TeleWell Behavioral Medicine provides both direct clinical services as well as medical director and other administrative services
TeleWell Behavioral Medicine provides telehelath based clinical services directly to patients with addictive disorders and co-occuring mental health disorders at government and other organizational health care centers. These clinical services include office-based opioid treatment (buprenorphine/naloxone), other medication assisted treatments of addictive disorders, diagnosis and treatment planning for substance use disorder treatment and co-managed consultation with primary providers for patients requiring detoxification, or other complicated addiction related conditions. See the Clinical Services page for a fuller description of the services.
TeleWell Behavioral Medicine provides contract Medical Director Services for substance abuse providers, addiction medicine consultation to Drug Medi-Cal providers via county contract as required by the Drug Medi-Cal Organized Delivery System and health care system analysis and consultation. Please see the Consultative/Administrative Services page for more details.
(Delivered via Telehealth)
Office-based opioid treatment
Patients with an opioid use disorder, who meet criteria for buprenorphine treatment and agree with the terms of treatment, will be offered this service.
Other medication-assisted treatments
Other pharmacotherapies for certain substance use conditions are available to include:
Naltrexone for opioid use disorder
Antabuse therapy for alcohol use disorders
Anti-craving pharmacotherapies for alcohol use disorders including naltrexone (oral and intramuscular), acamprosate and other non-FDA, but research based medication therapies
Smoking cessation pharmacotherapy
Diagnostic and treatment planning services
Referred patients will evaluated for DSM-5 substance use disorders and co-occurring mental health disorders. Treatment recommendations will be provided using the American Society of Addiction Medicine (ASAM) criteria. Examples of recommendations may include brief intervention, out-patient substance abuse counseling, medication-assisted treatments and residential treatment. Brief intervention will be provided as necessary.
For those health programs who want to provide Screening, Brief Intervention and Referral to Treatment (SBIRT) services to their patients, our company will provide the Brief Intervention directly to your medical clinic by tele-medicine. All that is required is a computer with a webcam and an internet connection. SBIRT services are considered a best practice and are reimbursable under Medi-Cal (including the IHS MOA).
Treatment of complicated co-occurring mental health disorders
Treatment of mental health conditions in the presence of substance abuse conditions can be vexing. TeleWell Behavioral Medicine provides psychiatric treatment for patients with substance use disorders, including alcohol, cannabis, prescription drugs, illicit opiates and methamphetamine for the following co-occurring disorders:
Medical Director Services
Having a Medical Director is a requirement of being certified as a Drug Medi-Cal (DMC) provider. The primary required role of the Medical Director is determining, or reviewing "Medical Necessity" criteria for DMC services. If the initial Medical Necessity is performed by another Licensed Professional of the Healing Arts (LHPA), the Medical Director must review and approve it. For a residential treatment provider, the Medical Director also must review and sign the initial treatment plan within 15 days.
State regulations are flexible regarding obtaining the services of a Medical Director, in that it can via employee, a shared employee, or independent contractor. In addition to determining initial “Medical Necessity” for treatment, patients in residential care need to be re-certified every 60 days. “Medical Necessity” can be determined on the basis of review of intake information (including ASI, medical questionnaire) and a brief telehealth assessment.
Medical Director services are available on a contract basis.
Addiction Medicine Consultation to County DMC-ODS Programs
The State of California Drug Medi-Cal Organized Delivery System requires counties to provide Addiction Medicine/Addiction Psychiatry consultation services to their participating DMC providers.