Behavioral Health | HPSM Providers

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id="group-2b3455ac9-2dbe-49d9-8122-e8aa4896b81a"> <a href="https://www.hpsm.org/provider/resources/grievance-appeals-process/what-is-a-complaint" class="list-group-item strong "> What is a complaint? </a> <a href="https://www.hpsm.org/provider/resources/grievance-appeals-process/providers-responsibilities" class="list-group-item strong "> Providers’ responsibilities </a> <a href="https://www.hpsm.org/provider/resources/grievance-appeals-process/response-timeframes" class="list-group-item strong "> Response timeframes </a> <a href="https://www.hpsm.org/provider/resources/grievance-appeals-process/contact-g-a-unit" class="list-group-item strong "> Contact HPSM's G&A Unit </a> </div> <a href="https://www.hpsm.org/provider/resources/healthcare-effectiveness-data-and-information-set" class="list-group-item strong "> Healthcare Effectiveness Data and Information Set </a> <a href="https://www.hpsm.org/provider/resources/home-health-care" class="list-group-item strong "> Home Health Care </a> <a href="https://www.hpsm.org/provider/resources/initial-health-assessment" class="list-group-item dropdown-item collapsed "> Initial Health Appointment <i href="#group-26a1fa7ee-3bb9-43c0-9906-a87e96f3a1a2" class="fa fa-caret-down collapsed" data-toggle="collapse" data-parent="group-249fc1852-db3d-4a9d-b8ef-a398dd5edc32"></i> </a> <div class="collapse" id="group-26a1fa7ee-3bb9-43c0-9906-a87e96f3a1a2"> <a href="https://www.hpsm.org/provider/resources/initial-health-assessment/2023-iha-changes" class="list-group-item strong "> 2023 IHA Changes </a> </div> <a href="https://www.hpsm.org/provider/resources/maternal-health" class="list-group-item strong "> Maternal Care </a> <a href="https://www.hpsm.org/provider/resources/medical-record-and-facility-site-reviews" class="list-group-item strong "> Medical Record and Facility Site Reviews </a> <a href="https://www.hpsm.org/provider/resources/member-handbooks" class="list-group-item strong "> Member Handbooks </a> <a 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class="list-group-item strong "> Urgent Care </a> <a href="https://www.hpsm.org/provider/resources/tobacco-cessation-resources" class="list-group-item dropdown-item collapsed "> Tobacco Cessation Information and Resources <i href="#group-2a2e64e2f-647c-4816-96ef-61c922e9f031" class="fa fa-caret-down collapsed" data-toggle="collapse" data-parent="group-249fc1852-db3d-4a9d-b8ef-a398dd5edc32"></i> </a> <div class="collapse" id="group-2a2e64e2f-647c-4816-96ef-61c922e9f031"> <a href="https://www.hpsm.org/provider/resources/tobacco-cessation-resources/identifying-tobacco-users" class="list-group-item strong "> Identifying Tobacco Users </a> <a href="https://www.hpsm.org/provider/resources/tobacco-cessation-resources/treating-patients-who-use-tobacco" class="list-group-item strong "> Treating Patients Who Use Tobacco </a> <a href="https://www.hpsm.org/provider/resources/tobacco-cessation-resources/vulnerable-populations" class="list-group-item strong "> Vulnerable Populations </a> <a href="https://www.hpsm.org/provider/resources/tobacco-cessation-resources/provider-education-and-trainings" class="list-group-item strong "> Provider Education and Trainings </a> </div> <a href="https://www.hpsm.org/provider/resources/older-adults-and-persons-with-disabilities" class="list-group-item strong "> Older Adults and People with Disabilities </a> <a href="https://www.hpsm.org/provider/videos" class="list-group-item strong "> Provider Videos </a> <a href="https://www.hpsm.org/provider/resources/remote-patient-monitoring" class="list-group-item strong "> Remote Patient Monitoring </a> </div> <a href="https://www.hpsm.org/provider/care-coordination" class="list-group-item strong "> Care Coordination </a> <a href="https://www.hpsm.org/provider/behavioral-health" class="list-group-item strong active"> Behavioral