You can call our Medicaid behavioral health helpline at 1-866-827-8704 (TTY: 711). We’re here for you 24 hours a day, 7 days a week. Members can call, too.
Whole health is the goal
Whole health is the goal
We help members and their families by making key connections between physical, mental and behavioral health, as well as disability, wellness and prevention. These are the connections that help members take steps toward whole health.
Behavioral health includes services provided for the assessment and treatment of a variety of disorders for Medicaid and Medicare-Medicaid (Aetna Better Health® Premier Plan):
For Medicaid: mental health disorders
For Medicare-Medicaid plan: mental health and substance use disorders
Members managing or at risk for mental health, addictive or other behavioral disorders have access to services to meet their needs.
We work with members and providers to focus on prevention and wellness by:
Screening for issues that could lead to illness and treating them early with a whole-health approach
Offering care coordination services to our members and providers to support integrated behavioral health care
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Treating a member in crisis?
For Wayne county (region 7)
You can call the Detroit Wayne Integrated Health Network (DWIHN) helpline at 1-800-241-4949 (TTY: 1-800-630-1044). Their trained clinicians are available 24 hours a day, 7 days a week.
For all other counties (regions 4 and 9)
You can call our Medicare-Medicaid plan behavioral health helpline at 1-855-676-5772 (TTY: 711). We’re here for you 24 hours a day, 7 days a week. Members can call, too.
Call or text 988 to reach the 988 Suicide & Crisis Lifeline. Trained counselors can help you 24 hours a day, 7 days a week. You can also chat online with a counselor through their Lifeline Chat service.
Behavioral health coverage
Behavioral health coverage
Basic behavioral health
These services are provided by medical professionals or behavioral health consultants in medical clinics. Some common services include:
- Screening for common mental health conditions
- Screening for alcohol or substance use issues (Medicare-Medicaid plan only)
- Medication management
- Coordination of referrals to specialized behavioral health services
Members have access to behavioral health education and resources on the:
We do not directly cover substance use disorder treatment services for Medicaid members. These services for both inpatient and outpatient occurrences are coordinated and covered solely by the local Prepaid Inpatient Health Plans (PIHP)/Community Mental Health (CMH) service providers.
Exceptions for emergencies: In the event of an emergency hospital admission, treatment services will be covered until the member is stabilized medically.
Need more information? You can refer to your provider manual or call 1-866-827-8704 to learn more about behavioral health services.
Specialized behavioral health
Mental or behavioral health professionals provide these services in a setting that works best for the member and their family. Outpatient clinics or intensive treatment programs may provide nonemergency services. Some members may also be eligible for home and community-based services.
For healthier members
For healthier members
When physical and behavioral health providers work together, members benefit. Our behavioral health and primary care providers (PCPs) share information with that goal in mind. This results in appropriate and effective coordination between physical and behavioral health care.
PCPs screen for behavioral health issues
If you’re a PCP, you’ll want to:
Use behavioral health screening tools
Treat behavioral health issues within your scope of practice
Refer members to behavioral health providers, when appropriate
Behavioral health providers screen for physical health issues
If you’re a behavioral health provider, you’ll want to:
Screen members for coexisting physical issues
Refer those who have untreated physical health issues to their PCP (with consent)
Provide physical health care services only if you’re licensed to do so
Share any concerns with their PCP and work together on a care plan (with consent)