Emergency care service interventions are available 24 hours a day, 7 days a week, face-to-face care management and intervention of an individual experiencing a behavioral health crisis. Such crisis includes an imminent, real and significant risk of serious harm to self or others that requires immediate treatment. The activities are conducted by a licensed behavioral health provider in a hospital emergency room, residential placement setting, the individual’s home, police station or other community setting that the family and the child-family competent clinician agree is safe and clinically suitable to resolve the behavioral health crisis.
The provider ensures that each member’s aftercare/discharge plan will be shared with the member’s primary care provider/pediatrician within three (3) business days of the emergency room discharge. That aftercare/discharge plan will also be shared with our Care Management Department within three (3) business days of ER discharge.