PRIMARY HEALTH CHOICE, INC
 A PRIMARY CHOICE, INC

  "Individuals' First Choice"

 - In God We Trust -
 
Corporate Office
219 W Broad Street
PO Box 159
St Pauls, NC 28384

Phone:  910.865.3500
Fax:  910.865.4124

24 Hour Crisis Line
1.888.739.1445
WEBMASTER CONTACT

Outpatient behavioral health services are psychiatric and biopsychosocial assessment, medication management, individual, group, and family therapies,psychotherapy for crisis, and psychological testing for eligible beneficiaries.

These services are intended to determine a beneficiary’s treatment needs, and to provide the necessary treatment. Services focus on reducing psychiatric and behavioral symptoms in order to improve the beneficiary’s functioning in familial, social, educational, or occupational life domains.

Outpatient behavioral health services are available to eligible beneficiaries and often involve the participation of family members, significant others, and legally responsible person(s) as applicable, unless contraindicated.

Based on collaboration between the practitioner and beneficiary, and others as needed, the beneficiary’s needs and preferences determine the treatment goals, frequency and duration of services, as well as measurable and desirable outcomes.

Comprehensive Clinical Assessment (CCA)

A comprehensive clinical assessment is an intensive clinical and functional face-to-face evaluation of a beneficiary’s presenting mental health, developmental disability, and substance use disorder. This assessment results in the issuance of a written report that provides the clinical basis for the development of the beneficiary’s treatment or service plan. The CCA written report must be kept in the service record.

When a CCA is required
According to 10A NCAC 27G .0205(a), a comprehensive clinical assessment that demonstrates medical necessity must be completed by a licensed professional prior to provision of outpatient therapy services, including individual, family and group therapy. The clinician may complete the CCA upon admission or update a recent CCA from another clinician if a substantially equivalent assessment is available and reflects the current level of functioning. Information from that
assessment may be utilized as a part of the current comprehensive clinical assessment. Relevant diagnostic information must be obtained and be included in the treatment or service plan.