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American Indians and Alaska Natives (AI/AN)
If you identify as American Indian or Alaska Native and are on Apple Health, you may choose your coverage for behavioral health services, just like for physical health services.
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Note: If you are eligible to receive care at an Indian Health Service (IHS) facility, Tribal health program, or urban Indian health program, you can receive care at those programs, and they may be able to help you find additional resources.
|What choices do I have for behavioral health services coverage?|
|Mental health services and substance use disorder treatment||
What do I need to do?
You will need to decide if you want your Apple Health coverage for behavioral health services from:
- One of the Apple Health managed care plans, or
- Apple Health coverage without a managed care plan (also referred to as fee-for-service).
|If you choose:||Then:|
|Apple Health managed care||
Your physical health, mental health, and substance use disorder treatment services will be managed by the managed care plan.
|Apple Health coverage without a managed care plan (also referred to as fee-for-service)||You will be able to seek physical health, mental health, and substance use disorder treatment services directly from a provider. You will want to make sure that the provider accepts Apple Health.|
Note: If you are not given the option to choose one of the Apple Health managed care plans (e.g., you are enrolled in Apple Health for Medicare enrollees) and you choose one of the Apple Health managed care plans for your behavioral health, then:
- You will be able to get physical health care services directly from a provider. You will want to make sure that your physical health care provider accepts Apple Health; and
- Your mental health and substance use disorder treatment services will be managed by the managed care plan.
Yes, you can change your selection at any time, but the change will not take effect until the first day of the following month. If you are connected or partnered with a Tribal Assister through a Tribal or Urban Indian Health Program, please contact them for assistance. The Health Care Authority can answer your questions by calling 1-800-562-3022.