Blue Shield of California Promise Health Plan
Behavioral Health services include Mental Health, Substance Use Disorder, and Behavioral Health Treatment for Autism Spectrum Disorder.
Medi-Cal Behavioral Health coverage through Care1st is offered in Los Angeles County and San Diego County. Please review the grid below to make the appropriate referrals:
|County||Department of Mental Health||Substance Abuse/Misuse||Behavioral Health Services||Autism Spectrum Disorder|
|Los Angeles||1-855-765-9701 Beacon as liaison 1-800-854-7771 ACCESS hotline||1-800-879-2772 DHCS Substance Use Resource Center||1-855-765-9701 Beacon||1-800-605-2556 Care1st Member Services|
|San Diego||1-888-724-7240 ACCESS hotline||1-800-879-2772 DHCS Substance Use Resource Center||1-855-321-2211 Beacon||1-800-605-2556 Care1st Member Services|
Please note that the responsibility will be dependent on the member’s severity of impairment. For what to consider when making your referral, please consult the Mental Health Severity Screening Tool.
For SBIRT (Screening, Brief Intervention, Referral, and Treatment) related information, please visit the Provider SBIRT page.
For Autism Spectrum Disorders related information, please visit our ASD page.
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, please contact Care1st Provider Network Operations (PNO) at 323-889-6638, and speak to a Provider Network Associate.
Coverage information, including benefit availability and claims information, can be obtained by calling:
|County||Mental Health and Substance Use Services|
|Los Angeles||1-855-765-9701 Beacon|
|San Diego||1-855-321-2211 Beacon|
Each member must receive a depression screening annually. The screening must be done using a standardized tool and must be performed in conjunction with and on the same date as an outpatient visit. If the screening is positive, a follow-up plan must be included in the member’s medical record on the date of the screening. Follow-up for a positive depression screening must include one or more of the following:
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. Please utilize one of the approved depression screening tools (click here).