Aetna Better Health of Kansas is committed to coordinating medical and behavioral care for members. Members will be appropriately screened, evaluated, treated and referred for physical health, behavioral health or substance use disorder, dual or multiple diagnoses or developmental disabilities. With the member’s permission, our service coordination staff can facilitate coordination of services for substance use screening, evaluation, and treatment.
Members often receive treatment for behavioral health conditions from a PCP. Primary Care Providers (PCPs) are encouraged to use behavioral health screening tools, treat behavioral health issues that are within their scope of practice and refer members to behavioral health providers when appropriate. Members seen by behavioral health providers are screened for co-existing medical issues. Behavioral health providers will refer members with known or suspected and untreated physical health problems or disorders to their PCP for examination and treatment. Behavioral health providers may only provide physical health care services within their scope of licensure. Mental Health/Substance use (MH/SUD) providers are asked to communicate any concerns regarding the member’s medical condition to the PCP, with the members consent if required, and work collaboratively on a plan of care.
Information is shared between Aetna Better Health of Kansas, behavioral health and medical providers to verify interactions with the member resulting in appropriate coordination between medical and behavioral health care to achieve optimal clinical outcomes.
The Primary Care Provider and behavioral health provider are asked to share pertinent history and test results within 24 hours of receipt of results in urgent or emergent cases, and notification within 10 business days of receipts of results for non-urgent or non-emergent lab results.