Behavioral Health (Mental Health/Substance Abuse)
As an Anthem Blue Cross and Blue Shield member, mental health and substance use disorder treatment services are available to you.
These services include:
- Diagnostic evaluation and assessment
- Psychological testing
- Psychotherapy and counseling
- Crisis intervention
- Medication-assisted treatment for addiction
- Opioid treatment program services
- Medical services
- Behavioral health nursing services
Including therapeutic behavioral service, psychosocial rehabilitation, community psychiatric supportive treatment, assertive community treatment for adults, and Mobile Response and Stabilization Services (MRSS) for members under the age of the 21
Including case management, peer recovery support, intensive outpatient, partial hospitalization, residential treatment, and withdrawal management
Mental Health And/Or Substance Use Disorder Treatment Services
Sometimes, dealing with all the demands of life, such as a home and family, can lead to stress. Stress can lead to depression and anxiety. It can also lead to problems with marriage, family, and parenting. Stress can lead to unhealthy ways of coping such as alcohol and drug abuse, too.
If you or a family member are experiencing anxiety, depression, or difficulty managing alcohol or drug use, you can receive help.
Call Anthem Member Services at 844-912-0938 (TTY 711).
You can also be given the name of a behavioral health specialist who will see you if you need one. Your benefits include many medically needed services, such as:
You do not need a referral from your PCP to receive these services or to see a behavioral health specialist in your network. If you think a behavioral health specialist does not meet your needs, talk to your PCP. They can help you find a different kind of specialist. There are some treatments and services your PCP or behavioral health specialist must ask Anthem to approve before you can receive them. Your doctor will be able to tell you what they are. If you have questions about referrals and when you need one, contact Member Services at 844-912-0938 (TTY 711).
Behavioral Health Crisis Line
If you are experiencing emotional or mental pain or distress, call the Behavioral Health Crisis Line at 844-912-2425 (TTY 711) 24 hours a day, seven days a week. We have licensed clinicians available to speak with you and to connect you to the support you need to feel better. If you are in danger or need immediate medical attention, call 911.
The OhioRISE (Resilience through Integrated Systems and Excellence) program is a managed care program for children and youth with complex behavioral health and multisystem needs. OhioRISE aims to expand access to in-home and community-based services to ensure members and families have the tools they need to work with community systems such as education, developmental disabilities, child protection, juvenile justice, mental health and addiction, and others. An individual who is enrolled in the OhioRISE program will keep their managed care enrollment for their physical health benefit.
In addition to the behavioral health services already available through Ohio Medicaid, OhioRISE offers the following services:
- Care Coordination determined by the CANS assessment
- Intensive Home-Based Treatment (IHBT)
- Mobile Response and Stabilization Service (MRSS)
- Behavioral Health Respite
- Primary Flex Funds
- Psychiatric Residential Treatment Facility (PRTF) — Available January 2023
Learn more about the OhioRISE program, who is eligible, and how to apply.
Mobile Response And Stabilization Service (MRSS)
MRSS is a face-to-face crisis response program for children, young adults (up to age 21), and their families. A trained professional responds with support to help deescalate the situation within 60 minutes. Those who need it can call the crisis hotline 24 hours a day, 7 days a week. A person can report any distressful situation and receive assistance with emotional or escalated behaviors, mental health issues, substance use concerns, grief and loss, trauma, suicidal thoughts, transitions, truancy, running away from home, and parent/child conflict.