Standards - Network Adequacy and Timely Access - Behavioral Health Services

Standards - Network Adequacy and Timely Access

This replaces BHSD Service Access policy 412-404 and SUTS P&P 2, 3, and 4

Service	Timely Access Standards (from request to appointment)	Time & Distance Standards (from beneficiary's place of residence)
Mental Health Services, Targeted Case Management, Crisis Intervention, and Medication Support Services	Within 10 business days from request to appointment	15 miles or 30 minutes
Psychiatry	Within 15 business days from request to appointment	15 miles or 30 minutes
Outpatient Substance Use Disorder services, other than opioid treatment programs	Within 10 business days from request to appointment	15 miles or 30 minutes
Opioid Treatment Programs	Within 3 business days	15 miles or 30 minutes
Hospital	N/A	15 miles or 30 minutes
Pharmacy	Prior authorization: 24 hours Emergency supply: 72 hours	10 miles or 30 minutes