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 and neuropsychological testing (prior authorization required)

      •  Psychiatric services to provide medication management and psychiatric
          consultation, as needed

      •  Behavioral Health Treatment (BHT) services for members
          under 21 years of age. These services require recommendation from
          a physician or psychologist and prior authorization.

Care Management Services

Beacon provides care management services to:

      •  Assist in local behavioral health care coordination to link members to
          services such as therapy and medication management,

      •  Provide care coordination support between multiple agencies such as PCPs,           county behavioral health agencies, hospital discharge coordinators, etc.,

      •  Support members as they transition between care provided by the county           behavioral health department and care provided by Beacon providers, and

      •  Support members with a history of non-compliance by linking them to
          available community resources (food, shelter, transportation).

A Beacon care management referral form and additional resources are available below in the Beacon Resources section of this page.

The behavioral health network providers (including BHT providers) managed by Beacon are part of the College Health IPA (CHIPA).


Role of the 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 departments. 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 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.


Please click the link below for additional information on division of responsibilities between the Alliance/Beacon and county mental health departments. Note that if you are unsure where to refer a member for behavioral health services, call Beacon and they will assist with referring the member to the appropriate services (Beacon’s provider network or county behavioral health services).


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

 Select State: California
 Select Health Plan: Central California Alliance for Health – Medi-Cal
 Select Language: English or Spanish

      •  PCP Referral and Resource Guide


      •  Behavioral Health Treatment - Medi-Cal Primary Care Provider FAQs


      •  PCP Referral Form


      •  Care Management Referral and Resource Guide


      •  Care Management Referral Form


      •  PCP Decision Support Services


Autism Spectrum Disorder (ASD)

      •  Behavioral Health Treatment - Medi-Cal Primary Care 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

For information on how to become a Beacon provider, click here to complete a brief online form and a Beacon representative will contact you.


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
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.


Santa Cruz County

Please note: If you have any questions regarding where or how to refer an Alliance member, please reference your county’s referral guide linked below or call Beacon at (855) 765-9700 and they will assist you.


Santa Cruz County Referral Guide


Beacon Behavioral 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


Monterey County

Please note: If you have any questions regarding where or how to refer an Alliance member, please reference your county’s referral guide linked below or call Beacon at (855) 765-9700 and they will assist you.


Monterey County Referral Guide


Beacon Behavioral 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)
(888) 258-6029

- Alcohol and Drug Programs

- Monterey County Behavioral Health


Monterey County Community Resources

Behavioral Health Resources for Monterey County


Merced County

Please note: If you have any questions regarding where or how to refer an Alliance member, please reference your county’s referral guide linked below or call Beacon at (855) 765-9700 and they will assist you.


Merced County Referral Guide


Beacon Behavioral Health Referral Instructions

Adult Screening forms

Child Screening forms

Screening Referral Instructions


Merced County Mental Health (AODs)
(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



Behavioral Health Services for Alliance Care In-Home Supportive Services

Inpatient and outpatient mental health and substance use disorder services provided in a participating hospital or on an outpatient basis to In-Home Supportive Services (Alliance Care IHSS) members are covered when care is performed by a participating mental health professional. Prior authorization is required for some services. To access these services, the member should call Beacon 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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