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 (BHT) for Medi-Cal members under the age of 21

For BHT related information, please visit our BHT 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 Customer Care team phone number on the back of your member ID card.

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

Maternal Mental Health Program

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.

  1. 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. A list of other approved screening tools is also available.

    Learn more about the program and requirements by viewing or downloading the program description.

  2. After Completion of the Maternal Mental Health Screening

    All members whose screening results indicate a positive identification of potential depression or other mental health conditions should be referred to our Managed Behavioral Health Organization, Beacon Health Options ("Beacon") for mental health follow-up, using the Beacon's primary care physician's referral form. You may also contact Beacon by telephone:
    • Beacon in Los Angeles County: (855) 765-9701, Monday through Friday, 8 a.m. to 8 p.m.
    • Beacon in San Diego County: (855) 321-2211, Monday through Friday, 8 a.m. to 8 p.m.
    As a Blue Shield Promise 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 psychiatrist at Beacon:
    • 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, at your available time.

Depression Screening

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:

  • 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.

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