GUIDE TO. Medi-Cal Mental Health Services

Transcription

1 GUIDE TO Medi-Cal Mental Health Services Revised August 2013

2 If you are having an emergency, please call or visit the nearest hospital emergency room. If you would like additional information to help you decide if this is an emergency, please see the information on State of California page 6 in this booklet Important Telephone Numbers Emergency San Diego MHP 24 hr. Access and Crisis Line... (888) Problem Resolution: Inpatient or 24-hour residential services JFS Patient Advocacy Program... (800) Outpatient and all other mental health services Consumer Center for Health Education and Advocacy (CCHEA)..(877) How to Get a Provider List: You may ask your Mental Health Plan (MHP) for a directory of people, clinics and hospitals where you can get mental health services in your area. This is called a provider list and contains names, phone numbers and addresses of doctors, therapists, hospitals and other places where you may be able to get help. You may want to contact your MHP first, before you go to seek help. Call your MHP Access and Crisis Line s 24-hour toll-free number, (888) , to request a provider directory and to ask for a referral to a service provider s office, clinic or hospital for help. In What Other Languages And Formats Are These Materials Available? Kung gusto ninyong makatanggap ng mag impormasyon sa Tagalog, tumawag kayo sa telepono sa itaas at humingi kayo na kopya.

3 Introduction to Medi-Cal Mental Health Services Why Did I Get This Booklet And Why Is It Important? You are getting this booklet because you are eligible for Medi-Cal and need to know about the mental health services that San Diego County offers and how to get these services if you need them. If you have trouble with this booklet, please call the MHP Access and Crisis Line at (888) to ask for help or to find out about other ways you can get this important information If you are now getting services from San Diego County, this booklet just tells you more about how things work. This booklet tells you about mental health services, but does not change the services you are getting. You may want to keep this booklet so you can read it again. If you are not getting services right now, you may want to keep this booklet in case you or someone you know, needs to know about mental health services in the future. What Is A Mental Health Emergency? An emergency is a serious mental or emotional problem such as: When a person is a danger to himself, herself, or others because of what seems like a mental illness, or When a person cannot get or use the food, shelter, or clothing they need because of what seems like a mental illness. In an emergency, please call or take the person to a hospital emergency room. How Do I Use This Booklet? This booklet will help you know what specialty mental health services are, who may receive them, and how you can get help from the San Diego County MHP. This booklet has two sections. The first section tells you how to get help from the San Diego County MHP and how it works. The second section is from the State of California and gives you more general information about specialty mental health services. It tells you how to get other services, how to resolve problems, and what your rights are under the program. This booklet also tells you how to get information about the doctors, clinics and hospitals that the San Diego County MHP uses to provide services and where they are located. Welcome to Medi-Cal Mental Health Services

4 What is My County s Mental Health Plan (MHP)? Mental health services are available to people on Medi-Cal, including children, young people, adults and older adults in San Diego County. Sometimes these services are available through your regular doctor. Sometimes they are provided by a specialist, and called specialty mental health services. These specialty services are provided through the San Diego County Mental Health Plan or MHP, which is separate from your regular doctor. The San Diego County MHP operates under rules set by the State of California and the Federal government. Each county in California has its own MHP. If you feel you have a mental health problem, you may contact the San Diego County MHP Access and Crisis Line directly at (888) This is a toll-free telephone number that is available 24 hours a day, seven days a week. Verbal and oral interpretation of your rights, benefits and treatments is available in your preferred language. You do not need to see your regular doctor first or get permission or a referral before you call. You may also request a State Fair Hearing. Please see page 26 in the State of California section of this booklet for more information. If you believe you would benefit from specialty mental health services and are eligible for Medi-Cal, the San Diego County MHP will help you find out if you may get mental health treatments and services. If you would like more information about specific services, please see the sections on Services on pages 9 and 12 in the State of California section of this booklet. What If I Have A Problem Getting Help? If you have a problem getting help, please call the San Diego s MHP Access and Crisis Line, a 24-hour, toll-free phone number at (888) For problems with inpatient or residential services, you may call the JFS Patient s Advocacy Program at (800) For problems with outpatient or any other mental health services, you may call the Consumer Center for Health Education and Advocacy at their toll free number If that does not solve your problem, you may call the State of California s Ombudsman for help: (800) CA Only (916) (800) TTY FAX: (916) ombudsman@dmh.ca.gov

