Members may access care in a variety of ways. Some benefit plans allow members to have access to PMHM’s providers through an online or paper Provider Directory. Others may require the member to call PMHM to access care.
In plans which use PMHM as the treatment gatekeeper, when the member contacts PMHM, he or she receives an immediate telephonic assessment by a PMHM Staff Psychologist. During this process, PMHM’s Psychologist obtains enough information to evaluate the member’s specific needs and refer the patient to an appropriate provider or treatment facility.
PMHM’s automated provider information system allows for searches by both zip code and specialty. The specialty information available on each provider includes language(s) spoken, diagnostic specialties, expertise with specific populations, and previous treatment outcome/patient satisfaction results.
In addition to speaking with the PMHM Staff Psychologist, members who call also speak with a Patient Relations Coordinator (PRC). The PRC works with the caller to establish insurance eligibility and explain benefits. The PRC is available if the caller has questions or wishes to change providers.
