This program is for adults and children. Applied behavior analysis (ABA) provider FAQs - Aetna Your Texas Benefitsprovidesthe info on the next page. The goal is to address mental and behavioral health issues that create a barrier to effective learning. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button labeled "I Accept". This can help support you so you stay out of the hospital. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. Allina Health Aetna MHSS is for youth under 21. Find a Doctor, Dentist or Hospital | Aetna Some plans exclude coverage for services or supplies that Aetna considers medically necessary. They can talk with you about these services. The program is short term, for adults and adolescents. Receiving calls and/or text messages from Aetna Better Health of Texas that are informational and relate to my health and benefits. To qualify for these services, the child must fit into one of these groups: Ask your care manager if youd like to learn more about IIH services. ACT services also help you coordinate your next health care visits. The focus is to help them achieve independence and stability in the community. If you dont want to leave our site, choose the X in the upper right corner to close this message. If you do not intend to leave Aetna Medicare, close this message. Since the start of the pandemic, almost half of all mental health visits have been done virtually, says Rose Mollitor, executive director, Aetna Medicare Product. Aetna provides certain administrative services for Allina Health and Aetna. These services take place in the community. Theycan change a persons thinking, feeling, mood and daily functioning. Aetna Better Health ofNew Jersey complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. Most people can benefit from treatment, no matter how bad the problem may seem. There are many different kinds of mental health providers available in . ACT is for adults living with serious mental illness. Find detailed listings for mental health professionals in: United States. Theyll also work with you on your symptoms to help prevent a future setback. If you dont want to leave our site, choose the X in the upper right corner to close this message. Mentalhealth disorderscan beserious. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. From there, you can search for providers and specialists, like dentists, eye doctors, therapists, dermatologists and more. Allina Health and Aetna Insurance Company (Allina Health | Aetna), a health insurer jointly owned by Allina Health and Aetna, will offer, underwrite or administer health insurance plans. This manual is an extension of your contract with us. Peer providers: Parents with a child with these problems can get help from someone who understands the issues. Receiving calls and/or text messages from Aetna Better Health of New Jersey that are informational and relate to my health and benefits. It contains informationfor healthcare professionals. Want to see options for a different location? CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. Or choose Go on to move forwardto the state of New Jersey website. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. *FOR MINUTECLINIC VIRTUAL CARE: Mental health counseling services are available for adults 18 and up and are only available in select locations in AZ, CA, CT, FL, GA, IL, MD, NC, NJ, NY, OH, PA, TX, VA, Services are provided by a MinuteClinic licensed therapist within a CVS HealthHUB location. Visit COVID-19 resource center to learn more. Working closely with providers to coordinate medical and behavioral care for membershelpssupportappropriatescreening, evaluation, treatment andreferralsfor: Behavioral health(which includessubstance use disorders). AetnaBetter Health of Illinois is not responsible or liable for content, accuracy or privacy practices of linked sites or for products or services described on these sites. Your payment responsibility may vary based on your insurance coverage. Health benefits and health plans are offered, underwritten or administered by Allina Health and Aetna Insurance Company (Allina Health | Aetna). You can also learn more about our standard mental health benefits and services. If you dont want to leaveyourstatesite, choose the X in the upper right corner to close this message. Its a place for them to connect and learn about services. It can be hard to keep up with healthy habits during times of stress. The National Suicide Prevention Lifeline has counselors that will talk or chat with you. Just show your member ID card. Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). You can take thisself-testtohelp youdecideif you or someone else needs support foralcoholism. We offer behavioral health treatment to our members who need some extra care. You are now being directed to the CVS Health site. We offer MH-PHP services at least five days each week and four hours each day. Find a Provider | Aetna Medicaid - Aetna Better Health They know how to get the help you need. And different people have different symptoms, including: Not being able to sleep, or sleeping too much, Having thoughts aboutsuicideorsuicide attempts. It can be hard to keep up with healthy habits during times of stress. Beginning 7/23/19 the Allina Health | Aetna member portal has changed to the new Aetna Health portal. An online social community for teens and young adults living with mental illness. Its a structured program in a safe environment. Or choose Go on to move forward to CVS.com. Not all health services are covered. MST works with the family, school and community to aid at-risk youth. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. Confidential counseling by phone or video from the comfort and privacy of home. CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and procedures performed by physicians. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Youre going to the provider website. Its not easy knowing what to say or how to say it. National 998 Lifeline Visit Teladoc.com/Aetna for a complete description of the limitations of Teladoc services. Its common during times of stress to pick up some unhealthy habits. Care in and out of the hospital. App Store is a service mark of Apple Inc. Google Play is a trademark of Google LLC. Your doctor and health care team can work with you to find the best treatment. Or choose Go on to move forward to the main Aetna Medicaid website. They know your medical history and the medications youre taking. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements. Feeling good physically works wonders mentally. Some medications shouldnt be taken together. The goal is to help them live and work in their communities as independently as possible. A summary of whatyour health plancovers. You are leaving our Medicare website and going to our non-Medicare website. If you dont want to leave our site, choose the X in the upper right corner to close this message. Or ask your care manager. Call 911 or go to the nearest hospital if: You can use any hospital for emergency care, even if it isnt in our network. Visiting your primary care physician (PCP) is another great option. Copyright 2023 ${plan_name}. Ask your care manager. The term precertification here means the utilization review process to determine whether the requested service, procedure, prescription drug or medical device meets the company's clinical criteria for coverage. AetnaBetter Healthof Illinois is not responsible or liable forthis specific content. If you dont want to leave our site, choose the X in the upper right corner to close this message. Its normal to occasionally feel lonely, down or just blah. You can also contact us to learn more. Aetna Behavioral Health Provider Page 1 of 0 | Turning Point of Tampa In case of a conflict between your plan documents and this information, the plan documents will govern. Apple and the Apple logoare trademarks of Apple Inc., registered in the U.S. and other countries. For immediate help in Arizona Call the Phoenix Valley Help Line at (480) 448-7511. You dont need a PCP referral. Find resources to help your physical and mental health. Bruce and Karens Medicare Moment: Staying active and making a new neighborhood home, Staying healthy with telemedicine in a changed world. Mental health services and coverage varies by employer. All Rights Reserved. Get connected to additional benefits we offer. When life gets tough, were here to listen. Did you know that stress can affect your health? Then, choose the crisis option: Behavioral health benefits cover treatment for mental health and substance use disorders. Aetna is a behavioral health provider that offers mental health benefits to plan holders. Copyright 2015 by the American Society of Addiction Medicine. Pennsylvania, including psychologists, clinical social workers, and mental health counselors. Or visit theNational Institute of Mental Health websitefor moreinfo. I understand that my information will be used in accordance with my . The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Clinical Policy Bulletins (CPBs). Those who take part get coaching and education to help them develop emotional, cognitive and social skills. This manual is an extension of your contract with us. We do not provide care or guarantee access to health services. It has info for health care providers. We want to help you feel better and support your recovery. And one that makes you feel comfortable. ${tty}to chat about any Medicare questions you have. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. But theres another aspect of your overall health. If you dont want to leave our site, choose the X in the upper right corner to close this message. Afree, 12-week course for family caregivers of adults living with mental illness. This benefit gives you access to fitness classes at gyms around the country, and on-demand classes you can do in your living room. They can help you make an appointment. Just call 1-855-232-3596 (TTY: 711) and choose option 9. And you dont need a PCP referral. The state of New Jersey provides the info on the next page. Log in to your Allina Health | Aetna Member portal. Health benefits and health insurance plans contain exclusions and limitations. Your mental and behavioral health are key