What psychiatric services in hospitals are available to Health First Colorado (Colorado's Medicaid program) members? How do I get
services? To contact your regional organization in order to request mental health services, you may call the telephone number on your Health First Colorado card. If you are at risk of injuring yourself or someone else, you may go to an emergency room (ER).
If you go to the ER, hospital staff will evaluate you and contact your regional organization to help plan the best way to treat your concerns. Are there any limits on services? Are all services
approved? Are
psychiatric services provided in specialized psychiatric hospitals? What kind of hospital outpatient mental health services are
available? Get Help State hospital facilities are Medicare-certified and Medicaid-approved, and has been accredited by The Joint Commission (TJC). File a Joint Commission complaint. If you or a loved one is having a mental health crisis, please call 9-1-1 immediately. Texas Health and Human Services operates nine state hospitals and one residential youth center for people with mental health issues. These facilities are located across the state. Each serves a different population, which may include:
AdmissionsIf you would like to seek admission or discuss whether inpatient hospitalization is appropriate, please contact your local mental health or behavioral health authority. The Role of the LMHA/LBHAThe appropriate Local Mental Health Authority or Local Behavioral Health Authority screens patients seeking admission to the hospital to determine the least restrictive treatment environment. This includes private providers. The LMHA or LBHA gives important facts to the facility, including patient identifying information, legal status, medical and medication information, behavioral data and other treatment information. If a person seeks admission without prior screening by the LMHA, the hospital conducts an emergency medical screening, in compliance with Emergency Medical Treatment and Active Labor Act and consults with the LMHA. EMTALA is a federal law that requires hospital emergency departments to medically screen every patient who seeks emergency care and to stabilize or transfer those with medical emergencies, regardless of health insurance status or ability to pay. The admitting physician has the final authority regarding admission of an individual, consistent with resources available at the hospital. All patients sent to the facility through court commitments are evaluated for admission. In general, to be involuntarily admitted, you must show symptoms of mental illness and that you are a danger to yourself or others. The appropriate LMHA routinely screens all requests for voluntary admission to ensure hospitalization is the least restrictive treatment alternative. No person is denied voluntary admission without thorough documentation and appropriate referral, as recommended by the screening physician. What to Expect during the Admissions ProcessAlmost all hospital admission departments are open 24 hours a day, seven days a week. Admitting procedures include a psychiatric evaluation, a nursing assessment, creating a patient record and taking an identification photograph for the patient’s medical record. We provide the booklet, Your Rights in Facilities, to all incoming patients. We will also give you an Admitting Rights Packet, and we make a record of all your belongings and money. IMPORTANT: We encourage families to take home valuables and other items you don’t need during hospitalization. Valuables kept at the facility are at the patients’ and families’ own risk. Patients should bring no more than five changes of clothing. Bring comfortable items such as sports shoes, loose fitting clothing that is easy to wash and comfortable sleeping clothes. Admission staff search incoming patients and all their personal property to make sure all personal items that can be dangerous to the patient or others are removed and held for safekeeping. How Forensic Admissions WorkIf a judge rules that a defendant is incompetent to stand trial:
Email if you have questions about the state hospital system’s forensic process. Assessment of PatientsThe physician assigned to admission duty provides an admission psychiatric evaluation, physical assessment and admitting orders. Upon arrival to the appropriate treatment program, a physical examination is completed within 24 hours. Admission procedures include tuberculosis skin testing, appropriate laboratory tests, and other diagnostics. Staff conduct a dental screening, address the patient's past medical history and the need for any special precautions, and complete a psychiatric evaluation, nursing assessment, rehabilitation assessment, and social history. Assessments are culturally sensitive and appropriate. With the patient's permission, a treatment team representative, usually the social worker, initiates contact with the patient's family or significant others. Patients are encouraged to include family members and/or significant others in their treatment, as appropriate. State Hospitals Fee AssessmentCharges to an individual served at a state hospital will not exceed the facility’s current daily maximum rate. The current maximum rate is established by HHSC and reflects the average daily cost of support, maintenance, and treatment. FY 2022 Current Maximum Daily Rate of Charge to Individuals Served at State Hospitals
Assessing fees for services provided to a minor individual in a state hospital: The following sources of funds are property from which the state may be reimbursed for a minor individual's SMT and are considered separately in assessing a fee:
Assessing fees for services provided to an adult individual in a state hospital: The following sources of funds are considered separately in assessing a fee:
Appealing chargesIf the individual or legally authorized representative (LAR) has provided complete financial information and disagrees with any fees assessed by HHSC, the individual or LAR is entitled to appeal such fees. If considering filing an appeal, the individual or LAR must contact the reimbursement office of the facility providing services. HHSC reimbursement staff will determine if HHSC received complete financial information and notify the individual or LAR of the determination. HHSC recommends learning of the determination prior to initiating an appeal. To initiate an appeal, the individual or LAR must complete and submit the Request for Appeal form to the HHSC Appeals Division per the instructions on the form. If you are unable to access the Request for Appeal form, contact the facility providing services and request to speak with the Reimbursement Office. Further informationFor further information, see the Texas Administrative Code pertaining to charges for services in state facilities: Title 26, chapter 910 relating to Charges for Services in State Facilities. Tobacco-Free FacilitiesAll tobacco products are banned on state hospital property. This includes cigarettes, e-cigarettes, cigars, snuff, chewing tobacco and any other tobacco products. Lighters and matches are also banned. Access to TobaccoEmployees are prohibited from sharing any tobacco products with any person served. Employees, volunteers, visitors, vendors, contractors or anyone on the campus who uses tobacco products must make sure patients cannot access, nor are offered these products. All visitors must store tobacco products and lighters securely out of sight, including tobacco products left in private vehicles parked on hospital property. Cessation AidsWe permit nicotine patches, nicotine gum, nicotine nasal spray or similar aids designed to help people quit using tobacco. When cessation aids are required for patients, the patient’s doctor in coordination with the treatment team will order them. Patients must have a doctor’s order to use them while in treatment. Employees may not share tobacco cessation aids with patients. Reports and Presentations
Does NC Medicaid cover mental health?Behavioral Health services for Medicaid enrollees with mental illness, developmental or other intellectual disability, and substance use diagnoses are provided under the North Carolina 1915(b)(c) Medicaid Waiver program.
Does Louisiana Medicaid cover mental health?Medicaid also covers a range of residential and hospital-based behavioral health treatment services for children and youth who medically need them, including Therapeutic Group Home care, Psychiatric Residential Treatment Facility care, and inpatient psychiatric hospitalization.
Does Medicaid cover mental health in New York?The Medicaid Managed Care service system includes several behavioral health services, such as Health and Recovery Plans (HARPs). HARPs provide a variety of services for adults 21 and older who have serious mental illness and substance use disorders.
Does Texas Medicaid cover mental health?Medicaid is a joint state and federal healthcare program meant for low household income individuals, elderly, and people with disabilities. It offers mental health benefits including: Evaluation. Diagnosis.
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Mental hospitals near me that accept medicaid
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