Health </a> <a href="https://www.hpsm.org/provider/incentive-payments" class="list-group-item dropdown-item collapsed "> Provider Incentive Programs <i href="#group-120d1dcb7-63c0-4f34-80c4-9114c53527ed" class="fa fa-caret-down collapsed" data-toggle="collapse" data-parent="group-135bd4b25-8293-494c-84ae-6452bf4545bb"></i> </a> <div class="collapse" id="group-120d1dcb7-63c0-4f34-80c4-9114c53527ed"> <a href="https://www.hpsm.org/provider/incentive-payments/incentive-payments-for-primary-care-providers" class="list-group-item dropdown-item collapsed "> Incentives for Primary Care Providers <i href="#group-268f151c5-4ff8-46cb-a0d0-b9162ad1b71a" class="fa fa-caret-down collapsed" data-toggle="collapse" data-parent="group-220d1dcb7-63c0-4f34-80c4-9114c53527ed"></i> </a> <div class="collapse" id="group-268f151c5-4ff8-46cb-a0d0-b9162ad1b71a"> <a href="https://www.hpsm.org/provider/incentive-payments/incentive-payments-for-primary-care-providers/care-gap-p4p-incentive-program-interest-form" class="list-group-item strong "> Care Gap P4P Incentive Program Interest Form </a> </div> <a href="https://www.hpsm.org/provider/incentive-payments/incentive-payments-for-nursing-facilities" class="list-group-item strong "> Incentives for Nursing Facilities </a> <a href="https://www.hpsm.org/provider/incentive-payments/incentive-payments-for-specialists" class="list-group-item strong "> Incentives for Specialty Providers  </a> </div> <a href="https://www.hpsm.org/provider/learning-lab" class="list-group-item strong "> Learning Lab </a> <a href="https://www.hpsm.org/provider/sb855-training-request" class="list-group-item strong "> SB855 Training Request </a> <a href="https://www.hpsm.org/provider/hpsm-dental" class="list-group-item dropdown-item collapsed "> HPSM Dental Providers <i href="#group-174f36575-3241-48b1-9e76-4b1c1d28f8cf" class="fa fa-caret-down collapsed" data-toggle="collapse" data-parent="group-135bd4b25-8293-494c-84ae-6452bf4545bb"></i> </a> <div class="collapse" id="group-174f36575-3241-48b1-9e76-4b1c1d28f8cf"> <a href="https://www.hpsm.org/provider/hpsm-dental/join-hpsm-dental" class="list-group-item dropdown-item collapsed "> Join HPSM Dental <i href="#group-2388b7643-c933-4415-be9e-c964394a836a" class="fa fa-caret-down collapsed" data-toggle="collapse" data-parent="group-274f36575-3241-48b1-9e76-4b1c1d28f8cf"></i> </a> <div class="collapse" id="group-2388b7643-c933-4415-be9e-c964394a836a"> </div> <a href="https://www.hpsm.org/provider/hpsm-dental/payments" class="list-group-item strong "> Dental Provider Payments </a> <a href="https://www.hpsm.org/provider/hpsm-dental/covered-dental-services" class="list-group-item strong "> Covered Dental Services </a> <a href="https://www.hpsm.org/provider/hpsm-dental/benefits-of-dental-integration" class="list-group-item strong "> Benefits of Dental Integration </a> <a href="https://www.hpsm.org/provider/hpsm-dental/mission" class="list-group-item strong "> HPSM Dental Mission </a> <a href="https://www.hpsm.org/provider/hpsm-dental/an-innovative-pilot-program" class="list-group-item strong "> An Innovative Pilot Program </a> </div> <a href="https://www.hpsm.org/provider/patient-experience" class="list-group-item strong "> Patient Experience </a> <a href="https://www.hpsm.org/provider/calaim-at-hpsm" class="list-group-item dropdown-item collapsed "> CalAIM at HPSM <i href="#group-167f12e56-7522-48b7-aaa7-68b7a007b163" class="fa fa-caret-down collapsed" data-toggle="collapse" data-parent="group-135bd4b25-8293-494c-84ae-6452bf4545bb"></i> </a> <div class="collapse" id="group-167f12e56-7522-48b7-aaa7-68b7a007b163"> <a href="https://www.hpsm.org/provider/calaim-at-hpsm/enhanced-care-management-(ecm)" class="list-group-item strong "> Enhanced Care Management (ECM) </a> <a href="https://www.hpsm.org/provider/calaim-at-hpsm/community-supports-(cs)" class="list-group-item strong "> Community Supports (CS) </a> </div> <a