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Adding Behavioral Health Providers to Maternal Mental Health Treatment Network

Date: 06/12/24

Superior HealthPlan would like to inform providers about the expansion of the Maternal Mental Health (MMH) Treatment Network and the steps you can take to participate or opt-out. The MMH Treatment Network aims to improve maternal health outcomes and promote overall well-being for mothers and their families by increasing the accessibility of postpartum screening and support services for Medicaid members.

In line with Senate Bill (S.B.) 750, 86 Legislature, Regular Session, 2019, the Texas Health and Human Services Commission (HHSC) has established Managed Care Organizations (MCOs) requirements for identifying MMH providers and referring members with MMH conditions. These requirements are detailed in Uniform Managed Care Manual (UMCM) 3.34 online provider directory and UMCM Chapter Maternal Mental Health Treatment Network. For more information, please visit Superior’s Find a Provider webpage.

MCOs will collaborate with providers to help facilitate the referral of members who screen positive for an MMH condition to appropriate providers in their Networks for diagnosis confirmation and necessary treatment. MMH conditions include:

  • Perinatal and postpartum depression
  • Anxiety disorders
  • Post-traumatic stress disorder
  • Bipolar illness (which may include psychotic symptoms)
  • Substance use disorders, occurring within 12 months postpartum

HHSC is implementing a phased approach for MCOs to identify and add providers to their MMH treatment networks. Phase 1, which must be implemented by July 26, 2024, involves listing identified behavioral health providers, in MCOs' online provider directories and informing impacted providers.

If you want to opt-in or opt-out of providing MMH treatment services, the following options are available for providers: