Emergency and After. Hours 1. MHP will have a toll free 24 hours a day, seven days a week line available to assist members and providers after hours as well as to coordinate urgent and emergent services. 2. MHP shall cover and pay for the professional services of a mental health specialist provided in an emergency room to an CHWP member whose condition meets MHP medical necessity criteria or when mental health specialist services are required to assess whether MHP medical necessity is met. Per MMCD Policy Letter No. 00-01 REV. 3. The MHP is responsible for the facility charges resulting from the emergency services and care of an CHWP member whose condition meets MHP medical necessity criteria when such services and care do result in the admission for the member for psychiatric inpatient hospital services at the same facility. The facility charge is not paid 1. All CHWP members have access to quality, comprehensive behavioral health care first response services twenty-four (24) hours a day, seven (7) days a week by CHWP providers. CHWP ’s network LMHPs have agreed to provide availability for emergency services twenty four (24) hours a day, seven (7) days a week and to arrange for coverage by another provider, in the event of provider’s illness, vacation or other absence from his or her practice. As part of the coverage, LMHPs will coordinate urgent and emergent services with the SYBH Mental Health Program or emergency room personnel during a crisis. In general, the LMHP must be available to CHWP members twenty-four (24) hours a day, seven (7) days a week by telephone or have an arrangement with an on-call
Emergency and After hours calls We offer emergency services levels on top of the standard CSA service levels. These are charged at 2 x the standard rate per hour. (Ref to Service levels section page 3 & 4)
Emergency and After. Hours 1. MHP will have a toll free 24 hours a day, seven days a week line available to assist members and providers after hours as well as to coordinate urgent and emergent services with Emergency Room personnel during a crisis. 2. MHP shall cover and pay for the professional services of a mental health specialist provided in an emergency room to an CHWP member whose condition meets MHP medical necessity criteria or when mental health specialist services are required to assess whether MHP medical necessity is met. Per MMCD Policy Letter No. 00-01 REV. 3. The MHP is responsible for the facility charges resulting from the emergency services and care of an CHWP member whose condition meets MHP medical necessity criteria when such services and care do result in the admission for the member for psychiatric inpatient hospital services at the same facility. The facility charge is not paid separately, but is included in the per diem rate for the inpatient stay. Per MMCD Policy Letter No. 00-01 REV. 4. The MHP is responsible for facility charges directly related to the professional services of a mental health specialist provided in the emergency room when these services do not result in an 1. All CHWP members have access to quality, comprehensive behavioral health care first response services twenty-four (24) hours a day, seven (7) days a week by CHWP providers. CHWP ’s network LMHPs have agreed to provide availability for emergency services twenty four (24) hours a day, seven (7) days a week and to arrange for coverage by another provider, in the event of provider’s illness, vacation or other absence from his or her practice. As part of the coverage, LMHPs will coordinate urgent and emergent services with the County Mental Health Program or emergency room personnel during a crisis. In general, the LMHP must be available to CHWP members twenty-four (24) hours a day, seven (7) days a week by telephone or have an arrangement with an on-call provider to cover when s/he is not available. 2. CHWP shall cover and pay for all professional services, except the professional services of a mental health specialist when required for the emergency services and care of a member whose condition meets MHP medical necessity criteria. 3. CHWP shall cover and pay for the facility charges resulting from the emergency services CATEGORY MENTAL HEALTH PLAN (MHP) CHWP admission of the member for psychiatric inpatient hospital services at that facility or any other facility. Per MMCD Polic...
