Provider Resources

Medi-Cal Mental Health Benefits

Expanded behavioral health benefits through Medi-Cal Managed Care began on January 1, 2014, for all Medi-Cal members. San Francisco Health Plan now covers outpatient mental health services for members with mild to moderate conditions. Services for specialty mental health conditions and alcohol and drug abuse continue to be provided by the county: Community Behavioral Health Services (CBHS).

Mild to moderate mental health benefits include:

  • Individual and group mental health evaluation and treatment (psychotherapy)
  • Psychological testing, when clinically indicated to evaluate a mental health condition (prior authorization required)
  • Outpatient services for the purpose of monitoring drug therapy
  • Psychiatric consultation
  • Outpatient laboratory, drugs, supplies, and supplements (continuation of current benefit)

Beacon Health Options manages behavioral health services for all San Francisco Health Plan (SFHP) Medi-Cal members, including non-specialty (mild to moderate) mental health services and the behavioral health therapy (BHT) component for those under age 21 diagnosed with Autism Spectrum Disorder.

To refer a member for mental health services, call Beacon’s toll-free Access Line at 1(855) 371-8117.

Beacon Provider Search
Diagnostic Evaluation Referral Form for BHT referrals
(Use this form if there is a known diagnosis and/or problem behavior indicating BHT/ABA Referral)

PCP Referral Process Summary (for PCP Office Staff)
PCP Flyer
Behavioral Health Treatment for Autism Flyer
Behavioral Health Screening Form (Children 0 – 5)
Behavioral Health Screening Form (Children 6 – 17)
Behavioral Health Screening Form (Adult)
PCP Referral to Beacon Form
PCP Referral to Beacon Form (Chinese)
PCP Referral to Beacon Form (Russian)
PCP Referral to Beacon Form (Spanish)
PCP Referral to Beacon Form (Vietnamese)
Care Management Referral to Beacon Form
Beacon Primary Care Provider Training

SFHP/Beacon Health Options Provider FAQ
SFHP/Beacon Health Options Member FAQ

About Non-Specialty Mental Health for Medi-Cal patients