href="https://www.hpsm.org/provider/urgent-messages" class="list-group-item dropdown-item collapsed "> Urgent Messages <i href="#group-15bc380af-3a0c-4750-aba7-b97106a561bd" class="fa fa-caret-down collapsed" data-toggle="collapse" data-parent="group-135bd4b25-8293-494c-84ae-6452bf4545bb"></i> </a> <div class="collapse" id="group-15bc380af-3a0c-4750-aba7-b97106a561bd"> <a href="https://www.hpsm.org/provider/urgent-messages/provider-covid-19-resources" class="list-group-item strong "> Provider COVID-19 Resources </a> <a href="https://www.hpsm.org/provider/urgent-messages/monkeypox" class="list-group-item dropdown-item collapsed "> Mpox (Monkeypox) <i href="#group-2bf4fc89c-c2e8-4a7b-8c2e-fa99faed8e19" class="fa fa-caret-down collapsed" data-toggle="collapse" data-parent="group-25bc380af-3a0c-4750-aba7-b97106a561bd"></i> </a> <div class="collapse" id="group-2bf4fc89c-c2e8-4a7b-8c2e-fa99faed8e19"> </div> <a href="https://www.hpsm.org/provider/urgent-messages/prepare-for-power-shutoffs" class="list-group-item strong "> Prepare for Power Shutoffs </a> </div> <a href="https://www.hpsm.org/provider/news" class="list-group-item strong "> News & Updates </a> <a href="https://www.hpsm.org/provider/portal" class="list-group-item strong "> Provider Portal / eReports </a> <a href="https://www.hpsm.org/provider/join-the-network" class="list-group-item strong "> Join Our Provider Network </a> <a href="https://www.hpsm.org/provider/contact-provider-services" class="list-group-item dropdown-item collapsed "> Provider Contacts <i href="#group-1e0265f57-f2de-4917-b33c-849c70bc8164" class="fa fa-caret-down collapsed" data-toggle="collapse" data-parent="group-135bd4b25-8293-494c-84ae-6452bf4545bb"></i> </a> <div class="collapse" id="group-1e0265f57-f2de-4917-b33c-849c70bc8164"> <a href="https://www.hpsm.org/provider/contact/nomination-form" class="list-group-item strong "> Nominate a Colleague </a> </div> <a href="https://www.hpsm.org/provider/all-tasks" class="list-group-item strong "> All Provider Tasks </a> </div> </div> </div> <div class="related-items">  <div class="card"> <h3> </h3> <div class="name-and-phone-list"> <h5> </h5> </div> <div class="name-and-phone-list"> <h5> </h5> </div> <div class="name-and-phone-list"> <h5> </h5> </div> </div> </div> </div> <div class="col-xs-12 col-sm-8 col-sm-pull-4"> <div class="content-area container-fluid-margin"> <div > <div class="sfContentBlock sf-Long-text" ><h1>Behavioral Health</h1><div class="row"><div class="col-md-8 col-sm-12"><p>HPSM offers services to help members with their physical, mental, and emotional health. The resources on this page are for all providers, however some resources may be specific to providers that offer mild to moderate mental health treatment.</p></div><div class="col-md-4 col-sm-12 py-2 px-0"><div class="jump-links ml-2"><ul class="fa-ul "><li><span class="fa-li fa fa-arrow-circle-o-right text-info"> </span><a data-sf-ec-immutable="" href="#a1">Clinical Guidelines</a></li><li><span class="fa-li fa fa-arrow-circle-o-right text-info"> </span><a data-sf-ec-immutable="" href="#a2">Behavioral Health Forms</a> </li><li><span class="fa-li fa fa-arrow-circle-o-right text-info"> </span><a data-sf-ec-immutable="" href="#a3">Behavioral Health Treatment</a> </li><li><span class="fa-li fa fa-arrow-circle-o-right text-info"> </span><a data-sf-ec-immutable="" href="#a4">Community Resources</a> </li><li><span class="fa-li fa fa-arrow-circle-o-right text-info"> </span><a data-sf-ec-immutable="" href="#a5">Network Resources</a> </li></ul></div></div></div><div class="clearfix"></div><p>Please be sure to use the ACCESS Call Center if you think a member may need mental health or substance use treatment. For assessment and referrals to mental health and substance use treatment services, call the ACCESS Call Center at <span class="phone">(800) 686-0101</span>, <span class="phone">TDD: (800) 943-2833</span>.