to your overall health and well-being. Another group or vendor provides the info on the next page. Make sure to check specific plan benefits to better understand covered mental health services. Well then connect you with a nurse who will help you. This is the phone number for the Corporate Contact Center. The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. All rights reserved. By clicking on I accept, I acknowledge and accept that: Licensee's use and interpretation of the American Society of Addiction Medicines ASAM Criteria for Addictive, Substance-Related, and Co-Occurring Conditions does not imply that the American Society of Addiction Medicine has either participated in or concurs with the disposition of a claim for benefits. Learn about them, and how to get in touch. Just call 1-855-232-3596 (TTY: 711) and choose option 9. CVS Health provides the info on the next page. Aetna is part of the CVS Health family of companies. * When you're ready, you can schedule a video visit with a licensed therapist of your choice to help manage stress, anxiety and depression. Talk with your PCP. Behavioral & Mental Health Tools for Providers | Aetna Medicaid Illinois Trained staff will work with you to create a plan for day-to-day life and build important life skills. You, your employees and agents are authorized to use CPT only as contained in Aetna Clinical Policy Bulletins (CPBs) solely for your own personal use in directly participating in healthcare programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. It is only a partial, general description of plan or program benefits and does not constitute a contract. If you dont want to leave our site, choose the X in the upper right corner to close this message. While the Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits, they do not constitute a description of plan benefits. You can access this service 24 hours a day, 7 days a week. If youre thinking of hurting yourself or someone else, call 911 or go to the nearest hospital. Talk with your care manager if you might need behavioral health services. Or choose Go on to move forward to the provider website. Talking about addiction is hard. You can also sign up by phone or web. It does not mean precertification as defined by Texas law, as a reliable representation of payment of care or services to fully insured HMO and PPO members. Aetna is the brand name for Aetna Life . Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept". Explore STAR Kids benefits and added services, Explore CHIP and CHIP Perinatal benefits and added services, STAR (Medicaid) Member Handbook - English (PDF), STAR (Medicaid) Member Handbook - Spanish (PDF), STAR Kids Member Handbook - English (PDF), STAR Kids Member Handbook - Spanish (PDF), CHIP and CHIP Perinatal Member Handbook - English (PDF), CHIP and CHIP Perinatal Member Handbook - Spanish (PDF), National Alliance on Mental Illness (NAMI) website, Find resources to support your physical and mental health, You have thoughts of harming yourself or someone else, You have an emergency and need help right now. 2 Introduction Welcome to the Aetna Behavioral Health network Our behavioral health programs focus on the important role of mental health on a person's overall well-being. Virginia's Medicaid Managed Care provides the info on the next page. Non-discrimination notice and language assistance. If you dont want to leave our site, choose the X in the upper right corner to close this message. The service helps youth stay in the home and in school. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. If you don't want to leave the member site, click or tap the "x" in the upper right-hand corner. Other habits, such as staying positive, practicing mindfulness, getting enough sleep and eating healthy, can help too. On December 1, 2021, the Department of Medical Assistance Services (DMAS) will change Behavioral Therapy to Applied Behavior Analysis (ABA). Mental Wellbeing Resource Center | Banner Aetna Teladoc is not available to all members. Aetna Inc. and itsitsaffiliated companies are not responsible or liable for the content, accuracy or privacy practices of linked sites, or for products or services described on these sites. Or visit the Pyx Health website to get the app. This is a walk-in program where you can go in for evaluation when you notice a big change in how you feel. We're here for you 24 hours a day, 7 days a week. To help keep you moving, many Aetna MA plans include SilverSneakers fitness programs. They can get to know your concerns, recommend treatment and refer you to a mental health specialist. Your plan covers health for you as a whole person, not just your physical health. If you dont want to leave our site, choose the X in the upper right corner to close this message. If you need help, your Aetna medical plan includes resources and support to help you get effective treatment so you can feel your best. Members should discuss any Dental Clinical Policy Bulletin (DCPB) related to their coverage or condition with their treating provider. Medical management. You can get help 24 hours a day, 7 days week: Call: 1-800-273-TALK (8255) Text: "HELLO" to 741741. IIH care provides highly supportive home-based services for youth who are at risk of removal from their home. Knowing about your medications can help your PCP prevent problems with side effects. Your PCP also needs to know about all the medications you take. For more info, visit the National Alliance on Mental Illness (NAMI) website. It helps keep them out of trouble, the hospital or other facilities. CVS Health provides the info on the next page. Contact us by phone For non-participating health care professionals Network applications (behavioral health, dental, facility, and pharmacy) Practice changes and provider termination Request a medical application Request Part D pharmacy participation Request workers' compensation, auto injury, First Health participation Submit feedback AetnaBetterHealthprovides thegeneralinfo on the next page. Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). With your Aetna MA plan, you have the tools and resources you need to take care of the whole you body, mind and spirit. Receiving calls and/or text messages from Aetna Better Health Kids that are informational and relate to my health and benefits. The Dental Clinical Policy Bulletins (DCPBs) describe Aetna's current determinations of whether certain services or supplies are medically necessary, based upon a review of available clinical information. Providers are independent contractors and not our agents. CPT only copyright 2015 American Medical Association. Mental health disorders can be serious. Health Insurance Through Work Considering Aetna Insurance Behavioral health Aetna handles premium payments through Payer Express, a trusted payment service. Just contact us. This site has its own log in. If you dont want to leave our site, choose the X in the upper right corner to close this message. This excerpt is provided for use in connection with the review of a claim for benefits and may not be reproduced or used for any other purpose. Then, choose the option for crisis. Aetna makes no representations and accepts no liability with respect to the content of any external information cited or relied upon in the Clinical Policy Bulletins (CPBs). An online social community for teens and young adults living with mental illness. CPT is a registered trademark of the American Medical Association. So we cover many behavioral health services, like: You can get these services in your home or in the community. It aims to keep the child in the home with the family and out of the hospital, foster care or justice system. SMHS is for patients with serious mental illnesses. Click on "Claims," "CPT/HCPCS Coding Tool," "Clinical Policy Code Search. . Your Payer Express log in may be different from your Aetna secure member site log in. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Precertification Code Search Tool. Copyright 2023 Aetna Better Health of Illinois. TDT provides services to youth in a school setting. Even exercising two or three times a week could help decrease stress and boost your mood. You, your employees and agents are authorized to use CPT only as contained in Aetna Precertification Code Search Tool solely for your own personal use in directly participating in health care programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. Click here to learn more about SMHS provided by the county mental health plan Outpatient mental health services Medicaid for children, newborns, pregnant women and some families, Medicaid for children and adults 20 or younger who have disabilities, A program for families and mother-to-be that dont qualify for Medicaid. Theres good news, though. Please note also that Dental Clinical Policy Bulletins (DCPBs) are regularly updated and are therefore subject to change. Theres no right or wrong way to let a loved one know you care. If you're having a behavioral health crisis, get help right away. Our provider search can help you find one. Aetna Better Healthof Illinois offers our members access to all covered, medically necessary behavioral health services. *FOR CVS HEALTH VIRTUAL CARE: Not available to all members. Ifyourefeeling depressed, youre not alone. As long as the provider . Help in a crisis Mental health benefits for members Mental health conditions like anxiety or depression can affect anyone at any time. Did you know that stress can affect your health? Were herefor you 24 hours a day, 7 days a week. Resources. The two are closely tied. If you dont want to leaveyourstatesite, choose the X in the upper right corner to close this message. If you don't want to leave the member site, click or tap the "x" in the upper right-hand corner. Language Assistance can be provided by calling the number on your member ID Card. We can link you to the right resources. * When youre ready, you can schedule a video visit with a licensed therapist of your choice to help manage stress, anxiety and depression. It has info for health care providers. That includes your right to access quality behavioral and mental health care, when and where you need it. Mental Health & Behavioral Health Benefits | Aetna Medicaid Texas . I can help.