitalization Programs (PHPs) may provide services for mental health, SUD, or both.

Residential Treatment: Highly intensive treatment where the member stays in a treatment facility 24 hours per day, 7 days per week to get care. Treatment includes individual, group, and family therapy along with other daily therapeutic activities.

Intensive Outpatient (IOP) Treatment: Usually a combination of individual, group, and family therapies and other therapeutic activities. As the name suggests, services are delivered on an outpatient basis. However, they are much more intensive than standard outpatient care. IOP treatment typically requires several hours of treatment, several days per week.

Intensive treatment in a hospital setting. A person may need inpatient care when their mental health or substance use condition poses a significant risk to their health and safety. 

There are also specific services available to STAR Medicaid members in place of inpatient services, when safe and appropriate for the member. The goal is to prevent or reduce hospitalization. Members must agree to receive these services before they are provided. These services include:

• Inpatient Services in an Institute of Mental Disease
• Partial Hospitalization Services
• Intensive Outpatient Services
• Coordinated Specialty Care Services

You do not need approval for individual, family, or group therapy. These visits do not have limits, but Carelon may ask your therapist for clinical information after 30 sessions. Your therapist can request more visits if you need them. You or your therapist can call Carelon at 1-800-945-4644 to find out more.

You do not need approval to see a doctor who helps you with your medicines.

You get therapy and help with your medicine. You also can go to the hospital if you are in trouble. You can get help for drug or alcohol problems as well as other services. To get a list of services and to learn more about your benefits, call Carelon at 1-800-945-4644.

You can look online at https://Plan.CarelonBehavioralHealth.com/Members/Dashboard. Click on Find a Health Care Provider in the dashboard. You can also call Carelon at 1-800-945-4644.

Please call Parkland Community Health Plan at 1-888-672-2277 (STAR Medicaid) or 1-888-814-2352 (CHIP). 

You do not need a referral from your regular doctor. It is good for you to tell your regular doctor about all the doctors you see.

If you are unhappy with the services you received, you can contact Carelon at 1-800-945-4644. Members who are deaf, hard of hearing, or have a speech impairment can call the TTY line at 7-1-1.

Please call Carelon at 1-800-945-4644 to discuss your treatment options.

You can see one doctor for your medicine and one therapist for therapy.

Call Carelon at 1-800-945-4644 for help.

Most medicines are covered. If you are unsure, please call Parkland Community Health Plan at 1-888-672-2277 (STAR Medicaid) or 1-888-814-2352 (CHIP).

If you are asked to pay for the services you receive, you can call Carelon at 1-800-945-4644.

Call Carelon’s hard-of-hearing line at 7-1-1.