Behavioral Health: Complex needs and care coordination
Purpose: Provide clinical support and care coordination for Priority Health members with complex and chronic mental health and substance use conditions.
Care coordination referrals (telephone support)
How to refer: For members who may benefit from additional telephone-based clinical support, contact Behavioral Health at 800.673.8043 (select option 2) during business hours.
Information required: Be prepared to verify member information and provide clinical rationale for the referral and/or requested care coordination services.
Outpatient referrals and discharge planning
Behavioral Health staff can assist with locating appropriate outpatient resources and supporting transitions from inpatient settings to community-based care.
To request assistance: For outpatient mental health or substance use disorder referrals, or for discharge planning support, call 800.673.8043 (select option 2) during business hours.
High-risk indicators (notify Behavioral Health)
Notify Behavioral Health promptly 800.673.8043 (select option 2) if you become aware of any of the following concerns for a Priority Health member:
- Overuse or underuse of medical services
- Non-adherence to treatment plans and/or recommendations
- Complex medical conditions with psychological/behavioral factors
- Inappropriate prescription drug access and use patterns
Coordination between PCPs and behavioral health providers
Primary care providers and behavioral health specialists should contact Behavioral Health department at 800.673.8043 (select option 2) during business hours to communicate:
- Consultation requests
- Medication management and/or therapy needs