5 Medi-Cal Mental Health Services San Diego County Table of Contents San Diego County Welcome To The San Diego County Mental Health Plan... 1 Basic Emergency Information Important Telephone Numbers... 2 How Do I Know If Someone Needs Help Right Away?... 2 Quick Ways to Get Help... 3 What Specialty Mental Health Services Does San Diego County Provide?... 3 San Diego County Mental Health Plan Services/Information How Do I Get These Services?... 5 In What Other Languages And Formats Are These Materials Available?... 5 What Does It Mean To Be Authorized To Receive Mental Health Services And What Is The Amount, Duration And Scope Of Services Provided?... 6 How Do I Get More Information About Doctors, Therapists, Clinics And Hospitals?... 6 Can I See Any Doctor, Therapist, Clinic Or Hospital On The Provider List?.. 6 What If I Want To Change Doctors, Therapists Or Clinics?... 6 How Do I Get A Provider List... 7 Can I Use The Provider List To Find Someone To Help Me?... 7 What If I Want To See A Doctor, Therapist, Clinic Or Hospital That Is Not Listed On San Diego County s Provider List?... 7 What If I Need Urgent-Care Mental Health Services On A Weekend Or At Night?... 7 How Do I Get Mental Health Services That My Mental Health Provider Does Not Offer?... 7 What If I Need To See A Doctor For Something Other Than Mental Health Treatment?... 8 How Do I Contact The Patient s Rights Advocate?...8 What Can I Do If I Am Not Satisfied With My Mental Health Treatment?... 8 Does San Diego County Keep My Mental Health Records Private?...9 Helpful Telephone Numbers For Friends And Family...9 State of California General Statewide Information How Do I Know if Someone Needs Help Right Away?... 1 County Mental Health Plans What Are Mental Health Services?... 2 Where Can I Get Mental Health Services?... 2 How Do I Get Services?...3 Welcome to Medi-Cal Mental Health Services

6 Medi-Cal Mental Health Services State of California (Continued) Important Information About Medi-Cal Who Can Get Medi-Cal?... 5 Do I Have To Pay For Medi-Cal?... 5 How Do I Get Medi-Cal Services That Are Not Covered by the Mental Health Plan?... 6 What is the Child Health and Disability Prevention (CHDP) Program?... 9 State of California Basic Emergency Information Are You Having an Emergency? What Kind of Emergency-Related Services Are Provided? When Does My County MHP s Responsibility for Covering Post-Stabilization Care End? Services (ADULTS AND OLDER ADULTS) How Do I Know When I Need Help? What Are Signs I May Need Help? What Services Are Available? (CHILDREN, ADOLESCENTS, AND YOUNG PEOPLE) How Do I Know When A Child Needs Help? How Do I Know When An Adolescent or Young Person Needs Help? What Services Are Available? Are There Special Services Available For Children, Adolescent and Young Adults? What Are Therapeutic Behavioral Services (TBS)? Who Can Get TBS? Are There Other Things That Must Happen For Me To Get TBS? How Do I Get TBS? Who Decides If I Need TBS and Where Can I Get Them? What Should Be In My TBS Plan? Medical Necessity Criteria What is Medical Necessity and Why is it so Important? What Are the Medical Necessity Criteria for Coverage of Specialty Mental Health Services Except for Hospital Services? What Are the Medical Necessity Criteria for Covering Specialty Mental Health Services for People under 21 Years of Age? Notice of Action What Is A Notice Of Action? When Will I Get A Notice of Action? Will I Always Get A Notice Of Action When I Don t Get Services I Want? What Will The Notice of Action Tell Me? What Should I Do When I Get A Notice Of Action?... 39

