High-risk indicators
High-risk indicators for behavioral health/medical integration
Should you identify a member with one of these indicators,
contact Priority Health Behavioral Health immediately.
- Overuse or underuse of medical services
- Non-compliance with treatment plans and/or recommendations
- Complex medical conditions with psychological/behavioral factors
- Complex behavioral health conditions with medical factors
- Inappropriate prescription drug access and use patterns
- Continuity and coordination of care requiring integrated case management
- Significant risk management concerns on cases with both behavioral health and medical factors
