Administración de Seguros de Salud de Puerto Rico
Integrated Physical and Mental Health Services · About this organization
What you get
Mental-health care alongside physical healthcare, including up to six brief therapy sessions with a psychologist or social worker.
How to start
Ask your child's primary doctor, medical group, or insurer how to arrange mental-health care.
Good to know
- Provider availability and higher-level authorization rules vary.
- Ask separately about counseling for you as a caregiver.
The details, as published
Enrolled Plan Vital members can access integrated physical and behavioral-health care through primary medical groups without a PCP referral for mental-health services. A PMG psychologist or social worker may provide brief intervention of up to six therapy sessions and refer the member to a higher level of care when needed.
What help you may get
Medical And Insurance Costs
Integrated Physical and Mental Health Services — medical and insurance costs
Enrolled Plan Vital members can access integrated physical and behavioral-health care through primary medical groups without a PCP referral for mental-health services. A PMG psychologist or social worker may provide brief intervention of up to six therapy sessions and refer the member to a higher level of care when needed.
Amount not published
Mental Health Therapy
Integrated Physical and Mental Health Services — mental health therapy
Enrolled Plan Vital members can access integrated physical and behavioral-health care through primary medical groups without a PCP referral for mental-health services. A PMG psychologist or social worker may provide brief intervention of up to six therapy sessions and refer the member to a higher level of care when needed.
Amount not published
Peer And Emotional Support
Integrated Physical and Mental Health Services — peer and emotional support
Enrolled Plan Vital members can access integrated physical and behavioral-health care through primary medical groups without a PCP referral for mental-health services. A PMG psychologist or social worker may provide brief intervention of up to six therapy sessions and refer the member to a higher level of care when needed.
Amount not published
Why this may help
Medical And Insurance Costs: Your health plan includes brief mental-health treatment and referrals for more intensive care.
Check the main eligibility rules
Diagnosis
B-ALL is in scope. An enrolled child with B-ALL may access behavioral-health benefits without a PCP referral.
Age
The program does not publish an age limit.
Treatment status
No specific treatment status is published.
Where you live and where your child is treated
Where your family lives
You must live in: PR.
Where your child is treated
No treatment-location restriction is published.
How to get started
Does a social worker or care team need to start it? No. A required care-team start is not published; the family can use the available route below.
- Ask the PCP, PMG reception, or contracted insurer for behavioral-health access.
Ways to apply or ask
- In Person
- Online Portal · Open form or page
- Web Form
Documents to prepare
The program does not publish a document checklist. Ask before gathering paperwork.
Availability and timing
| Program | Active |
|---|---|
| Applications | Not Published |
| Funding or space | Not Published |
| Application window | Rolling |
| Last checked | Aug 24, 2026 |
Limitations and things to confirm
- Provider availability and higher-level authorization rules vary.
- The service is for the enrolled member; caregiver-only counseling is not established.
- What current pediatric provider availability and authorization rules apply by insurer?
Official sources
Program details were last verified Aug 24, 2026. Availability can change, so check the official program before applying.
- Integrated Physical and Mental Health Services · checked Aug 24, 2026