Mental Health Support is a Phone Call Away
If you have a child experiencing mental health and substance abuse issues, Tufts Health Plan provides coverage for a variety of services, including in-home behavioral services and mobile crisis intervention.
In 2021, Cape Cod Healthcare introduced newly expanded behavioral health services for children and adolescents covered by the CCHC Employee Health Plan. With a mental health crisis on the rise and an ongoing need for specialized behavioral health services, it’s important to remember your employee benefits provide critical support and treatment programs for mental health and substance abuse disorders.
Services available under the CCHC Employee Health Plan through Tufts Health Plan
If you have a child experiencing mental health issues, Tufts Health Plan provides coverage for a variety of intermediate and outpatient services, including in-home therapy, in-home behavioral services, mobile crisis intervention, intensive care coordination and community-based acute treatment. Please note that some of these services will need prior approval by Tufts Health Plan.
Tufts Health Plan’s Care Managers are available to help you navigate these services for children and adolescent behavioral health disorders:
- Family support and training Provides services to a parent or other caretaker of a child and is provided where the child resides. This may include a skill-building service called therapeutic mentoring designed to support age-appropriate functioning or improve deficits in social functioning resulting from their behavioral health diagnosis.
- Mobile crisis intervention A short-term, mobile, onsite, face-to-face therapeutic response service that is available 24 hours a day, 7 days a week to a child experiencing a behavioral health crisis. The service is used to identify, assess, treat and stabilize the child and reduce the immediate risk of danger to the child or others (see more details on how to access this emergency service using a dedicated phone number as noted at the end of this communication titled “Massachusetts Emergency Services/Mobile Crisis Intervention Program.”)
- In-home behavioral services Includes a combination of behavior management therapy and behavior management monitoring that are available where the child resides.
- In-home therapy services Medically necessary therapeutic clinical intervention or ongoing training as well as therapeutic support. This intervention or support shall be provided where the child resides and includes a structured and consistent therapeutic relationship between a licensed clinician and a child and the child’s family to treat the child’s behavioral health needs.
- Community-based acute treatment (CBAT) Mental health services provided in a staff-secure setting on a 24-hour basis with sufficient clinical staffing to ensure safety for the child or adolescent, while providing intensive therapeutic services including, but not limited to, services like daily medication monitoring, psychiatric assessment and nursing availability. These services may be used as an alternative to or transition from inpatient services.
- Intensive community based acute treatment (ICBAT) Provides the same services as CBAT but of higher intensity. The benefit is covered as inpatient behavioral health services that include more frequent psychiatric and psychopharmacological evaluation and treatment and more intensive staffing and service delivery.
A Tufts Health Plan Behavioral Health Representative can help explain your benefits and the various services covered through your Employee Health Plan. For more information about these specialized behavioral health services, please contact the Tufts Health Plan Behavioral Services group at 800-208-9565. This number is also located on the back of your Tufts Health Plan ID card for easy reference.
Massachusetts Emergency Services/Mobile Crisis Intervention Program
If you or a family member are experiencing a mental health or substance use disorder crisis, please call the Emergency Services/Mobile Crisis Intervention program at 877-382-1609. The program is available 24 hours a day, 7 days a week, 365 days a year.
While the child/adolescent crisis services are offered through the state of Massachusetts, they are covered under your CCHC Employee Health Plan. You can find more information by visiting https://www.mass.gov/service-details/behavioral-health-services-for-children-and-adolescents-bhca or https://www.mass.gov/emergencycrisis-services