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Behavioral Health

  • Apple Health (AH) 

    Molina Healthcare covers lower intensity outpatient mental health (MH) services for mild-to-moderate mental health conditions including psychotherapy, psychological testing and medication management for AH members. If a Molina AH member needs higher intensity mental health services including inpatient mental health services, partial hospital programs and/or intensive outpatient programs, or substance use disorder (SUD) services, Molina will coordinate services with the local Behavioral Health Organization (BHO) . Members can receive services through Molina while awaiting assessments and services through the BHO to ensure access to care.

    There is no “wrong door” for members to access MH services and they can self-refer at any time. However, Molina recommends members be connected to a primary care provider (PCP) who can assess members for mental health or substance use concerns and refer as needed. PCPs should support and encourage members toward recovery and educate them on the benefits of treating these conditions as well as the risks of not treating them.

    Click here for more information on Molina’s AH covered behavioral health (BH) services. Click here to see what BH services require a prior authorization.

    Also see member-facing information on mental health services.

  •  Integrated Managed Care (IMC)/Behavioral Health Services Only (BHSO)

    Molina Healthcare covers behavioral health (BH) services for IMC and BHSO members in the Southwest Washington and North Central regions. This includes outpatient and inpatient mental health and substance use disorder (SUD) services.

    There is no “wrong door” for members to access services and they can self-refer at any time. However, Molina recommends members be connected to a primary care provider (PCP) who can assess members for mental health or substance use concerns and refer as needed. PCPs should support and encourage members toward recovery and educate them on the benefits of treating these conditions as well as the risks of not treating them.

    Under IMC/BHSO Molina covers the following types of services:

     

    Mental Health

    Outpatient
    Psychotherapy
    Psychological testing
    Medication management
    Intensive outpatient programs

    Inpatient
    Inpatient mental health facilities
    Partial hospital programs

    SUD Services

    Detoxification
    Residential Treatment
    Intensive outpatient programs

    Click here for more information on Molina’s IMC/BHSO covered BH services.

    Click here to see what BH services require a prior authorization. Here is the form to request a BH prior authorization.

    Also see member-facing information on behavioral health and crisis services.

    See a list of state agency providers for your region here (Coming Soon)

To find in-network behavioral health agencies and community health centers by region click on the links below:
North Central Washington
Southwest Washington

or go to Molina’s Provider Online Directory.

If you need additional benefit information, assistance in arranging consults, or referrals for MH, SUD treatment or care for those with disabilities call (800) 869-7175 or log in at provider.molinahealthcare.com/Provider/Login.

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