Behavioral Health Services Program
What are behavioral health services?
Our Behavioral Health Services Program includes services for mental health, substance use disorder and behavioral health treatment, also known as Applied Behavior Analysis (ABA).
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 |
| Behavioral Health Treatment/Applied Behavior Analysis (ABA) | Blue Shield of California Promise Health Plan Member Care Coordinators: (888) 297-1325 |
For referrals in San Diego County, contact:
| Department of Mental Health | Behavioral Health Treatment/Applied Behavior Analysis (ABA) |
| 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 |
| Behavioral Health Treatment/Applied Behavior Analysis (ABA) | Blue Shield of California Promise Health Plan Member Care Coordinators: (888) 297-1325 |
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, assessment, brief intervention, referral, and treatment related (SABIRT) information, please visit the Provider SABIRT 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 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
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 Packet (PDF, 358 KB)
PCP Referral Form for Behavioral Health Services (PDF, 274 KB)
Social Services Referral Form (PDF, 127 KB)
Complex Case Management
Our Complex Case Management program allows us to work directly with members and collaborate closely with their physicians to coordinate care and services to high-risk members.
Alcohol and drug screening and services
Learn about the alcohol and drug screening, assessment, brief interventions and referral to treatment (SABIRT) program for Medi-Cal members 11 years of age and older, including pregnant women.
Behavioral health treatment for Medi-Cal members under the age of 21
Learn about Blue Shield Promise Medi-Cal benefits, eligibility requirements, and referral procedures.
Find a provider
Use our online tool to find a primary care physician, behavioral health services, and other providers.
Population Health Management
Our Disease Management Program provides education, care coordination, and support for members with certain chronic conditions.
Adverse Childhood Experiences (ACEs) Screening Initiative
Blue Shield Promise is furthering the statewide effort to reduce Adverse Childhood Experiences (ACEs) and toxic stress by half in one generation, and to ensure providers are ACEs Aware.
Depression screening
Access tools for member depression screenings, which are required annually.
Maternal Mental Health Program
Learn about mental health resources for network practitioners who are providing prenatal or postpartum care.
Health education for providers and members
Blue Shield Promise assists you in meeting health education state requirements by providing appropriate health education materials for you to distribute to your patients. These multilingual materials are available in the state-mandated topics.
Provider Connection
Access network provider tools on Provider Connection website.