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Covered Services
CBHNP pays for the services listed below.
Covered In-Plan Services:
Psychiatric Outpatient Services:
These are planned, regularly scheduled visits to a doctor, counselor or therapist to talk about your mental health issues.
Psychiatric Partial Hospitalization Programs:
These are planned, regularly scheduled visits to a doctor, counselor or therapist to
talk about your mental health issues.
Psychiatric Hospitalization:
These services are the most intensive services available. Hospitalization usually
occurs when you or your child is at risk of harming yourself (him or herself) or others, when medications
need close and continual checking, or when other services tried in the community have not helped to solve the
problems that brought you/them into service.
Targeted Case Management (Intensive Case Management and Resource Coordination):
A case manager works with you in this service to help you get the services you need in your community.
The case manager works to help you set and reach your goals.
Crisis Intervention Services:
Services you can use any time of day or night to help you in a crisis.
These services keep you safe and treat the problem until the problem has passed. Services can be provided by
telephone or in person at almost any place in the community.
Clozapine (Clozaril) Support Services:
Services that are provided by a psychiatrist or nurse to review how you are doing if you take the medication Clozaril.
Services include regular office visits and laboratory tests. (Clozapine, Clozaril is a medication used to treat people who have Schizophrenia.)
Outpatient Drug and Alcohol Services:
Services which are provided in the community to help a person with their alcohol or other drug problem.
Services may include evaluation and/or individual or group therapy.
Methadone:
This service uses a specific medication therapy to treat you when you are addicted to opiates such as heroin or oxycodone.
Drug and Alcohol Detoxification and Rehabilitation and Halfway House Services:
These services help you stop using drugs and alcohol. These services may or may not be done in a hospital. If you use
these services you may or may not stay at the program overnight.
Behavioral Health Rehabilitation Services (BHRS) for Children and Adolescents:
Services that are available to children and adolescents that can be provided at home, school or other community settings.
(These services are sometimes referred to as “wrap around” services.)
Family-Based Mental Health Services:
Treatment services that are provided in the home for children, adolescents and their families.
Residential Treatment Facilities (RTF):
A place where children and adolescents, under the age of 21, live while they are receiving treatment.
Supplemental Services
CBHNP may cover additional services that may not be listed in your Handbook. As a rule, however,
services that are not listed are not paid for by CBHNP. Non-Covered Services
All services that are not specifically listed as In-Plan Services or are not approved Supplemental Services,
are not covered by your HealthChoices behavioral health program. What other services are available to me or my family?
There are other services and community supports that may be available through the
County Mental Health/Mental Retardation, and Drug and Alcohol programs in your area. CBHNP can help you get those services and we can help explore any
costs that may apply to you. We can help you find possible ways of covering those costs.
CBHNP staff works with other agencies, such as your primary care doctor, the Area Agency on Aging and the Children, Youth and Family Social Service Provider, to help organize your treatment and support. For information, answers to questions, or general help and guidance, call CBHNP using the toll-free number for your county or area listed here.
Capital Area
(Cumberland, Perry, Dauphin, Lancaster, and Lebanon Counties)
Call a Member Services Representative toll-free at:
NorthCentral Region (Bedford, Blair, Clinton, Franklin, Fulton, Lycoming, and Somerset Counties)
Contact a Member Services Representative for your area or county toll-free for assistance or ask to speak to the Consumer/Family Affairs Specialist for your county for help at:
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