Target Population: We provide mental health case management (CM) to adults, children, and adolescents with serious and persistent mental illness (SPMI) and/or a serious emotional disturbance (SED). Participants must meet the eligibility requirements identified through Optum Idaho - Category 3 benefits governing case management.

Program Description: Behavioral Health Case Management is a collaborative process that assesses, plans, links, coordinates, and monitors options and services that address a member’s needs. Case Management is provided to members with a behavioral health diagnosis (both mental health and substance use disorders) who are unable to navigate or coordinate the service system independently. Additionally, Case Management can be provided to members transitioning out of an inpatient or residential treatment. Case Management can be provided up to 180 days prior to the member’s discharge from the inpatient or residential facility. Case managers within the IBHP network must hold a minimum of a bachelor’s level degree in a health or human services field and be practicing under Optum Idaho supervisory protocol. Providers are encouraged to become Certified Case Managers (CCM) through the Commission for Case Manager Certification. Target Population:  We provide mental health Case Management to adults, children and adolescents. Consumers must meet eligibility requirements identified through Optum Idaho. (Optum Idaho 2022 Level of Care Guidelines.)

Staff Qualifications: CM services are provided by Bachelor's prepared providers under the supervision of an independently licensed behavioral health clinician. The Bachelor’s prepared provider must possess a current behavioral health license or have certification through the Psychiatric Rehabilitation Association.