Northwest Carpenters Health and Security Plan
Behavioral Health Services
90% Network and 80% Non-Network Services and Supplies Must Be Preauthorized Unless the Patient Is A Medicare-Eligible Retiree
Behavioral health services refers to the category of services including mental health, substance use disorder and other behavioral health services. These services include inpatient, residential treatment facility, partial hospitalization, intensive outpatient and outpatient treatment. Office visit copayments apply except for the treatment of substance use.
Services must be received from a licensed provider. Providers and licenses can vary by state but commonly include, psychiatrists, psychiatric nurse practitioners, psychologists, clinical social workers, marriage and family therapist, mental health counselors, and chemical dependency counselors.
The facility must be licensed in the state where it operates and all charges are for items provided within the scope of that license and has accreditation under the Joint Commission on Accreditation of Hospitals (JCAHO) or Commission on Accreditation of Rehabilitation Facilities (CARF).
Last Updated: 01/03/2022