How to Request Services
For individuals seeking supports and services from Community Mental Health
and Substance Abuse Services of St. Joseph County (CMHSAS-SJC), you can
call our Access Center at (269) 467-1000 and speak with someone about your
needs. All calls are private and confidential.
The Michigan Department of Health and Human Services (MDHHS) sets
eligibility criteria for CMHSAS services. Services are available to those who:
- Live in St. Joseph County.
- Have a serious mental illness, developmental disability, serious emotional
disturbance, substance use disorder and/or co-occurring substance use
- Have Medicaid. If you do not have insurance, we can provide you with a
Medicaid application. If you do not have insurance and meet all other eligibility
criteria, you may be placed on a waiting list.
- Demonstrate medical need for services.
Services authorized for treatment of a behavioral health and/or co-occurring
substance use disorder concern must be medically necessary. You will
participate in an assessment of your needs to identify the type of services you
might be eligible to receive. Medical necessity also means that the amount (how
much of a service you get), scope (who provides the service and how), and
duration (how long the service will last) of your services are enough to meet your
needs. Medicaid recipients are guaranteed to receive services that are medically
necessary. For people who have no insurance, there is no guarantee they will get
services if there is not the money to provide those services, and they may be
placed on a waiting list.
If you have Medicaid:
- You are eligible for a specific set of services based on medical necessity.
- You cannot be put on a waiting list for a service considered “medically
necessary” unless you are in agreement.
If you do not have Medicaid (General Fund):
- The list of services is not as large as it is for those who have Medicaid.
- You can be put on a waiting list for mental health services if there is not
enough funding to provide the service and you do not qualify for Medicaid.
We accept referrals from a variety of resources including schools, doctor offices,
and mental health professionals. Concerned family or friends may call to inquire
about services, but anyone over the age of 18 who serves as their own guardian
will have to call to make their own referral. Parents or legal guardians can make
referrals for anyone under the age of 18.
Payment for Services
If you are enrolled in Medicaid and meet criteria for services, the total cost of
your authorized mental health or substance abuse treatment will be covered (no
fees will be charged to you.)
Otherwise, services are based on eligibility and payment is based on what you can afford.
CMHSAS-SJC will assess a person’s ability to pay for services and establish a fair fee.
To determine your fee, a review of requested documents along with information
you provide will be reviewed. In general, you’ll be asked to provide information
about any sources of income or health insurance that may cover services.
All financial information will be held in the strictest confidence. Once a fee has
been determined, you also can ask for a review of your determined fee if you do
not agree with the amount you are asked to pay.
Make sure that you inform CMHSAS-SJC of all the insurances you are covered
by, as well as any changes to your insurance. If you fail to provide insurance
information you may be at risk of being charged services that might otherwise be covered.
A mental health emergency is when a person is experiencing symptoms and
behaviors that can reasonably be expected in the near future to lead them to
harm themselves or others; and/or because of their inability to meet their basic
needs they are at risk of harm; and/or the person’s judgment is so impaired that
they are unable to understand the need for treatment and that their condition is
expected to result in harm to themselves or others in the near future.
You have the right to receive emergency services at any time, 24 hours a day, 7
days a week, without prior authorization for payment of care. If you have a
mental health emergency, you should seek help right away. At any time during
the day or night you can call 1-800-622-3967 and speak to a crisis worker. You
can also call 911 or go to your nearest hospital emergency room.
Out of County Emergency Mental Health Care
If you have Medicaid, carry your card with you at all times. You are covered for
emergency mental health services anywhere within the State of Michigan. If you
have a mental health emergency while you are outside of the county where you
receive services, you should contact the CMH office where you are at during the
time of the emergency, or go the nearest hospital emergency room. The CMH
office where you are during the emergency will contact CMHSAS-SJC to arrange
for your care.