How to refer for Behavioral Health Services and Case Management
| Date: | December 11, 2024 |
| From: | Health Plan of San Joaquin/Mountain Valley Health Plan (Health Plan) |
| To: | Health Plan Practitioners and Facilities |
| Type: | Informational/Educational |
| Subject: | How to refer for Behavioral Health Services and Case Management |
| Business: | Medi-Cal Managed Care |
The Department of Health Care Services (DHCS) issued All Plan Letter 22-005 (APL-22-005) “No Wrong Door for Mental Health Services Policy” on March 30, 2022. Please see the direct link to this APL for complete guidance at https://www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2022/APL22-005.pdf.
In accordance with No Wrong Door APL 22-005, non-specialty mental health services do not require prior authorization. Members may go online to our find-a-provider tool or online provider directory and choose from our in-network providers to schedule directly which can be found here: https://www.hpsj.com/find-a-provider/
Should you have a member seeking behavioral health care services and might benefit from care coordination or case management, please send us a referral using the referral form: https://www.hpsj.com/wp-content/uploads/2024/10/HPSJ-MVHP-BHS-Referral-Form.pdf
Thank you in advance for your partnership in linking our members to services.
If you have any further questions, please contact your Provider Services Representative, or call our Customer Service Department at 1-888-936-PLAN (7526). You may also visit https://www.hpsj.com/alerts/ for online access to the documents shared. The most recent information about Health Plan and our services is always available on our website www.hpsj-mvhp.org
