Behavioral Health Resources
Utilization Management
Our Behavioral Health Utilization Management teams are licensed and/or certified experts in mental health and substance use disorders. Our team consists of psychiatrists, master level clinical social workers, registered nurses and psychiatrists with years of experience and extensive knowledge and training. The utilization management teams ensure members are receiving medically necessary services at the most appropriate level of care.
Case Management Program
Our Behavioral Health Case Managers are experienced health care professionals who are available to engage telephonically and guide members through the complexities of the health care system to support their mental health and substance use disorder needs. Behavioral Health Case Management is available for Commercial, Medicare and Safety Net Lines of Business.
Substance Use Disorder
In addition to plan coverage for treatment of mental health and/or substance issues, we also have online tools (in partnership with New York State) that will help determine risk levels and the appropriate level of care for at-risk individuals.
Mental Health Resources
The Behavioral Health Quality and Compliance Program develops, implements, and monitors quality improvement activities.
Behavioral Health Quality
The Behavioral Health Quality and Compliance Program develops, implements, and monitors quality improvement activities.
Additional Behavioral Health Resources
- OMH Mental Health Program Directory: https://my.omh.ny.gov/bi/pd
- 988 Suicide & Crisis Lifeline: 988
- New York State Domestic Violence Hotline: 1-800-942-6906
- Crisis Text Line: Text “Got5” to 741-741
- Substance Use & Mental Health Residential FacilitiesOpen a PDF
Child and Adolescent Psychiatry Phone Consultation Service
“Consultations with Child and Adolescent Psychiatrists”
“Completely free for all prescribers in New York State who treat children and youth”
“Mission - To strengthen and support the ability of New York’s pediatric primary care providers (PCPs) to deliver care to children and families who experience mild-to-moderate mental health concerns.” Call (855)-227-7272
Modal for Care Coordination Program Information
Care Coordination Program Information
- For Access to Behavioral Health Case Management for Commercial, Essential Plan & Medicare Lines of Business; call toll free 1-800-277-2198 Monday through Friday 8 a.m. to 5 p.m. EST. If you call after hours, leave a voicemail and your call will be returned the next business day.
- For Access to Behavioral Health Case Management for Safety Net Lines of Business (Medicaid, Health & Recovery Plan (HARP), and Child Health Plus Lines of Business; call toll free 1-844-694-6411.