BHS Medi-Cal Provider Information

Medi-Cal Mental Health Plan - Provider Directory

Consumer Handbook - Guide to Medi-Cal Mental Health Services

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This guide will help you know what specialty mental health services are, if you may get them, and how you can get help from the Orange County MHP.

For general information and accessibility issues please call:

Orange County Mental Health Plan

Phone: 800-723-8641
For TTY/TDD users, call 711

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This guide is also available (MP3 audio format) in multiple languages.
About listening to files

Sections Arabic English Farsi Korean Spanish Vietnamese
1. Medi-Cal Handbook County Section Part 1 (mp3) Part 1 (mp3)

Part 1 (mp3)

Part 1 (mp3) Part 1 (mp3) Part 1 (mp3)
2. Medi-Cal Handbook State Section Part 2 (mp3) Part 2 (mp3)

Part 2 (mp3)

Part 2 (mp3) Part 2 (mp3) Part 2 (mp3)

BHS Formulary
BHS Formulary

Behavioral Health Services Prescribing Guidelines Committee approved medications
(5 page PDF file)
 
 

 

BHS Coding/Documentation Manual and Clinician Handbook 

Behavioral Health Services Coding/Documentation Manual and Clinician Handbook (Approved January 2018)
(125 page pdf file)

 

 

Forms / Brochures

Title

Arabic

English

Farsi

Korean

Spanish

Vietnamese

Advance Health Care Directives (F346-705)

Grievance or Appeal Form (F346-706)

Grievance or Appeal Form (Arabic)

Grievance or Appeal Form (English)

Grievance or Appeal Form (Farsi)

Grievance or Appeal Form (Korean)

Grievance or Appeal Form (Spanish)

Grievance or Appeal Form (Vietnamese)

Grievance & Appeal Process Posters

Grievance and Appeal Process Posters (Arabic)

Grievance and Appeal Process Posters (English)

Grievance and Appeal Process Posters (Farsi)

Grievance and Appeal Process Posters (Korean)

Grievance and Appeal Process Posters (Spanish)

Grievance and Appeal Process Posters (Vietnamese)

Authorization to Use and Disclose Protected Health Information (F346-531B)

Consent to Record (F346-474)

Mental Health Plan Intake/Advisement Checklist (F346-753)

Psychiatric Medication Consent (F346-7921)

Psychotropic Medication Consent (English)

Psychotropic Medication Consent (English)

Psychotropic Medication Consent (English)

Psychotropic Medication Consent (English)

Psychotropic Medication Consent (Spanish)

Psychotropic Medication Consent (English)

Informed Consent for Services (F346-301)

Psychotropic Medication Consent (English)

Psychotropic Medication Consent (English)

Psychotropic Medication Consent (English)

Psychotropic Medication Consent (English)

Psychotropic Medication Consent (English)

Psychotropic Medication Consent (English)

Notice of Adverse Benefit Determination-Delivery System

Coming soon

Coming soon

Notice of Adverse Benefit Determination- Modification Notice

Notice of Adverse Benefit Determination- Termination Notice

Beneficiary Non--Discrimination Notice

Notice of Adverse Benefit Determination- Your Rights Notice

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For information and resources about the Drug Medi-Cal Organized Delivery System (DMC-ODS), visit http://www.ochealthinfo.com/DMC-ODS