Common use of Mental Health and Substance Abuse Benefits Clause in Contracts

Mental Health and Substance Abuse Benefits. Blue Shield’s Mental Health Service Administrator (MHSA) arranges and administers Mental Health Services and Substance Abuse Services for Blue Shield Members within California. See the Out-Of- Area Program, BlueCard Program section for an explanation of how payment is made for out of state services. All Non-Emergency inpatient Mental Health and Substance Abuse Services, including Residential Care, and Non-Routine Outpatient Mental Health and Substance Abuse Services are subject to the Benefits Management Program and must be prior authorized by the MHSA. See the Benefits Management Program section for complete information.

Mental Health and Substance Abuse Benefits. Blue Shield’s Mental Health Service Administrator (MHSA) arranges and administers Mental Health Services and Substance Abuse Services for Blue Shield Members within California. See the Out-Of- Area Program, BlueCard Program section for an explanation of how payment is made for out of state services. All Non-Emergency inpatient Mental Health and Substance Abuse Services, including Residential Care, and Non-Non- Routine Outpatient Mental Health and Substance Abuse Services are subject to the Benefits Management Program and must be prior authorized by the MHSA. See the Benefits Management Program section for complete information.

Mental Health and Substance Abuse Benefits. Blue Shield’s Mental Health Service Administrator (MHSA) arranges and administers Mental Health Services and Substance Abuse Services for Blue Shield Members within California. See the Urgent Services, Emergency Services, Out-Of- Area Program, BlueCard Program section for an explanation of how payment is made for out of state servicesUrgent Services or Emergency Services. The Plan does not provide benefits for non-Emergency or non-Urgent Mental Health and Substance Abuse Services rendered by Non-MHSA Participating Providers. All Non-Emergency inpatient Mental Health and Substance Abuse Services, including Residential Care, and Non-Non- Routine Outpatient Mental Health and Substance Abuse Services are subject to the Benefits Management Program and must be prior authorized by the MHSA. See the Benefits Management Program section for complete information.

Mental Health and Substance Abuse Benefits. Blue Shield’s Mental Health Service Administrator (MHSA) arranges and administers Mental Health Services and Substance Abuse Services for Blue Shield Members within California. See the Out-Of- Area ProgramUrgent Services, BlueCard Program section for an explanation of how payment is made for out of state services. Emergency Services, All Non-Emergency inpatient Mental Health and Substance Abuse Services, including Residential Care, and Non-Non- Routine Outpatient Mental Health and Substance Abuse Services are subject to the Benefits Management Program and must be prior authorized by the MHSA. See the Benefits Management Program section for complete information.

Mental Health and Substance Abuse Benefits. Blue Shield’s Mental Health Service Administrator (MHSA) arranges and administers Mental Health Services and Substance Abuse Services for Blue Shield Members within California. See the Urgent Services, Emergency Services, Out-Of- Area Program, BlueCard Program section sections for an explanation of how payment is made for out of state servicesUrgent Services or Emergency Services. The Plan does not provide benefits for non-Emergency or non-Urgent Mental Health and Substance Abuse Services rendered by Non-MHSA Participating Providers. All Non-Emergency inpatient Mental Health and Substance Abuse Services, including Residential Care, and Non-Non- Routine Outpatient Mental Health and Substance Abuse Services are subject to the Benefits Management Program and must be prior authorized by the MHSA. See the Benefits Management Program section for complete information.