Part 5 – Covered Services (continued) IMPORTANT: Refer to the Schedule of Benefits for your plan option for the cost share amounts that you must pay for covered services and for the benefit limits that may apply to specific covered services. Once you reach your benefit limit for a specific covered service, no more benefits are provided by Blue Cross Blue Shield HMO Blue for those services or supplies. WORDS IN ITALICS ARE EXPLAINED IN PART 2. Page 52 setting. Therapeutic clinical intervention includes: a structured and consistent therapeutic relationship between a licensed clinician and a member and their family to treat the member’s mental health needs, including improvement of the family’s ability to provide effective support for the member and promotion of health functioning of the member within the family; the development of a treatment plan; and the use of established psychotherapeutic techniques, working with the family or a subset of the family to enhance problem solving, limit setting, communication, emotional support or other family or individual functions. Ongoing therapeutic training and support services support the implementation of a treatment plan following therapeutic clinical intervention. These services include (but are not limited to): teaching the member to understand, direct, interpret, manage, and control feelings and emotional responses to situations; and assisting the family in supporting the member and addressing the member’s emotional and mental health needs. Your coverage for these services is considered to be an outpatient benefit. (These In-Home Therapy services are in addition to the “in-home therapy” services described above.)  Family support and training services that provide medically necessary assistance to the member’s parent or caregiver to increase their ability to reduce or resolve the member’s emotional or mental health needs. These services are furnished where the member resides, including in the member’s home, a foster home, a therapeutic foster home, or another community setting. Family support and training services support one or more goals on the member’s treatment plan. These services include (but are not limited to): educating the member’s parent or caregiver about the member’s mental health needs and resiliency factors; teaching the member’s parent or caregiver how to access and use available services on behalf of the member; and how to identify formal and informal services and support in their communities, including parent support and self-help groups. Your coverage for these services is considered to be an outpatient benefit.  Therapeutic mentoring services that provide medically necessary support to assist a member with age-appropriate social functioning or to reduce or resolve deficits in the member’s age-appropriate social functioning as a result of a diagnosis listed in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders. These services are furnished where the member resides, including in the member’s home, a foster home, a therapeutic foster home, or another community setting. Therapeutic mentoring is a skill building service that supports one or more goals on the member’s treatment plan. These services include (but are not limited to): supporting, coaching, and training the member in age-appropriate behaviors; interpersonal communication; problem solving; conflict resolution; and relating appropriately to other children, adolescents, and adults. Your coverage for these services is considered to be an outpatient benefit.  Intensive care coordination services that provide targeted case management services to eligible members with serious emotional disturbance(s) in order to meet the comprehensive medical, mental health, and psychosocial needs of a member and the member’s family. These services include: an assessment; the development of an individualized care plan; referrals to appropriate levels of care; monitoring of goals; and coordinating with other services and social supports and with state agencies, as indicated. These services include both face-to-face and telephone meetings. These services may be furnished in the provider’s office or in the member’s home or in other settings, as clinically appropriate. Your coverage for these services is considered to be an outpatient benefit.  Mobile crisis intervention services that are available 24 hours a day, seven days a week to provide short-term, mobile, on-site, face-to-face therapeutic responses to a member experiencing a behavioral