Cal MediConnect health plans are responsible for providing enrollees access to all medically necessary behavioral health (mental health and substance abuse treatment) services currently covered by Medicare and Medi-Cal.
Your doctor may provide you with outpatient mental health services that are within the scope of his/her training and practice. Specialized mental health services beyond your doctor's training and practice are provided in the following manner:
For assistance in selecting a behavioral health provider, please contact Blue Shield Promise Cal MediConnect Plan Member Services.
Phone: (855) 905-3825 [TTY: 711], 8 a.m. to 8 p.m., seven days a week
Medi-Cal specialty mental health services are available to you through the county mental health plan (MHP) if you meet Medi-Cal specialty mental health services medical necessity criteria. Medi-Cal specialty mental health services are provided by Los Angeles County Department of Mental Health (LACDMH) for Los Angeles and County of San Diego Behavioral Health Services for San Diego.
To identify whether the care you need is most appropriately provided by Blue Shield Promise or your local County Mental Health Plan, please call (866) 752-4075 and one of our contracted Mental Health professionals can assist in the determination