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The METS program is an integrated, whole health approach to support members with significant behavioral health challenges. It includes behavioral health, medical, therapeutic, pharmacy, and supplemental services. METS’ purpose is to focus on the recovery and resiliency of each person. The goal is to help members remain in their community. Members are internally identified using claims history over a 12-month period. If you have a patient identified for the program, a METS Clinical Liaison will reach out to you to discuss the member’s treatment plan and progress.

The METS team partners 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 Member Engagement Service 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

For additional questions, or if we can be of assistance in any way, please contact your Fidelis Care Provider Relations Specialist. To find your designated representative, please visit Contact Your Designated Provider Relations Specialist. Thank you for being a valued Fidelis Care partner in the provision of quality care.