06/17/2021
Behavioral Health Insurance transparency is something that is a very important part a solution moving forward for addiction treatment. Did you know:
1.) Prior to behavioral health insurance covering residential treatment/sub-acute detox to the extent it does now, models for most treatment centers were expanding beyond the original 30 day model?realizing the time it takes to stabilize someone, case manage, prepare for discharge planning, continuity of care between providers, most treatment centers were expanding to anywhere from 90 days to 6 months.
2.) the current combined average length of stay in residential treatment and detox for someone with the most common private insurance (i.e., Blue Shield of CA) is anywhere from 6 - 14 days (!).
3.) the current criteria being used by health insurance to determine whether or not someone is “appropriate” for any given level of intensive care (detox/Residential/rehab) does not always accurately measure someone’s wellness/readiness to move on to the next stage?
4.) Those with CenCal (the Holman Group provides behavioral health benefits) can’t access residential treatment in the county, even though on their website it says it’s a covered part of services. People in SB county can access it, but not people in SLO county. We’ve confirmed this through phone calls to the Holman group.
5.) Our county has just over 262,000 people. In a study completed by SAMHSA in 2019, “61.2M Americans (18 years or older) had a mental illness and/or substance use disorder-an increase of 5.9% over 2018 composed entirely of increases in mental illness”. https://datafiles.samhsa.gov
These numbers are increasing at rates that are almost hard to believe. It’s never too late to seek help. Make sure you’re informed on what yours or your loved one’s choices really are. And if you have CenCal, call the Holman group and ask them why you don’t have access to residential treatment. (800) 321-2843.
Ascent is here to help. Call, text, email us today, and we’ll help however we can. SLO county deserves better!
SAMHDA provides public-use data files, data analysis systems, and other information from the mental health and substance abuse evaluation data collected by SAMHSA.