Welcome to the "Preferred Mental Health Management (PMHM) Member" Area. This section of the website should answer many of your questions, but feel free to contact us if you need more information or personal assistance.
Referral Process. When you call to access "behavioral health" services, you will first talk with a PMHM Patient Relations Coordinator (“PRC”). The PRC will explain your benefits and answer any questions you may have about the referral process. If your call is an emergency, the PRC will connect you with a PMHM Staff Psychologist who will help stabilize the situation and immediately refer for medical or mental health treatment. If the situation is truly an emergency, don’t call PMHM first, immediately call 911.
If your call is not an emergency, the PRC will explain the referral process. He or she will explain your insurance benefits and gather information to determine your eligibility. You will then speak with a PMHM Staff Psychologist who will conduct a brief interview. Working with you, the PMHM Psychologist will develop an initial treatment action plan. The PMHM Psychologist will then refer you to a provider in your area for a specified number of visits. PMHM will follow your progress with your Provider in order to determine if your treatment goals have been met or if you require more treatment.
In selecting a Network Provider for you to see, the Staff Psychologist considers a number of factors, including:
- Your preferences (ex. Provider’s gender or language spoken)
- Provider’s treatment specialty
- Provider’s location
Once the PMHM Psychologist has located an appropriate Network Provider for you, the PRC will create a Treatment Referral Authorization which is sent to you. PMHM also sends your Provider a referral authorization containing the treatment plan information
If you do not need mental health treatment, but have more of a life problem, the PMHM Psychologist may refer you to an appropriate community agency to assist you (child care, elder care, debt management, legal difficulties, etc).
