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 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|
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 BHT related information, please visit our BHT 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 Blue Shield of California Promise Health Plan Customer Care team phone number on the back of your member ID card.
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|
Blue Shield Promise has established a Maternal Mental Health Program that offers resources to Blue Shield of California Promise Health Plan 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 health care practitioner who provides prenatal or postpartum care for a patient 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, to comply with the requirement.
Each Medi-Cal, Medicare or Cal MediConnect member must receive a general depression screening at least once, annually. 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 to use for facilitating a depression screening for Blue Shield Promise members.
Actions you need to take if depression screening results are positive for any type of depression screening for a Blue Shield Promise member
If either a general depression screening or a maternal mental health 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.