SCDHHS mamanged care organizations (MCOs) will cover Rehabilitative Behavioral Health and associated outpatient services beginning July 1, 2016.
Rehabilitative Behavioral Health Services (RBHS) are community-based services that help members stay healthy and independent. Examples from this service array include Core Treatment (Assessments, Crisis Intervention, Individual, Group and Family Therapies) and Community Support Services (Behavior Modification, Family Support, Peer Support and Psychosocial Rehabilitation Services).
Providers will need to contract with a MCO to continue to provide and bill for these services to Healthy Connections members. While there is no change in members’ benefits, there will be changes in how providers file claims and refer patients.
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