What if I am already getting behavioral health treatment?

If you are in treatment for a mental health or drug or alcohol problem, tell your provider that you will soon be a HealthChoices member. The person you have been seeing might not be a part of our network. In this case, we will work with your provider, or we will arrange for you to see someone who is part of our network.

What do I do if I need to start behavioral health services before my membership takes effect?

You may contact any Medical Assistance behavioral health provider directly to schedule an appointment, but be sure to tell the provider that you will soon be a Community Care member. If you would like help finding a provider, scheduling an appointment, or if you have any questions, please call us.

What if I get sick away from home and need treatment?

If you have a behavioral health emergency when you are out of the Community Care service area, go to the nearest Emergency Department. Just show them your Community Care identification card and they will call us.

What do I do if I need outpatient services?

You can contact and schedule appointments with any provider in our Provider Directory. You do not need prior authorization or a referral from Community Care or another provider to see a network provider.

You can also search for a provider near you in the Provider Directory. Our customer service representatives are available 24 hours a day, 7 days a week to help you choose a provider that best meets your needs. If you have questions or need help deciding on a provider, please call us.

What do I do if I need inpatient care, partial hospitalization, sub-specialty care, or other behavioral health care services?

Usually, your treating provider will arrange hospital care, partial hospitalization, sub-specialty care, or other behavioral health care services for you. If you think you need these services, you can make arrangements with any provider in the Provider Directory. You do not need prior authorization or a referral from Community Care or another provider for these services.

Our customer service representatives are available 24 hours a day, 7 days a week to help you choose a provider that best meets your needs. If you have questions or need help deciding on a provider, please call us.

Do I need to call Community Care to request an authorization for care? Do I need a referral from my PCP (primary care physician)?

No. You may go to any Community Care provider and the provider will take care of getting an authorization from us. You do not need a referral from your PCP for mental health or drug and alcohol treatment. If you need help finding a Community Care provider near you, please call us. We will be glad to assist you.

What does Community Care offer for people who have autism?

Community Care has an autism support line – 1-866-415-1708 – for members and their families to speak to one of our care managers. There is also autism information on our website under Health Topics.

Can anyone receive mobile therapy?

Yes. Community Care supports a self-referral system; however, some services do require prior authorization. It needs to be reviewed and discussed with our clinical team. Please call us for more information.