Mobile Crisis Management (MCM)

See Clinical Coverage Policy​ for full service definition information

Mobile Crisis Management (MCM) is a 24/7/365 mobile service designed to de-escalate and/or safely manage a member's behavioral health crisis. The MCM team member immediately triages a crisis by telephone and responds in the community within no more than two hours of the crisis call. MCM assesses the severity of the crisis and appropriately dispositions the member in crisis to the appropriate treatment service(s). If the MCM dispositions a member to an Emergency Room, ongoing evaluation and disposition becomes the responsibility of the health care facility. This service is to be provided in the least restrictive setting possible, and as close to the member's location as possible. The MCM team is expected to assist in the development and/or revision of a crisis plan designed to avert future crises.

Intended Population

  • Mobile Crisis Management (MCM) is for any individual experiencing a behavioral health crisis who does not have the skills or judgment to manage the crisis. MCM is intended for members not already served in an enhanced service such as Assertive Community Treatment Team (ACTT), Intensive In-Home (IIH), Multi-Systemic Treatment (MST), Community Support Team, Substance Abuse Residential, Inpatient or Psychiatric Residential Treatment Facility (PRTF).

 Recommended Best Practices

Expected Outcomes

  • Core Expected Outcomes

  • Low rates of subsequent crisis system use at six months after the MCM service

  • High rates of member follow-up with services in the post-crisis setting for those members whose crisis was de-escalated and disposition to an acute-care facility was not required. ​

Management Approach

  • Core Management Strategies

  • Authorization Guidelines

  • Conduct focused Utilization Review (UR) of Outpatient providers based upon over/under-utilization, negative outcomes (e.g., lack of progress due to lack of using evidence based practices, decline in functioning in spite of high use of services), concerning incidents and/or grievances, and other data suggesting a clinician's practices are an outlier compared to the community standard of care.