Getting Care
Not Sure What Help You Need?
Your Primary Care Physician (PCP) is the best place to start. While most PCPs are not trained to handle complex behavioral problems, they will be able to offer advice about many problems such as mild depression. Your PCP will ask a few simple screening questions to determine if you should be referred to a behavioral medicine professional.
Coordinating Care with Your Primary Care Physician
You should keep your Primary Care Physician (PCP) aware of any treatment you receive. Signing a release for your PCP and the behavioral medicine professional to exchange important information about your care helps ensure that you get the best results with fewer complications. HAP's policy is that, with your permission, behavioral medicine professionals coordinate care with PCPs by exchanging appropriate information.
Do You Need a Referral?
Many members in the Open-Delivery networks may self-refer for mental health and substance abuse specialists by selecting a provider listed in the HAP online provider directory. If you are unsure of what type of provider you need, or whether you are in an Open-Delivery network, please call and speak to a Managed Care Specialist for suggestions.
Members who have Primary Care Physicians that are allied with the DMC, Henry Ford or Genesys networks should follow the instructions supplied under their specific network to access services.
Talk to a Managed Care Specialist
If you have questions or would like assistance, you may contact HAP's Managed Care Specialists at (800) 444-5755 or (313) 664-8300. HAP's Managed Care Specialists are licensed psychologists or social workers who can evaluate your needs and recommend options for your care.
Wait-Time Standards
To ensure that you receive the care that you need within the appropriate period of time, HAP has established behavioral medicine "wait-time standards."
You can expect to receive care according to the following guidelines:
- Emergency services should be sought immediately by going to the nearest emergency room. The definition of an emergency is a condition that requires immediate intervention to prevent serious harm to the member or to others. An example of this would be a member threatening suicide or violence. Your local police department can be contacted for assistance, if needed, by dialing 911.
- Urgent services must be provided within 24 hours of the request being made. The definition of urgent is a sudden condition that requires treatment but is not life threatening, such as persistent depression.
- Routine services must be provided within 7 days of the request being made. Routine is defined as treatment not requiring immediate attention but which does require an appointment, such as mild depression.
If you or your family member cannot receive care within the timeframes listed above, contact Coordinated Behavioral Health Management at (800) 444-5755. We can assist you in getting the services that are needed within the appropriate amount of time.
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