Our clinical philosophy is to provide
the most appropriate member/practitioner match
and the least restrictive treatment intervention for each
member's needs across the life cycle. Our clinical orientation is a
biopsychosocial approach with emphasis on
wellness, early intervention, and integration
of behavioral and medical healthcare. Excellent
outcomes are maximized by good partnerships and a clinical consultation
approach with all clinicians that deliver services to our members.
Psychcare makes decisions whether to
approve or not approve payment for
services based only on the appropriateness of the care
or service, and what the member’s benefit plan covers.
The Medical Director oversees all triage and referral decisions. The Medical
Director is available 24 hours per day; 7 days per week, to consult on initial
clinical review decisions, and conduct peer clinical review.
The Vice President of Clinical Operations supervises nonurgent pre-service
processes, and initial clinical review processes. The Vice President of
Clinical Operations is available 24 hours per day, 7 days per week, to consult
with Case Managers on initial clinical review decisions
Emergency Referrals
In the event a patient is experiencing a behavioral health emergency in your
office, or contacts you in crisis, call the police. If your patient can be
safely transported with support, route the member to the nearest emergency
room. After ensuring that the patient is safe, call Psychcare 24 hours per day,
7 days a week at (800) 221-5487 so that we can obtain the clinical information
and begin managing the case.
