El Paso Health | About Your Health | Winter 2018

M ental disorders are common among children in the United States, and can be particularly difficult for the children themselves and their caregivers. While mental disorders are widespread, the main burden of illness is concentrated among those with a seriously debilitating mental illness. Just over 20 percent (or 1 in 5) children, either currently or at some point during their life, have had a seriously debilitating mental disorder. Members of El Paso Health have behavioral health services available to them, including a Behavioral Health Crisis Line (AVAIL). ■  ■ STAR: 877-377-6147 ■  ■ CHIP: 877-377-6184 ■  ■ Preferred Administrators: 866-804-8873 A team of dedicated Behavioral Health Case Managers is available to educate, refer, and assess our members’ behavioral health needs. ■  ■ 877-532-3778 (toll-free) ■  ■ 915-532-3778 ■  ■ Submit the Case Management referral online at elpasohealth.com . Mental health services for children IF YOU HAVE QUESTIONS OR NEED ASSISTANCE, please call us at 915-532-3778 . Synagis season is here The 2017–2018 Synagis season is here. The administration of Synagis injections for El Paso Health members began Nov. 15, 2017, and will terminate April 14, 2018. Prior authorization requests may be submitted 10 days prior to start date. Navitus, El Paso Health’s pharmacy benefit manager, is processing all Synagis prior authorization requests for Medicaid and CHIP members enrolled with the health plan. For additional information concerning Synagis administration for STAR and CHIP members, please call Navitus 24 hours a day, 7 days a week at 877-908-6023 . Clinical Practice Guidelines update Don’t forget to check out our new Clinical Practice Guideline on diabetes management! To view our Clinical Practice Guidelines, visit our website at elpasohealth.com/providers/ clinical-practice-guidelines or if you would like to obtain a hard copy, please contact the Provider Relations and Quality Improvement Department at 915-532-3778 . 12-month prevalence for children (8 to 15 years) Any disorder ADHD Mood disorder Major depression Conduct disorder Dysthymia Anxiety disorder Panic disorder Generalized anxiety disorder Eating disorder 3.7 2.7 2.1 1.0 0.7 0.1 0 25 20 15 10 5 Percent 0.3 0.4 8.6 13.1 ■  ■ El Paso Health has numerous Behavioral Health Providers in our network that can provide treatment for members with any behavioral health condition. ■  ■ Primary Care Providers (PCPs) can also screen members for behavioral health conditions by utilizing the Health and Behavior Assessment and Intervention (HBAI) tool. Sources: Centers for Disease Control and Prevention; National Institute of Mental Health 2 stay informed