Behavioral health care includes mental health (your emotional, psychological, and social well-being) and substance use (alcohol and drugs) disorder treatment and rehabilitation services. All members have access to services to help with mental health issues like depression or anxiety, or to help with alcohol or other substance use disorders.
If you are experiencing emotional or mental distress, call the Behavioral Health Services hotline at 988 any time, twenty-four (24) hours a day, seven (7) days a week, to speak with someone who will listen and help. We are here to help you with problems like stress, depression or anxiety. We can connect you to the support you need to feel better. If you are in danger or need immediate medical attention, call 911.
Behavioral Health Emergency: A situation in which there is a high risk of behaving in a way that could result in serious harm or death to yourself or others.
Behavioral Health Services: Mental health (emotional, psychological and social well-being) and substance use (alcohol and drugs) disorder diagnostic, treatment, and rehabilitation services.
Inpatient Behavioral Health: Inpatient behavioral health will require prior authorization. We will make a decision about your request within 24 hours.
If additional information is needed to make the decision, the review could take up to an additional 14 days. If this happens, Humana will send you a written notice along with information on how to file an appeal on the extension.
In most cases, if you are receiving a service and a new request is made to keep receiving a service, we must tell you at least 10 days before we change the service if we decide to reduce, stop or restrict the service. If we approve a service and you have started to receive that service, we will not reduce, stop or restrict the service during the approval period unless we determine the approval was based on information that was known to be false or wrong.
If we deny payment for a service, we will send a notice to you and your provider the day the payment is denied. These notices are not bills.
If you are on a current treatment plan and receiving behavioral health services, you may keep seeing your current behavioral health treatment provider(s) for up to ninety (90) days, even if the provider is out-of-network. After ninety (90) days, we can help you find a network provider.