Members Empowered to Succeed Program (METS)
The Members Empowered to Succeed Program is an integrated, whole health approach to support members with significant behavioral health challenges. METS takes a unique approach to member care focusing on the individualized needs to create a recovery roadmap that is personalized to the member. We partner with both the provider and the member to ensure the member achieves the ultimate level of recovery and resiliency. Our Clinical Liaisons are licensed clinicians that work directly with BH providers to identify the member’s treatment and supports needed for successful progress in treatment. Our Care Coordinators reach out telephonically to the member to identify needs and resources to meet the member’s behavioral health, social, and medical needs.
Benefits and Outcomes of METS
- Integrated, whole health approach to member’s needs and care including behavioral
- Health, medical, therapeutic, pharmacy, and supplemental
- Cross-care team partnership to ensure coordination of care and collaborative
- Problem solving
- Coordination of services and treatment between multiple providers
- Knowledge of covered services such as expanded benefits or new programs and how to access
- Access to various physicians and specialists to promote diversity among providers and treatment team
METS does not accept referrals and members are identified internally. If you have a member identified for the program, a METS Clinical Liaison will reach out to you to discuss the member’s treatment plan and progress in services. Please know that no release of information is required; PHI that is used or disclosed for purposes of treatment, payment, or healthcare operations is permitted by HIPAA Privacy Rules (45 CFR 164.506) and does not require consent or authorization from the member.