Expanding Access to Behavioral Health: A Crucial Step for Overall Well-being

Behavioral health is a cornerstone of overall well-being. Addressing mental health and substance use disorders is essential for improving patient outcomes and reducing health care costs. We can work together to improve access to behavioral health services for members. Please refer Highmark Wholecare patients who may benefit from these services and familiarize yourself with available resources.
 
Unfortunately, many individuals face significant barriers to accessing the care they need. These barriers can include stigma, shortage of mental health professionals, and geographical limitations. Providers play a vital role in breaking down these barriers. By integrating behavioral health screenings into primary care visits, offering telehealth options, and connecting patients with appropriate, in-network specialists, we can make a difference.

Highmark Wholecare maintains accessibility to care standards and processes for ongoing monitoring of access to health care. You can find a short, pre-recorded webinar on our website, specific to behavioral health practices, that serves as a comprehensive overview of the appointment standards, annual audit process, and access-related tips. Click here to view the corresponding slides.

Remember, providing access to behavioral health services is not just about treating illness; it's about promoting wellness and empowering individuals to lead healthier, more fulfilling lives. Your efforts can have a profound impact.

Highmark Wholecare offers support to our members, including resources and treatment options for behavioral health needs. Support services vary depending on the members’ benefits.

• Highmark Wholecare PA Medicare D-SNP members
• Highmark Wholecare covers certain levels of treatment including inpatient, outpatient, and medication management.
• Levels of care that are not covered by Medicare D-SNP may be covered or coordinated with the member’s Behavioral Health Managed Care Organization (BH-MCO). You can locate a treatment provider here.
• Highmark Wholecare PA Medicaid members
• Pennsylvania Medicaid recipients have behavioral health benefits managed by a BH-MCO.

To find the BH-MCO for the county in which the individual resides, please visit the DHS website.