Mental Health Plan and Provider Information

 

Medi-Cal Mental Health Plan - Provider Directory Document

MC MHP Handbook and Provider Directory Lobby Notice

Consumer Handbook - Guide to Medi-Cal Mental Health Services

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

• Medi-Cal Handbook (English) also in large print version
• Medi-Cal Handbook (Arabic) also in large print version
• Medi-Cal Handbook (Farsi) also in large print version
• Medi-Cal Handbook (Korean) also in large print version
• Medi-Cal Handbook (Spanish) also in large print version
• Medi-Cal Handbook (Vietnamese) also in large print version

 

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)

 

 

BH Provider Handbook Coding Manual 

Behavioral Health Provider Handbook Coding Manual Version 11 (November 2020)
(121 page pdf file)

 

Forms / Brochures

 

Title	Arabic	Chinese	English	Farsi	Korean	Spanish	Vietnamese
Advance Health Care Directives (F346-705)
Grievance or Appeal Form (F346-706)
Grievance & Appeal Process Posters *** UPDATED ***
Grievance Fact Sheet MHP
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)
Informed Consent for Services - General (F346-301)
Informed Consent for Telehealth and Telephonic Services
Telehealth Email Acknowledgement Form
AQIS Continuity of Care Request Form
National Voter Registration Act (NVRA) Preference Forms (County Operated Provider Use Only) National Voter Registration FAQs
Clinical Supervision Reporting Form
NOABD
Notice of Adverse Benefit Determination-Delivery System
Notice of Adverse Benefit Determination- Modification Notice
Notice of Adverse Benefit Determination- Termination Notice
NOABD Beneficiary Non--Discrimination Notice
Notice of Adverse Benefit Determination- Your Rights Notice
Language tagline
NOABD-Delivery System, Modifications and Termination, Reminders 12/2018

Car Seat Safety Flyers (County Operated Provider Use Only) 
Notice of Privacy Practices (NPP) (County Operated Provider Use Only) 
Patients' Rights Downloads

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