Behavioral health can affect overall health. We want to help members get quality care for their mind and body. Behavioral health services are meant to help those facing:
- Emotional needs or concerns
- Mental health diagnosis
- Substance abuse concerns
Sometimes, one or more of these conditions may exist at the same time. Or they may exist in addition to a physical condition.
The type of service needed depends on the situation. A Care Coordinator can help members find out what services are covered. He or she can also let you know if the service will need prior authorization (to be approved before you go for the service). If you need a Care Coordinator, call 1-877-232-5518.
Check the current Behavioral Health Level of Care Guidelines. If you have questions about these guidelines, ask your doctor or Care Coordinator.
What is covered?
Here are just some of the services covered by this plan:
You do not need a referral from your PCP to get these services. For a complete list of covered services, check the Member Handbook.
What is not covered?
Examples of services this plan does not cover include:
- Hypnotherapy
- Biofeedback
- Experimental procedures or non-drug therapies
- Services from non-licensed providers
For more information about behavioral health benefits, check the Member Handbook. Also learn about Coordination of Behavioral Health Services.
New Mexico Crisis and Access Line (NMCAL)
NMCAL is available to New Mexicans during a mental health crisis. Use this state-wide toll-free phone line to access local help and resources. There are mental health professionals ready to help 24 hours a day, 7 days a week.
Call NMCAL at 1-855-NMCRISIS (1-855-662-7474).
If you have a life-threatening emergency, please call 911.
Mental Health Hotlines
These hotlines are available 24/7. Calls are confidential and at no cost to you.
