Other Outpatient Mental Health and Substance Use Disorder Services. In addition to office visits, Benefits are available for other outpatient services for the diagnosis and treatment of Mental Health and Substance Use Disorders. You can receive these other outpatient services in a facility, office, home, or other non- institutional setting. Other Outpatient Mental Health and Substance Use Disorder Services include, but are not limited to: • Behavioral Health Treatment – professional services and treatment programs, including applied behavior analysis and evidence-based intervention programs, prescribed by a Physician or licensed psychologist and provided under a treatment plan approved by the MHSA to develop or restore, to the maximum extent practicable, the functioning of an individual with pervasive developmental disorder or autism; • Electroconvulsive therapy – the passing of a small electric current through the brain to induce a seizure, used in the treatment of severe depression; • Intensive Outpatient Program – outpatient care for mental health or substance use disorders when your condition requires structure, monitoring, and medical/psychological intervention at least three hours per day, three days per week; • Office-based opioid treatment – substance use disorder maintenance therapy, including methadone maintenance treatment; • Partial Hospitalization Program – an outpatient treatment program that may be in a free-standing or Hospital-based facility and provides services at least five hours per day, four days per week when you are admitted directly or transferred from acute inpatient care following stabilization; • Psychological Testing – testing to diagnose a mental health condition; and • Transcranial magnetic stimulation – a non-invasive method of delivering electrical stimulation to the brain for the treatment of severe depression. Benefits do not include: • Treatment for the purposes of providing respite, day care, or educational services, or to reimburse a parent for participation in the treatment. Inpatient Services Benefits are available for inpatient facility and professional services for the treatment of Mental Health and Substance Use Disorders in: • A Hospital; or • A free-standing residential treatment center that provides 24-hour care when you do not require acute inpatient care. Medically Necessary inpatient substance use disorder detoxification is covered under the Hospital services Benefit. Physician and other professional services Benefits are available for services performed by a Physician, surg...
