Yes. Medicaid State Plan outpatient/community behavioral health services currently offered will continue, but you need to ensure your provider is contracted with the Bayou Health Plan you have chosen in order to continue to see the same provider you are currently using. Your Bayou Health Plan must notify you of any changes in your service authorization before the authorization expires. For additional outpatient/community behavioral health services outside of the State Plan, please contact your Bayou Health Plan for more information on their service offerings.
Yes. As long as you remain enrolled in Medicaid, your eligibility for outpatient/community behavioral health services will continue. However, to continue, all Medicaid services, including behavioral health services, must be determined by the MCO to be medically necessary for you.
1915(i) services include Psychosocial Rehabilitation (PSR), Crisis Intervention, and Community Psychiatric Support and Treatment (CPST) including Assertive Community Treatment (ACT). All 1915(i) services will be approved for a grace period until Dec. 30, 2015. However, for any service to be continued with your existing provider beyond Dec. 30, 2015, your provider must be contracted with your Bayou Health Plan. If the provider is not contracted with your Bayou Health Plan, another contracted/in-network provider must be identified to provide your services. Please contact your Bayou Health Plan to arrange this.
For a full listing of covered benefits, please contact your Bayou Health Plan. Magellan will no longer be managing outpatient/community behavioral health services for you. Your Bayou Health Plan will be managing them. The amount and frequency of the services you receive may change over time based on your ongoing need for those services and based on whether or not the same amount and frequency are determined to be medically necessary by your Bayou Health Plan.
Members can access this information through any of the following methods:
You should ask your behavioral health provider whether or not they have contracted with your specific Bayou Health Plan, or if they are in process of doing so. If your provider has not contracted with your Bayou Health Plan, you will need to either seek a behavioral health provider who is in-network, or choose a Bayou Health Plan that includes your desired provider(s) and services.
No. There should be no need to reach out to your Bayou Health Plan unless you have a specific question about your plan’s available services or providers.
Yes. If you are a new Bayou Health member, your Health Plan will reach out to you prior to Nov. 30, 2015. In the weeks following the end of Bayou Health open enrollment you should receive an ID card, a welcome packet, and a welcome call from your new Health Plan. You may also contact your Health Plan directly at any time. For current Bayou Health Plan members, you will receive new ID cards with updated behavioral health information.