Behavioral Health Care
Behavioral health services include both mental health services and substance use disorder services. These services are provided through Keystone First – CHIP. Contact Keystone First – CHIP at 1-844-524-2447 (TTY 711) 24 hours a day, 7 days a week if you have any questions about behavioral health services.
Your child does not need a referral from their PCP to get behavioral health services. An Enrollee (14 years of age or older) or a parent or guardian may self-refer.
Behavioral Health or Substance Use Disorder Emergency
A behavioral health emergency is the sudden onset of a potentially life-threatening condition where you believe that your child is at risk of injury to themselves or others if immediate medical attention is not given.
A substance use crisis is where your child is considered in imminent, potentially life threatening physical danger with a need for immediate detoxification for chemical dependency.
If you believe your child is in a behavioral health or substance use crisis or emergency, call the Keystone First – CHIP Enrollee Services at 1-844-472-2447 (TTY 711). You will be connected with a behavioral health professional who will help you assess the seriousness of the situation.
If it is an emergency, the behavioral health professional will assist you in obtaining the treatment your child needs as quickly as possible.
If the condition is not a life-threatening one that requires immediate inpatient admission, you can call the Suicide and Crisis Lifeline at 988. Keystone First – CHIP can also schedule your child for an urgent care appointment.
Admission to a non-hospital residential treatment facility for rehabilitation treatment is never considered a part of emergency treatment.
The initial treatment for a behavioral health emergency is covered even when provided by out-of-network behavioral health providers or rendered at an out-of-network facility if the symptoms are severe enough to need immediate attention. Copays may apply.
The following services are covered:
- Behavioral Health Rehabilitation Services (BHRS) (Child/Adolescent)
- Clozapine (Clozaril) Support Services
- Drug and Alcohol Inpatient Hospital-Based Detoxification Services
- Drug and Alcohol Inpatient Hospital-Based Rehabilitation Services
- Drug and Alcohol Outpatient Services
- Drug and Alcohol Methadone Maintenance Services
- Family Based Mental Health Services
- Laboratory Services (when related to a behavioral health diagnosis and prescribed by a behavioral health practitioner under the practitioner’s scope of practice)
- Mental Health Crisis Intervention Services
- Mental Health Inpatient Hospitalization
- Mental Health Outpatient Services
- Mental Health Partial Hospitalization Services
- Peer Support Services
- Residential Treatment Facilities (Child/Adolescent), if not court-ordered
- Targeted Case Management Services