First Choice covers behavioral health services
First Choice by Select Health of South Carolina covers inpatient, outpatient, and rehabilitative behavioral health services (RBHS) provided by medical professionals, licensed independent providers, state agencies, and school districts. If you provide these services, contact your Select Health behavioral health account executives (PDF) to review your contract for possible updates and appropriate credentialing requirements.
The array of covered behavioral health services consist of the following:
- Professional, inpatient and outpatient facility charges.
- Services provided by:
- Licensed independent practitioners (LIPs).
- Physicians and nurse practitioners.
- School districts.
- Federally qualified health centers (FQHCs).
- Rural health centers (RHCs).
- Services rendered in a general acute care hospital setting.
- Services rendered in an acute inpatient psychiatric hospital (July 1, 2019).
- Rehabilitative behavioral health services (RBHS).
- Autism spectrum disorder services (ASD).
- Psychiatric residential treatment facility (PRTF) services.
- Opioid treatment programs (OTP) services (July 1, 2019).
For questions concerning authorizations, please call the Select Health Behavioral Health Utilization department at 1-866-341-8765.
- Behavioral health quick reference guide (PDF)
- Department of Alcohol and Other Drug Abuse Services (DAODAS)
- Submitting prior authorization requests (PDF)
Behavioral health services
- Authorization for covered behavioral health services
- Outpatient behavioral health services
- Rehabilitative behavioral health services
- Autism spectrum disorder
- Psychiatric residential treatment facilities
- Acute inpatient psychiatric treatment facilities
- Opioid treatment programs (OTP)
Behavioral health forms
- Autism spectrum disorder (ASD) treatment request checklist (PDF)
- Autism spectrum disorder treatment request form (PDF)
- Behavioral health discharge note (PDF)
- Behavioral health fax form (PDF)
- Behavioral health provider data form (PDF)
- Certification of need - psychiatric hospital services for children under 21 (PDF)
- Community support service (CSS) authorization checklist (PDF)
- Community support service (CSS) authorization request form (PDF)
- Crisis intervention notification request form (PDF)
- Psychological / neurological testing request form (PDF)
- Psychiatric residential treatment facility authorization request form (PDF)
- Substance abuse discharge note (PDF)