</p><p>San Mateo County Behavioral Health and Recovery Services (BHRS) manages treatment for members with serious mental health issues and treatment for substance use issues.</p><h2 id="a1">Clinical Guidelines</h2><ul class="ml-4 document-list"><li><a href="/docs/default-source/provider-services/clinical_guidelines_adhd_parents_medication_guide.pdf?sfvrsn=616662e4_10" title="ADHD Medication Guide" class="download" target="_blank">ADHD Medication Guide</a><br></li><li><a class="external" target="_blank" href="https://www.apa.org/pi/disability/resources/assessment-disabilities" data-sf-ec-immutable="">Guidelines for Assessment of and Intervention With Persons With Disabilities</a></li><li><a class="external" target="_blank" href="https://www.apa.org/about/policy/summary-guidelines-low-income" data-sf-ec-immutable="">Guidelines for Psychological Practice for People with Low-Income and Economic Marginalization</a></li><li><a class="external" target="_blank" href="https://www.apa.org/pi/lgbt/resources/guidelines" data-sf-ec-immutable="">Guidelines for Psychological Practice with Lesbian, Gay & Bisexual Clients</a></li><li><a class="external" target="_blank" href="https://www.apa.org/practice/guidelines/older-adults" data-sf-ec-immutable="">Guidelines for Psychological Practice with Older Adults</a></li><li><a href="/docs/default-source/provider-services/clinical_guidelines_substance_use_disorders.pdf?sfvrsn=a97b15b_12" title="Guidelines for Treatment of Patients with Substance Use Disorders" class="download" target="_blank">Guidelines for Treatment of Patients with Substance Use Disorders</a><br></li><li><a class="external" href="https://doi.org/10.1176/appi.books.9781615371969.alcohol03" target="_blank" data-sf-ec-immutable="">Pharmacological Treatment of Patients with Alcohol Use Disorder</a><br></li></ul><h2 id="a2">Behavioral Health Forms</h2><ul class="ml-4 document-list"><li><a href="/docs/default-source/provider-forms/behavioral-health-treatment-form.pdf?sfvrsn=32dbc8ad_42"></a><a href="/docs/default-source/provider-forms/bhrs_referral_form.pdf?sfvrsn=eca6185b_6">Behavioral Health Referral Form</a></li><li><a href="/docs/default-source/provider-services/developmental-services-referral-guide.pdf?sfvrsn=95d62847_24" title="Developmental Services Referral Guide" class="download" target="_blank">Developmental Services Referral Guide</a> </li><li><a href="/docs/default-source/provider-forms/referral-for-higher-level-of-care---adult-03-26-21-fillable_final.pdf?sfvrsn=fa4ed618_8">Referral for Higher Level of Care Form - Adult</a></li><li><a href="/docs/default-source/provider-forms/youth-referral-for-higher-level-of-care-pdf-filable-final.pdf?sfvrsn=8e2d3966_12">Referral for Higher Level of Care Form - Youth</a></li></ul><h2 id="a3">Behavioral Health Treatment</h2><p id="a3">Behavioral Health Treatment (BHT) is an umbrella term for how Medi-Cal describes benefits for members with Autism or Autism-like symptoms. The benefit covers services including Comprehensive Diagnostic Evaluation (CDE), Functional Behavioral Assessment (FBA), and Applied Behavioral Analysis (ABA). </p><ul id="a3"><li><a href="/docs/default-source/provider-forms/behavioral-health-treatment-form.pdf?sfvrsn=32dbc8ad_42">Behavioral Health Treatment (BHT) Referral Form</a></li><li><a href="/docs/default-source/provider-services/behavioral-health/bht-prior-authorization-guide.pdf?sfvrsn=99b5d7bd_8">Behavioral Health Treatment (BHT) Prior Authorization Guide</a></li><li><a href="/docs/default-source/provider-services/behavioral-health/pediatric-developmental-and-behavioral-health-services-referral-guide.pdf?sfvrsn=9da86e45_9">Pediatric Developmental and Behavioral Health Services Referral Guide</a> <a href="/videos/default-source/webinar/behavioral-health-treatment-(bht)-services-provider-webinar-20240326_120208-meeting-recording.mp4?sfvrsn=829f3191_5"> </a> </li><li><a href="/videos/default-source/webinar/behavioral-health-treatment-(bht)-services-provider-webinar-20240326_120208-meeting-recording.mp4?sfvrsn=829f3191_5"></a><a