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Behavioral Health

Basic behavioral health benefits are available to Missouri Care members. Please note: The following table is not an exhaustive list. Please contact Missouri Care at 1-800-322-6027 with questions about whether a service is covered.

Case Management
Case management assists participating providers in the care of members with special needs or complex mental health problems. Case management is available plan-wide.

Coordination of Care
Continuity and coordination of care between physical and behavioral health is an important aspect in the delivery of quality health care.

Treatment of Alcohol and Other Drug Dependence
We have adopted the National Institution Alcohol Abuse and Alcoholism (NIAAA), Helping Patients Who Drink Too Much, A Clinician’s Guide, 2005 Edition.

Covered Behavioral Health Service Overview

Covered service

Service description

Outpatient counseling

Counseling with member, family members and/or group members; includes physician services as medically necessary; provided in an office setting from 60 to 90 minutes.

Inpatient treatment

Acute inpatient, 24-hour, medically-based behavioral health treatment in either a specialty or general hospital setting. Includes detoxification.

Detoxification services

Detoxification from acute phase of alcohol and drug abuse.

Court-ordered services

Services in the comprehensive benefit package that are court-ordered for involuntary care.

Emergency and crisis intervention

Crisis/emergency face-to-face contact is available 24 hours, seven days per week.

Medication monitoring

Medication monitoring and management. Individualized case management is provided and reported, but is not counted against the basic mental health benefit limit.


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Last Updated On: 1/6/2021