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Specialized mental and behavioral health services are provided under a single program available to employees enrolled in the state’s medical plan. This program is administered by Optum Behavioral Solutions, also known as United Behavioral Health (UBH) Optum provides 24-hours-a-day, seven-days-a-week phone assessment and referral services for a variety of behavioral health issues, such as:

  • Alcohol;
  • Anger management;
  • Anxiety;
  • chemical dependency;
  • Compulsive disorders;
  • Depression;
  • Marital and family issues;
  • Serious mental illnesses; and
  • Stress.

Also, the following services are available to members with a medical diagnosis of Autism Spectrum Disorder.

  • Clinical Therapeutic Intervention administered by or under the supervision of a qualified/approved provider, in accordance with an approved applied behavioral analysis (ABA) treatment plan, for up to 20 hours per week.
  • Mental and behavioral outpatient services performed by a psychologist, psychiatrist, physician or board-certified behavior analyst who is licensed/qualified/approved provider for consultation/assessment/development/oversight of treatment plans.
  • ABA services must be pre-certified. Treatment that is not pre-certified may result in no coverage.
  • ABA services are limited to 20 hours per week, including services provided for a consultation/assessment/development/oversight of ABA treatment plans.

Out-of-Network Charges
The amount the plan pays for covered services is based on the contracted allowed amount. If an out-of-network provider charges more than the contracted allowed amount, you may be responsible for the difference between the billed amount and plan contracted allowable amount.  

Example: If an out-of-network hospital (facility) charges $1,500 for an overnight stay and the contracted allowed amount is $1,000, you may have to pay the $500 difference, which is called balance billing.

Contact Optum before receiving services to ensure the highest level of benefits or review the Behavioral Health Benefits Summary Plan Document tab for more information on the benefits.

About Behavioral Health
General Contact

Department of Administrative Services
30 East Broad Street, 27th Floor
Columbus, Ohio 43215
614-466-8857 Local
800-409-1205 Toll Free

Driving Directions

Benefits Administration Services Home Page

Eligibility Accordion

Effective Coverage Dates

Coverage is effective on the same date that your health care plan becomes effective, which is the first day of the month following the month in which you enroll in the plan, or the first day of the new benefit period.

In addition, Optum provides various classes on mental health, substance abuse and wellness to State of Ohio employees. Classes are provided at your worksite; however, the classes must be requested through the Ohio Employee Assistance Program by your agency human resources office or management. See the OEAP website to access the training request form to request the Optum Behavioral Solutions seminars.

What is Covered

The following are included in your coverage.

  • Individual and group outpatient mental health and substance abuse treatment;
  • Inpatient psychiatric and chemical dependency treatment;
  • Family and marital counseling;
  • Services for lifestyle management counseling; and
  • Mental health and substance abuse disorders and conditions, including, but not limited to:
    • Assessment;
    • Diagnosis;
    • Individual and group psychotherapy;
    • Inpatient treatment;
    • Intensive outpatient services;
    • Medication management;
    • Preventive services; and
    • Treatment planning.

You should call Optum Behavioral Solutions at 800-852-1091 before seeking services to ensure you will receive the highest level of benefits.

Visit the Optum Behavioral Solutions website at liveandworkwell.com and enter access code 00832 to find:

  • Participating providers;
  • Health and wellness information;
  • Mental health conditions;
  • Online assessments; and
  • Educational tools.

What is not Covered

The following is not included in your coverage.

Some conditions that may be perceived as mental health or substance abuse related problems are not covered by Optum Behavioral Solutions.

*These include, but are not limited to:

  • Conditions requiring long term care in custodial settings such as nursing homes;
  • Conditions for which treatment is court-ordered but not medically necessary, such as weekend programs for driving under the influence of alcohol or drugs;
  • Examinations for employment, licensing, school, camp, sports, insurance, adoptions or other non-medically necessary reasons;
  • Food supplements, liquid diets, diet plans or any related education requirement;
  • Herbal medicine;
  • Nicotine replacement products;
  • Nutritional counseling, membership costs for health clubs and weight loss clinics, and similar programs;
  • Report preparation and presentation;
  • Services provided in an institution that is mainly a school, camp or other training institution;
  • Services that are considered investigational;
  • Sex change therapy or transsexualism;
  • Some organic conditions such as chronic organic brain syndrome; and
  • Treatment given in connection with mental retardation, pervasive development disorders and learning disabilities.

*Note: This list is not all inclusive; contact Optum Behavioral Solutions before receiving services.

Supporting Services Accordions

Ohio Employee Assistance Program (OEAP) Overview

The State of Ohio offers support services through the OEAP for various behavioral health issues, which includes mental health referrals and consultations for employees and their family members. Other services include education and training, critical incident stress management, mediation and organizational transitional services.

Optum Disability Solutions Program

Optum's Disability Solutions Program involves early identification of employees who have applied for or may be on short-term mental health disability. Employees undergo a special assessment by a disability specialist who is an Optum network provider trained in disability management. The provider provides the employee with an intensive-focused treatment plan to assist in the employee’s return to work. There is no cost to the employee for the assessment.

The Disability Solutions team partners with the State of Ohio’s Disability Services Unit to support employees while on mental health disability. This program goal is to assist you in obtaining an appropriate treatment plan as soon as possible. Optum provides the State of Ohio’s Disability Services team with progress updates to help with the management of mental health disability claims. 

Optum Training Offerings

Optum provides various classes on mental health, substance abuse, and wellness to State of Ohio employees. Classes are provided at your worksite; however, the classes must be requested through the OEAP by your agency human resources office or management. See the OEAP website to access the training request form to request the Optum Behavioral Solutions seminars.