What are behavioral health services?

Our Behavioral Health Services Program includes services for mental health, substance use disorder, and behavioral health treatment for autism spectrum disorders.

Behavioral health services for Blue Shield Promise Medi‑Cal members

Medi-Cal behavioral health coverage through Blue Shield of California Promise Health Plan is available in Los Angeles County and San Diego County. Please review the grid below to make the appropriate referrals:

For referrals in Los Angeles County, contact:

Department of Mental Health Beacon Health Options as liaison: (855) 765-9701
ACCESS hotline: (800) 854-7771
Substance Abuse/ Misuse Department of Health Care Services (DHCS) Substance Use Resource Center: (800) 879-2772
Behavioral Health Services Beacon Health Options: (855) 765-9701
Autism Spectrum Disorder Blue Shield of California Promise Health Plan Member Services: (800) 605-2556

For referrals in San Diego County, contact:

Department of Mental Health ACCESS hotline: (888) 724-7240
Substance Abuse/ Misuse Department of Health Care Services (DHCS) Substance Use Resource Center: (800) 879-2772
Behavioral Health Services Beacon Health Options: (855) 321-2211
Autism Spectrum Disorder Blue Shield of California Promise Health Plan Member Services: (800) 605-2556


For more information on the above services, visit their respective pages:

  • Mental health
    Please note that the Blue Shield Promise’s responsibility for administering and managing care will be dependent on the Medi-Cal member’s severity of impairment. When making your referral, please consult the Mental health severity screening tool (PDF, 240 KB) for guidance on what to consider.
     
  • Substance misuse and substance use disorders
    For screening, brief intervention, referral, and treatment related (SBIRT) information, please visit the Provider SBIRT page.
     
  • Behavioral Health Treatment for Medi-Cal members under the age of 21
    For behavioral health therapy (BHT) related information, please visit our BHT page.

Behavioral health services for Blue Shield Promise Medicare members

For Medicare-covered behavioral health benefits, please refer to the back of the member's card for their behavioral health benefit contact. If you are unsure, contact Blue Shield of California Promise Health Plan's Customer Care team at the phone number on the back of the member's plan ID card.

Behavioral health services for Blue Shield Promise Cal MediConnect members

Call Beacon Mental Health and Substance Use Services to obtain coverage, benefit availability, and claims information:

Los Angeles County phone:(855) 765-9701, 8 a.m. to 8 p.m., Monday through Friday
San Diego County phone:(855) 321-2211, 8 a.m. to 8 p.m., Monday through Friday

Maternal Mental Health Program for Blue Shield Promise Medi‑Cal and Cal MediConnect members

Blue Shield Promise has established a Maternal Mental Health Program that offers resources to Blue Shield Promise network practitioners who are providing prenatal or postpartum care to Medi-Cal or Cal MediConnect plan members.

In addition to offering support, the program requires compliance with a new California law, effective July 1, 2019. The law requires that a licensed healthcare practitioner providing prenatal or postpartum care must ensure the maternal patient is offered a screening, or is appropriately screened, for any type of mental health conditions that may be occurring.

In accordance with the law, Blue Shield Promise requires all participating network practitioners, as well as delegated entities that contract with individual practitioners, who provide prenatal or postpartum care to comply with the requirements.

Download the program description to learn more about the program and requirements:

Maternal mental health program (PDF, 93 KB)

Maternal mental health screening tools

All practitioners must use an evidence-based screening tool when providing a mental health screening, and the screening must be performed in conjunction with and on the same date as an outpatient visit.

Blue Shield Promise's preferred maternal mental health screening tool is the Edinburgh Perinatal Depression Scale (PDF, 137 KB). Other tools are also available:
List of approved screening tools (PDF, 81 KB)

Provider actions after completion of the maternal mental health screening

All members whose screening results indicate potential depression or other mental health conditions should be referred to Beacon Health Options ("Beacon"), our managed behavioral health organization. Follow-up for mental health services should come via Beacon's primary care physician's referral form (PDF, 275 KB).

You may also call Beacon directly:
Los Angeles County phone:(855) 765-9701, 8 a.m. to 8 p.m., Monday through Friday
San Diego County phone:(855) 321-2211, 8 a.m. to 8 p.m., Monday through Friday

As a Blue Shield Promise Health plan practitioner, you may consult with a Beacon psychiatrist for advice regarding the use of psychotropic medication during pregnancy for a Blue Shield Promise member. Follow these steps to contact a Beacon psychiatrist:

  • Use the appropriate phone number listed above, depending on where your practice is located.
  • Press “2” to bypass the phone tree.
  • When speaking to a representative, explain that you are calling from a doctor's office. A licensed mental health professional will assist you in completing an internal medical doctor form and arrange a follow-up phone call with a psychiatrist.

Health Education materials for perinatal members

To support pregnant and postpartum members, Blue Shield Promise has developed educational brochures on mental health, breastfeeding, and more. You may print and/or share these materials with members.

Depression screening

Each Blue Shield Promise Medi-Cal, Medicare, or Cal MediConnect member must receive a general depression screening at least once a year. All practitioners must use an evidence-based screening tool when providing a mental health screening, and the screening must be performed in conjunction with and on the same date as an outpatient visit.

View a list of approved screening tools (PDF, 81 KB) to use for facilitating a depression screening for Blue Shield Promise members.

If either a general depression screening or a maternal mental health screening is positive, you must include a follow-up plan in the member’s medical record on the screening date. Follow-up for a positive depression screening must include one or more of the following:

  • Additional evaluation
  • Suicide risk assessment
  • Referral to a practitioner who is qualified to diagnose and treat depression
  • Pharmacological interventions
  • Other interventions or follow-up for the diagnosis and treatment of depression

The documented follow-up must be related to the positive depression screening. For example, “Patient referred for psychiatric evaluation due to positive depression screening.” Please note that the member should receive one screening per year.

Behavioral Health Services forms

Use these forms to request authorizations and refer your patients for behavioral health services and treatment programs.
Behavioral Health Treatment Authorization Request Form (PDF, 99 KB)
Behavioral Health Treatment Referral steps and options (PDF, 61 KB)
PCP Referral Form for Behavioral Health Services (PDF, 274 KB)
Social Services Referral Form (PDF, 127 KB)