Substance Use Case Management Services

Substance Use Case Management Services assist members and their family members in accessing needed medical, psychiatric, psychological, social, educational, vocational, recovery, and other supports essential to meeting the member's basic needs. Substance use case management services are to be person-centered, individualized, culturally and linguistically appropriate to meet the member's and family member's needs.

 

The eligible member shall meet the DSM-5 diagnostic criteria for SUD. Tobacco related disorders, caffeine related disorders and non substance-related disorders shall not be covered. If a member has co-occurring mental health and SUD, the case manager shall include activities to address both the mental health and SUD.