The Community Care Services (CCS) program provides intensive behavioral health services, in addition to basic behavioral health services covered by Medicaid health plans, to adults diagnosed with a qualifying serious mental illness (SMI) and/or a serious and persistent mental illness (SPMI).  These adults must be enrolled in a Medicaid health plan and meet CCS eligibility criteria as determined by Med-QUEST Division (MQD).

• 24/7 Hotline
• Accessible transportation services
• Adverse events policy/reporting
• Ambulatory behavioral health services and crisis management
  • Mobile crisis response
  • Crisis stabilization
  • Crisis hotline
  • Crisis residential services
• Appointment follow-up
  • Face-to-face case manager visit within two (2) days of discharge from an inpatient psychiatric hospitalization
  • Case manager to ensure a visit with the member’s behavioral health provider within seven (7) days following discharge
• Behavioral health outpatient services
  • Screening, registration, and referral
  • Treatment/service planning
  • Individual/group therapy and counseling
  • Family/collateral therapeutic support and education
  • Continuous treatment teams
  • Other medically necessary therapeutic services
• Cultural/interpretation services
• Diagnostic services and treatment to include psychiatric or psychological evaluation and treatment
  • Psychological testing
  • Psychiatric or psychological evaluation and treatment (including neuropsychological evaluation)
  • Psychosocial history
  • Screening for and monitoring treatment of substance abuse and mental illness
  • Other medically necessary behavioral health diagnostic services to include labs
• Emergency and post stabilization services
• Inpatient behavioral health hospital services
  • Room and board
  • Nursing care
  • Medical supplies, equipment and drugs
  • Diagnostic services
  • Psychiatric services
  • Other practitioner services as needed
  • Physical, occupational, speech and language therapy
  • Post-stabilization services
  • Other medically necessary services
• Intensive case management
  • Case assessment
  • Case planning (service planning, care planning)
  • Outreach
  • Ongoing monitoring and service coordination
  • Coordination with member’s health plan and PCP
• Medically necessary alcohol and chemical dependency services
• Medications and medication management
  • Medication evaluation
  • Medication counseling and education
  • Psychotropic medications
• Member education
• Methadone management services which includes outpatient counseling services
• Other services
  • Other medically necessary practitioner services provided by licensed and/or certified healthcare providers
  • Other medically necessary therapeutic services including services which would prevent institutionalization
  • Maintenance of member’s medical assistance eligibility
• Outreach to ensure the provision of services to members
• Partial hospitalization or intensive outpatient hospitalization
  • Medication management
  • Prescribed drugs
  • Medical supplies
  • Diagnostic tests
  • Therapeutic services including individual, family, and group therapy and aftercare
  • Other medically necessary services
• Peer specialist
• Psychosocial rehabilitation/Clubhouse
  • Work assessment service
  • Intensive day treatment
  • Day treatment
  • Residential treatment services
  • Social/recreational therapy services
• Representative payee
• Supported employment
  • Work assessment service
  • Pre-employment service
• Supportive housing
• Therapeutic living supports 

For more information, please go to the following link. 

https://www.ohanahealthplan.com/members/medicaid/community-care-services/overview.html