Inpatient ALERT! Your provider must notify the plan as soon as possible after you are admitted to a facility, but not later than 24 hours after you are admitted when you receive inpatient services for substance use disorder treatment. If the plan is not notified of inpatient treatment, the plan may not cover the treatment. Inpatient treatment is subject to clinical review. Professional services (for example, doctors or lab tests) may be billed separately from the facility charges. The plan pays for these services according to the network status of the provider, unless it is for emergency services. Your provider must notify the plan when: • You receive detoxification services • You are admitted to a hospital • You are admitted to a residential treatment facility Outpatient You pay the standard rate for outpatient substance use disorder treatment. You pay based on the allowed amount and the network status of the provider. Your provider must notify the plan when you receive the following services: • Detoxification • Intensive Outpatient Program (IOP) • 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 to sign up and learn more. 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. 2024 UMP CDHP (PEBB) Certificate of Coverage 43