href="/videos/default-source/webinar/bringing-bht-services-to-hpsm-members.mp4?sfvrsn=7a9d09c6_3">Bringing BHT Services To HPSM Members (BHT Provider Webinar 8/27/2024)</a></li><li><a href="/docs/default-source/provider-services/behavioral-health/bht-provider-faq.pdf?sfvrsn=fedabbbf_5">Behavioral Health Treatment FAQ</a></li></ul><h2 id="a4">Community Resources<strong></strong></h2><ul><li><a href="https://www.hellobrightline.com/brightlifekids " data-sf-ec-immutable="">BrightLife Kids:</a> Mental health coaching and resources for parents with kids ages 0-12.</li><li><a href="https://solunaapp.com/ " data-sf-ec-immutable="">Soluna:</a> Mental health coaching and resources for parents teens and young adults ages 13-25.</li><li><a href="https://hsa.smcgov.org/handbooks" data-sf-ec-immutable="">Community Information Handbook</a></li><li><a href="https://www.smchealth.org/helpathome" data-sf-ec-immutable="">Help At Home</a></li><li><a href="https://www.smchealth.org/bhrsservices" data-sf-ec-immutable="">San Mateo County Health Mental Health and Substance Abuse Resources</a></li><li><a href="https://www.smc-connect.org/" data-sf-ec-immutable="">SMC Connect</a><br></li></ul><h2 id="a5">Network Resources</h2><ul><li><a href="/docs/default-source/provider-services/email-documents/behavioral-health-providers-faq.pdf?sfvrsn=92704c05_17">Behavioral Health Provider FAQs</a></li><li><a href="/docs/default-source/provider-services/behavioral-health/medi-cal-specialty-and-non-specialty-behavioral-health-criteria-and-services.pdf?sfvrsn=ce95acda_5">Medi-Cal Specialty and Non-Specialty Behavioral Health Criteria and Services</a><br></li><li><a href="/docs/default-source/provider-services/email-documents/bh_hpsm-new-provider-onboarding-updated_2020_10_01.pdf?sfvrsn=68c2353c_2">New Provider Onboarding Deck</a></li><li><a href="/videos/default-source/provider-education/bh-higher-level-of-care.mp4?sfvrsn=21db5099_18">Video: How To Complete the Higher Level of Care Form</a></li><li><a href="/videos/default-source/provider-education/bh-referral-form.mp4?sfvrsn=18657a9c_20">Video: How To Complete the Behavioral Health Referral Form</a> </li><li><a href="/videos/default-source/webinar/20210414-bh-presentation.mp4?sfvrsn=ac9e2cf3_8">Video: Managing Increased Behavioral Health Demand (4/14/2021 presentation)</a></li><li><a href="/videos/default-source/provider-education/behavioral-health/strategies-for-managing-behavioral-health-demand-1.mp4?sfvrsn=2675ffa5_6">Video: Strategies for Managing Behavioral Health Demand: Prioritizing Highest Need Individuals</a></li><li><a href="/videos/default-source/provider-education/behavioral-health/strategies-for-managing-behavioral-health-demand-2.mp4?sfvrsn=e06105c1_6">Video: Strategies for Managing Behavioral Health Demand: Engaging Providers and Partners</a></li><li><a href="/videos/default-source/provider-education/submit-a-claim-video---bh-services.mp4?sfvrsn=e71f29fb_10">Video: Submitting a Claim for Behavioral Health Providers</a></li></ul></div> </div><div class="sf_cols" data-sf-element="Row"> <div class="sf_colsOut sf_1col_1_100"> <div id="Contentplaceholder_TACCE306D001_Col00" class="sf_colsIn sf_1col_1in_100" data-sf-element="Column 1"> </div> </div> </div> <div > <div class="sfContentBlock sf-Long-text" ></div> </div> <div > <div class="sfContentBlock sf-Long-text" ></div> </div> </div> <div class="container-fluid-margin"> </div> </div> </div> </div>  <div class="pre-footer reveal-fade-in"> <div class="container-fluid"> <div class="row"> <div class="col-sm-12"> </div> </div> </div> </div> </main> <footer> <div class="row pb-3"> <div class="col-xs-12 col-sm-3 col-md-3"> <div> <img style="width:150px;" role="presentation" src="/assets/_img/hpsm-logo.png" /> <p class="notranslate"><span class="block">801 Gateway Blvd., 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