C. Behavioral Health Benefits Provided by STAR Health

Medicaid-covered behavioral health benefits include but are not limited to:

•   Outpatient Mental Health Services to include psychotherapy (individual, group, and family), psychiatric diagnostic evaluation with and without medical services, psychological, neurobehavioral and neuropsychological testing, and pharmacological management;

•   Mental Health Targeted Case Management to include intensive and routine case management services;

•   Mental Health Rehabilitation Services to include crisis intervention services, medication training and support, and skills training and development (can be provided to the child/youth, Legally Authorized Representative [LAR] or primary caregiver);

•   Inpatient psychiatric services that include admissions to acute care hospitals and institutions for mental disease (public or private psychiatric facility);

•   Substance use disorder services to include assessment, counseling (individual and group), residential treatment, and withdrawal managements services;

◦   also includes Screening, Brief Intervention, and Referral to Treatment (SBIRT) services for persons 10 years of age and older;

•   Health and Behavior Assessment and Intervention (HBAI) services;

•   Collaborative Care Model services that integrate the services of behavioral health care managers (BHCMs) and psychiatric consultants with primary care provider oversight to proactively manage behavioral health conditions as chronic diseases, rather than treating acute symptoms.

•   Telemedicine/telehealth services (applies to certain procedure codes); and

•   Court-ordered services (outpatient and inpatient) if the person is not considered to be incarcerated.