Here you'll find information and tools to support mental health and chemical dependency treatment.
- About Our Team
Learn about our Behavioral Health Department.
- Care Coordination
Read about our utilization management processes and procedures for mental health and chemical dependency.
- Case Management
Learn about our Benefit and Member Management Programs.
- Clinical Guidelines & Policies
Keep informed about guidelines and polices pertaining to Behavioral Health care.
- Find a Behavioral Health Provider
Links to Behavioral Health Providers and Treatment Facilities.
- Level of Care for Alcohol and Drug Treatment Referral (LOCADTR)
The New York State Office of Alcoholism and Substance Abuse Services (OASAS) has created an online tool to make recommendations as to the appropriate level of care for individuals in need of substance use disorder treatment based on an individual's risks and resources. The Level of Care for Alcohol and Drug Treatment Referral (LOCADTR) is a clinical tool used with a provider's full assessment.
LOCADTR 3.0 is a web based level of care determination application. NYS OASAS in partnership with The National Center on Addiction and Substance Abuse at Columbia University developed this tool to determine the most appropriate level of care for substance use disorder.
LOCADTR does not constitute medical advice. Treating practitioners are responsible for the medical advice and for the treatment of their patients. As a result, we recommend that you review these criteria with your doctor to fully understand how the criteria related to your situation.
- Precertifying Behavioral Health Services
Learn about Precertifying Behavioral Health Services.
- Provider Manual
Refer to the Behavioral Health section (Chapter 6) of our provider manuals.
- Quality Management
Learn about our Behavioral Health quality management program and policies.
- Rx Information for Psychiatrists
Link to information on prescribing and clinical consideration.
- Specialty Programs
The Behavioral Health Department has developed several programs to assist in the treatment of members with certain Behavioral Health needs. Due to the nature of these programs, some programs might not be available in all of our Health Plan regions. These programs include:
- Child and Adolescent Psychiatry Phone Consultation Service
- First Episode Augmented Treatment (FEAT)
- Demand Treatment
- Coordinated Care for the Treatment of Eating Disorders
- Follow Up Post Hospitalization Program
- Dedicated Case Management Staff
- Depression Disease Management
- Continuity of Care Initiative
- Tools & Resources
Here you'll find treatment record templates, screening tools and other resources.