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UPMC for Life Referral Information

UPMC Health Plan Behavioral Health Services provides customer services 24 hours a day, 7 days a week, using qualified staff who know the UPMC Health Plan Behavioral Health Services provider network, the geography, the culture, and community resources. Referrals for emergent and urgent care are offered 24 hours a day. However, routine referrals for outpatient treatment are offered Mondays through Fridays from 8:00 a.m. to 5:00 p.m.

An important feature of the referral services offered by UPMC Health Plan Behavioral Health Services is the presence of our 24- hour urgent and emergent triage and referral function. Clinical Care Managers are available to assess your immediate needs and to determine the most appropriate level of care. Members can receive emergency triage and referral to treatment services 24 hours a day, 7 days a week through the toll free number 1-888-251-0083. TTY users can call 1-877-877-3580. UPMC Health Plan Behavioral Health Services recruits local, experienced, culturally diverse staff, who receive extensive cultural competency, customer service, and Continuous Quality Improvement training

Customer Service Representatives answer all member and provider calls. They provide information and assistance to our members and their families, as well as answering basic provider questions concerning members and the process to obtain necessary care. This includes providing information from the resource and provider database, responding to questions on the benefit plan and in-plan services, and answer procedural questions. Members can also access the complaint and/or grievance process through the Customer Service Representatives.

UPMC Health Plan Behavioral Health Services is dedicated to providing referrals that match members' needs. By calling UPMC Health Plan Behavioral Health Services for a referral, the staff can assist members in linking them with providers that specialize in their treatment needs. We encourage you to contact us. We can help you with your behavioral health referral needs and questions.

You may click here to access the Behavioral Health Provider Directory for UPMC for Life members.