BEHAVIORAL HEALTH CASE MANAGEMENT PROGRAM

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Inc. ® 0318

| Get fitness tips, wellness ideas, ideas, wellness tips, fitness Get us: with Connect and more! CONTACT Lifeline is available to to Lifeline is available CONTACT CDPHP members as an after-hours crisis/support service. telephone hours Call after 1-855-293-0785 time or any 8 a.m., to (6 p.m. speak to holidays) or weekends professional with a mental health Lifeline. at CONTACT If you or someone you know can benefit from from benefit can know you someone or you If management case health behavioral CDPHP 1-888-94-CDPHP(23747). call services, Capital District Physicians’ Health Plan, Inc. Plan, Health Physicians’ District Capital Inc. Network, Healthcare Physicians’ District Capital Benefits, Universal CDPHP 12206-10­­ NY Albany, Boulevard, Creek 500 Patroon 1-888-94-CDPHP(23747) www.cdphp.com 18-7346

Call CDPHP for support as needed. as support for CDPHP Call Participate in CDPHP case management management case in CDPHP Participate programs. Attend all outpatient treatment treatment outpatient all Attend appointments. Take medications as directed. as medications Take one hour discharge within response – telephone access After-hours Mental health or substance use disorder outpatient outpatient disorder use or substance health Mental inpatient of days seven – within appointment Routine follow-up care for an established patient – patient an established for care follow-up Routine days 20 business within Urgent appointment – within 48 hours – within appointment Urgent routine for visit initial new patient Non-urgent, days 10 business – within appointments Care for non-life threatening emergency – within – within emergency threatening non-life for Care or the ER) care urgent to be referred (may hours six Emergency – immediate access (may be referred be referred (may access – immediate Emergency the ER) to

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Checklist: Caring for those who need it most If you are a member of CDPHP®, you Consider using the CDPHP behavioral health case Questions and Answers should know about our behavioral management program if you are dealing with behavioral health problems. Q: Who pays for these services? health case management program. A: Case management services are provided at no Here is an overview of the services we provide: The CDPHP behavioral health case management additional cost as part of your behavioral health program is designed to help our members who have ffHelping you access CDPHP behavioral health benefit. complex behavioral health problems. Assistance providers of care. is available for our members who are coping with Q: Do my records remain confidential? mental health issues, a new diagnosis, a substance ffAssessment to determine appropriate services A: Yes, CDPHP protects your rights to privacy at use disorder, or an acute, short-term problem. CDPHP and resources. all times. We will share information about you and behavioral health case managers are there to ease the ffEducation on behavioral health diagnoses. your mental health condition only as you direct, pressure and confusion. ffAssistance with medication management and releasing it only after we have obtained your Regular support calls can make it easier to live pharmacy benefits. written consent. with a behavioral health problem, helping you to ffDeveloping individualized treatment plans to understand your condition and learn to manage it. Q: How do I access this program? improve overall well-being. Coping with behavioral health problems can be less A: You, your practitioner, or a designee may overwhelming when support and education are just a ffInterventions to decrease readmission to contact the CDPHP behavioral health case telephone call away. inpatient care. management department directly by calling 1-888-94-CDPHP(23747) to speak with a We have case managers who will work with you and ffCare plan monitoring. behavioral health case manager. your behavioral health provider. They can help you ffAssistance in finding community and government deal with issues that arise and refer you to programs programs that can help you. and services that may make your life easier. ffIdentifying local support groups, caregiver Population health and wellness requires coordination resources, and respite care. of care between all providers, medical and behavioral. PEACE ffConnections to other benefits and services With your consent, we can coordinate your needs with available to you. OF MIND your primary care physician to ensure you have the support you need. You may be eligible for additional ffReferral to opioid treatment programs. services through Health and Recovery Plans (HARPs).