Central California Alliance For Health

 

Behavioral Health Benefits

Behavioral Health Services for Alliance Medi-Cal Members

The Alliance covers outpatient behavioral health services for Medi-Cal members with mild to moderate impairments. Beacon Health Options (Beacon) administers the behavioral health benefit. Mild to moderate behavioral health benefits include:

      •  Individual and group mental health evaluation and treatment
         (psychotherapy)

      •  Psychological testing (prior authorization required)

      •  Medication support services for the purpose of monitoring drug therapy and
         psychiatric consultation, as needed

      •  Outpatient laboratory, drugs, supplies, and supplements


The Alliance covers Behavioral Health Treatment (BHT) for treatment of Autism Spectrum Disorder (ASD) for members between the ages of 3 and 21 (younger children must have a definitive diagnosis to be eligible for this benefit). This disorder is diagnosed through a Comprehensive Diagnostic Evaluation (CDE). Members diagnosed with ASD may be eligible for Applied Behavioral Analysis BHT services to address this condition. Beacon also administers this benefit for the Alliance.


The mild to moderate network providers and BHT providers Beacon manages are part of the College Health IPA (CHIPA).


Role of Primary Care Provider

Alliance primary care providers (PCPs) are responsible for identifying the need for a behavioral health screening and referral to Beacon and/or County Behavioral Health. PCPs may refer within their practice for integrated behavioral health treatment or make a referral to Beacon if mild to moderate functional impairment is indicated. PCPs may refer to county mental health if moderate to severe functional impairment and/or substance use disorder treatment is indicated. Please click the link below for additional information on division of responsibilities between the Alliance/Beacon and county mental health departments.


Division of Responsibilities


To refer an Alliance member for behavioral health services, call Beacon's toll-free Access Line (24 hours a day/365 days a year) at (855) 765-9700.



Beacon Health Options Resources

      •  Beacon Website - Enter Plan Name: CCAH


      •  PCP Referral and Resource Guide


      •  PCP Referral Form


      •  Care Management Referral and Resource Guide


      •  Care Management Referral Form


      •  PCP Decision Support Services


Autism Spectrum Disorder (ASD)

      •  Provider FAQs


      •  Diagnostic Evaluation Form


      •  Complete mChat Screening Checklist for ASD


            —  Screening Form Only


      •  Screening Guidelines for Autism in Primary Care


      •  Diagnostic Evaluation Form


      •  Complete mChat Screening Checklist for ASD


            —  Screening Form Only


      •  Screening Guidelines for Autism in Primary Care


How to Become a Behavioral Health Provider with Beacon Health Options

Beacon Health Options is an Alliance health partner that provides behavioral health services to Alliance Medi-Cal members. For information on how to become a Beacon provider, click here to complete a brief online form.



County Behavioral Health System Services
(Inpatient, Outpatient, or Residential)

Members that require more specialized behavioral health treatment and/or alcohol and drug abuse treatment may be referred to their county behavioral health department through their access service phone lines. The phone numbers are listed below for each county:


Santa Cruz County Behavioral Health Access(831)454-4170 or (800)952-2335
Monterey County Behavioral Health Access(888)258-6029 or (831)755-5505
Merced County Behavioral Health Access (CARS)(888)334-0163 or (209)381-6800

Click below to view additional county-specific information on behavioral health referral procedures and resources.


Monterey County

Mental Health and Substance Use Disorder Referrals

Referral Guide


Beacon Mental Health Referral Instructions

Adult Screening forms

Child Screening forms

Screening Referral Instructions


Monterey County Mental Health

- (888) 258-6029

- Monterey County Behavioral Health Access Team

- Available 24 hours/day


Monterey County Alcohol and other Drug Programs (AODs)

- (831) 755-4509

- Alcohol and Drug Programs

- Monterey County Behavioral Health


Monterey County Community Resources

Behavioral Health Resources for Monterey County


Merced County

Mental Health and Substance Use Disorder Referrals

Referral Guide


Beacon Mental Health Referral Instructions

Adult Screening forms

Child Screening forms

Screening Referral Instructions


Merced County Mental Health

- (888) 334-0163

- Merced County Behavioral Health Access Team

- Available 24 hours/day


Merced County Alcohol and other Drug Programs (AODs)

- (209) 381-6850

- Merced County Alcohol and Drug Programs


Merced County Community Resources

Behavioral Health Resources for Merced County


Santa Cruz County

Mental Health and Substance Use Disorder Referrals

Referral Guide


Beacon Mental Health Referral Instructions

Adult Screening forms

Child Screening forms

Screening Referral Instructions


Santa Cruz County Mental Health

- (800) 952-2335

- Santa Cruz County Behavioral Health Access Team

- Available 24 hours/day


Santa Cruz County Alcohol and other Drug Programs (AODs)

- (831) 454-4050

- Alcohol and Drug Programs

- Monterey County Behavioral Health


Santa Cruz County Community Resources

Behavioral Health Resources for Santa Cruz County




Behavioral Health Services for Alliance Care In Home Supportive Services and Medi-Cal Access Program Members

Inpatient and outpatient behavioral health care services provided in a participating hospital or on an outpatient basis to In-Home Supportive Services (Alliance Care IHSS) and Medi-Cal Access Program (MCAP) members are covered when ordered by a medical provider and performed by a participating mental health professional. Prior authorization is required for some services. Effective 1/1/17, behavioral health services are provided through Beacon Health Options. To access these services, the member should call Beacon Health Options at (800) 808-5796 and identify him/herself as an Alliance member. There is no copayment associated with inpatient behavioral health services. A copayment may be required for outpatient behavioral health services.



 

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