Benefit: Mental Health Services

Definition: for the purpose of improving an individual's mental health or to treat a mental illness. Mental health services are provided in several settings, for example, community mental health clinic, outpatient hospital and physician office. The services may also be provided to minors by school psychologists.  An additional benefit is mental health targeted case management services. The purpose of mental health targeted case management is to assist recipients in gaining access to needed medical, social, educational, and other services.

Limits:  Medicaid will reimburse:

• Up to 344 units (15 minutes equals one unit) of mental health targeted case management services per month, per recipient; and
• Up to 48 units of intensive team services per recipient, per day.

Exceptions: None

Co-pays: None

Reform items that can vary: None