• Partial Hospitalization Program (PHP) Preauthorization for outpatient substance use disorder treatment is not required in most cases. The plan may require that your provider submit a treatment plan to determine medical necessity. Behavioral health support resources UMP provides behavioral health support resources to meet your needs. myStrength myStrength is a self-guided health and resiliency online tool clinically proven to improve emotional health. This secure resource is available 24 hours a day, 7 days a week to members age 13 or older at no cost to you. myStrength’s interactive and activity-based tools are personalized to you and address conditions such as depression, anxiety, stress, substance use disorders, and chronic pain. Visit the myStrength website at hca.wa.gov/ump-pebb-mystrength. Quartet Quartet can help match you to in-person and telemedicine behavioral health providers who are in the plan’s network and offer an array of behavioral health services, including, but not limited to, mental health counseling, substance use disorder, and psychiatry services. You pay the standard rate for behavioral health services. Get started by visiting Quartet’s website at qrt.care/pebb-network-providers or by calling Quartet’s Care Navigation Team at (253) 248-6588 (TRS: 711). Note: Quartet is only available to UMP members age 18 or older who reside and are seeking care in Washington State. Breast health screening tests See also the “Mammogram and Digital Breast Tomosynthesis (DBT)” benefit for more information about breast health screening tests. The tests listed below may be covered for diagnostic purposes as indicated under plan medical policy. Services covered • Members age 40 or older: Breast health screening tests, as well as digital mammograms, are covered as preventive. • Members under age 40: See the “Mammogram and Digital Breast Tomosynthesis (DBT)” benefit for how preventive breast health screening tests are covered for high-risk members. Services not covered The procedures listed below are not covered by the plan when they are performed supplementary to digital mammography for screening purposes for members with or without dense breasts. Non-high-risk members: • Automated Breast Ultrasound (ABUS) • Handheld Ultrasound (HHUS) • Magnetic Resonance Imaging (MRI) High-risk members: • Automated Breast Ultrasound (ABUS) • Handheld Ultrasound (HHUS) Care Gap Closure Program The Care Gap Closure Program encourages members to receive recommended preventive and chronic care services and screenings, also known as “gaps in care.” These include screenings for cancer, diabetes, and more at no cost to you. This support includes helping members find a PCP, making appointments, 42 2024 UMP Classic (PEBB) Certificate of Coverage