Dear SFHP Members: Congress was unable to reach an agreement on funding for Fiscal Year 2026, and the federal government was shut down on October 1, 2025. While we do not know how long the shutdown will last, SFHP will continue its operations as normal. You can still access the care you need. We are committed to ensuring your access to care is not interrupted. If you encounter any issues, please contact SFHP Customer Service at 1(415) 547 7800 or toll-free 1(800) 288 5555 (TTY users can dial 711). We’re open Monday through Friday, from 8:00am to 5:00pm.

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Mental Health Care

Medi-Cal Benefits for Your Peace of Mind

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Mental Health Care

SFHP works with a company called Carelon Behavioral Health (“Carelon”) to provide mild to moderate mental health services. Some examples are:

  • Psychotherapy (individual and group mental health assessment and treatment). These services can include counseling from a therapist. Sometimes these services are available at your primary care clinic.
  • Psychological testing when needed to assess a mental health issue.
  • Outpatient services that include lab work, drugs, and supplies.
  • Psychiatry assessment for medications.
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Behavioral Health Treatment for Medi-Cal Members Under Age 21

San Francisco Health Plan (SFHP) members under the age of 21 have access to Behavioral Health Treatment (BHT) services. BHT includes Applied Behavior Analysis (ABA) and other services that have been reviewed and have been shown to work.

ABA is a therapy that can help children with autism and some other behavior issues. ABA can help children with communication, social skills, recall, and attention. ABA providers work with families to help their children. A doctor must write a referral for BHT or ABA care.

A member may qualify for Behavioral Health Treatment (BHT) if they meet the below criteria:

Under 21 years of age.

Have behaviors that make home or social life hard. Some examples are anger, violence, self-harm, running away, problems playing or communicating.

Have a diagnosis of Autism Spectrum Disorder or other behavioral issues.

You do not need a referral to get Mental Health Services. You can call Carelon Behavioral Health to learn more or get an appointment at 1(855) 371-8117 or carelonbehavioralhealth.com.

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