Providers | Blue Shield of California Promise Health Plan

Behavioral Health Services

SBIRT - Screening, Brief Intervention, and Referral to Treatment

What are Behavioral Health Services?

Behavioral Health services include Mental Health, Substance Use Disorder, and Behavioral Health Treatment for Autism Spectrum Disorder.

Medi-Cal

Medi-Cal Behavioral Health coverage through Blue Shield of California Promise Health Plan 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 (855) 765-9701 Beacon as liaison
(800) 854-7771 ACCESS hotline
(800) 879-2772 DHCS Substance Use Resource Center (855) 765-9701 Beacon (800) 605-2556 Blue Shield of California Promise Health Plan Member Services
San Diego (888) 724-7240 ACCESS hotline (800) 879-2772 DHCS Substance Use Resource Center (855) 321-2211 Beacon (800) 605-2556 Blue Shield of California Promise Health Plan Member Services

Mental Health

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.

Substance Abuse/Misuse

For SBIRT (Screening, Brief Intervention, Referral, and Treatment) related information, please visit the Provider SBIRT page.

Behavioral Health Treatment for Autism Spectrum Disorder

For Autism Spectrum Disorders related information, please visit our ASD page.

Medicare

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 Blue Shield of California Promise Health Plan Behavioral Health Department at (888) 297-1325.

Cal MediConnect

Coverage information, including benefit availability and claims information, can be obtained by calling:

County Mental Health and Substance Use Services
Los Angeles (855) 765-9701 Beacon
San Diego (855) 321-2211 Beacon

Depression Screening

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:

  • 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. Please utilize one of the approved depression screening tools (click here).

You are leaving Blue Shield of California Health Plan's website

If you enter the web site of Krames on Demand (http://kod.staywellsolutionsonline.com/?accountId=0), please be aware that you will leave Blue Shield of California Health Plan's web site, and will be routed to the Krames on Demand's web site that adheres to the rules, policies, regulations and terms of use of that service.


OK, I understandCancel

You are leaving Blue Shield of California Promise Health Plan's website

If you enter the web site https://ocrportal.hhs.gov, please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the Office for Civil Rights web site that adheres to the rules, policies, regulations and terms of use of that agency. If you enter the web site http://www.hhs.gov, please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the U.S. Department of Health & Human Services web site that adheres to the rules, policies, regulations and terms of use of that agency. If you enter the web site of CMS (Centers for Medicare & Medicaid Services) (http://www.cms.gov), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the CMS's web site that adheres to the rules, policies, regulations and terms of use of that service. If you enter the web site https://www.ssa.gov/medicare/prescriptionhelp/, please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the Medicare Prescription Drug Plan Costs web site that adheres to the rules, policies, regulations and terms of use of that service. If you enter the web site https://secure.ssa.gov/i1020/start, please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the Official Website of the U.S. Social Security Administration that adheres to the rules, policies, regulations and terms of use of that agency. If you enter the web site of Beacon Health Strategies (beaconhealthstrategies.com), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the Beacon Health Strategies web site that adheres to the rules, policies, regulations and terms of use of that service. If you enter the web site My Advocate (www.myadvocatehelps.com), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the My Advocate web site that adheres to the rules, policies, regulations and terms of use of that service. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site. If you enter the web site American Specialty Health (ASH) (www.ashlink.com/ash/ashco.aspx?hp=Care1st), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the ASH web site that adheres to the rules, policies, regulations and terms of use of that service. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site. If you enter the web site Dental Providers (www.deltadentalins.com), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the Dental Providers web site that adheres to the rules, policies, regulations and terms of use of that service. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site. If you enter the web site Hearing Services/ Hearing Aids (www.epichearing.com), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the Hearing Services web site that adheres to the rules, policies, regulations and terms of use of that service. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site. If you enter the web site VSP (www.vsp.com), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the VSP web site that adheres to the rules, policies, regulations and terms of use of that service. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site. If you enter the web site KEPRO (www.keproqio.com), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the KEPRO web site that adheres to the rules, policies, regulations and terms of use of that service. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site. If you enter the web site Livanta (www.bfccqioarea5.com ), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the Livanta web site that adheres to the rules, policies, regulations and terms of use of that Organization. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site. If you enter the web site U.S. Department of Health and Human Services (ocrportal.hhs.gov/ ), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the U.S. Department of Health and Human Services web site that adheres to the rules, policies, regulations and terms of use of that Organization. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site. If you enter the web site CalDuals (http://calduals.org/ ), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the CalDuals web site that adheres to the rules, policies, regulations and terms of use of that Organization. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site. If you enter the web site California Department of Health Care Services (https://www.dhcs.ca.gov/ ), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the California Department of Health Care Services web site that adheres to the rules, policies, regulations and terms of use of that Organization. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site. If you enter the web site CMS (Centers for Medicare & Medicaid Services) (http://www.cms.gov), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the CMS (Centers for Medicare & Medicaid Services) web site that adheres to the rules, policies, regulations and terms of use of that Organization. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site. If you enter the web site California Department of Health Care Services (DHCS) (https://www.healthcareoptions.dhcs.ca.gov/), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the California Department of Health Care Services (DHCS) web site that adheres to the rules, policies, regulations and terms of use of that Organization. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site. If you enter the web site Medi-Cal Dental Program (https://www.denti-cal.ca.gov/), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the Medi-Cal Dental Program web site that adheres to the rules, policies, regulations and terms of use of that Organization. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site. If you enter the web site Solera4me (https://www.solera4me.com/bluepromisemedicare), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the Solera4me web site that adheres to the rules, policies, regulations and terms of use of that Organization. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site. If you enter the web site Department of Managed Healthcare (http://www.dmhc.ca.gov/FileaComplaint/IndependentMedicalReviewComplaintForms.aspx), please be aware that you will leave Blue Shield of California Promise Health Plan's web site, and will be routed to the Department of Managed Healthcare web site that adheres to the rules, policies, regulations and terms of use of that Organization. Blue Shield of California Promise Health Plan makes no representation and is not responsible for the quality, content, nature, or reliability of any linked site.