Mental Health and Substance Abuse Services

Mental Health and Substance Abuse Services

Mental Health Services

Benefits are provided for inpatient, residential treatment facility, day treatment/partial hospitalization, outpatient, and telehealth mental health services. All inpatient hospital and residential treatment facility admissions for mental health services must be certified as medically necessary by Acentra. Refer to the Medical Management and Utilization Review section for certification requirements.

Substance Abuse

Benefits are provided for inpatient, partial hospitalization, residential treatment facility, intensified outpatient program, and outpatient substance abuse treatment. All inpatient hospital and residential treatment facility admissions for substance abuse treatment must be certified as medically necessary by Acentra. Refer to the Medical Management and Utilization Review section for certification requirements.