7 Medi-Cal Mental Health Services State of California (Continued) State of California Problem Resolution Processes What If I Don t Get the Services I Want From My County MHP? Can I Get Help to File an Appeal, Grievance, or State Fair Hearing? What If I Need Help to Solve a Problem with my MHP but Don t Want to File a Grievance or Appeal? (THE APPEALS PROCESSES - Standard and Expedited) What Is a Standard Appeal? When Can I File an Appeal? How Can I File an Appeal? How Do I Know If My Appeal is Resolved? Is There a Deadline to File an Appeal? When Will My Appeal Be Resolved? What If I Can t Wait 45 Days For My Appeal Decision? What Is an Expedited Appeal? (THE STATE FAIR HEARING PROCESSES - Standard and Expedited) What Is a State Fair Hearing? What Are My State Fair Hearing Rights? When Can I File For a State Fair Hearing? How Do I Request a State Fair Hearing? Is There a Deadline For Filing a State Fair Hearing? Can I Continue Services While I m Waiting For A State Fair Hearing Decision? What If I Can t Wait 90 Days For My State Fair Hearing Decision? (THE GRIEVANCE PROCESS) What Is a Grievance? When Can I File a Grievance? How Can I File a Grievance? Your Rights What Are My Rights? (ADVANCE DIRECTIVE) What Is an Advance Directive? (CULTURAL COMPETENCY) Why Are Cultural Considerations and Language Access Important? How Services May Be Provided to You How Do I Get Specialty Mental Health Services? How Do I Find a Provider For the Specialty Mental Health Services I Need? Once I Find a Provider, Can the MHP Tell the Provider What Services I Get? Which Providers Does My MHP Use?

8 Welcome to the San Diego County Mental Health Plan We welcome you to San Diego County Mental Health Services, and to the Medi-Cal Mental Health Plan. We provide specialty mental health services for people who live in San Diego County and are eligible for Medi-Cal. Please read this booklet carefully. It contains important information you need to know. As Your Mental Health Services Plan We Will: Get answers to your questions about mental health treatment Tell you what mental health services are covered by Medi-Cal Determine what types of mental health services you need and help you get them Treat you with respect Ensure you receive services in a safe environment Help you get culturally competent care As A Participant, You Also Have Specific Responsibilities: Give honest and complete information about your mental health needs Take an active part in your mental health treatment Keep your appointments as scheduled Call if you cannot keep your appointment Work on treatment goals with your provider 1 San Diego County

9 San Diego County Mental Health Plan Important Telephone Numbers Emergency 911 San Diego MHP Access and Crisis Line (888) TTY for the Deaf and Hearing Impaired (619) Inpatient or 24-hour Residential Services (800) Problem Resolution: JFS Patient Advocacy Program Outpatient and All Other Mental Health (877) Services Problem Resolution: Consumer Center for Health Education and Advocacy (CCHEA) How Do I Know If Someone Needs Help Right Away? Even if there is no emergency, a person with mental health problems needs help right away if one or more of these things are true. Hearing or seeing things others believe are not there Frequent thoughts of, or talking about, death Giving away their things Threatening to kill themselves (suicide) Wanting to hurt themselves or others If one or more of these things is true, call 911 or the San Diego County MHP Access & Crisis Line at (888) (24 hours a day, 7 days a week, toll free). Mental Health workers are on-call 24 hours a day to assist you. Quick Ways To Get Help: Call the Access and Crisis Line at (888) Clinicians answer the phones 24 hours a day, 7 days a week, provide immediate interventions, and can direct you to appropriate services as needed. Call your doctor or therapist. Walk-in services for medication and urgent mental health services are available at regional clinics. Call the Access and Crisis Line at (888) to find out the clinic nearest you with walk-in access. Contact Short-Term Crisis Residential Services If you feel that you are in a mental health crisis and need immediate support to avoid hospitalization, you can enter the Short-Term Acute Residential (START) Program for up to two weeks of stabilization services. Programs are located in: - Central/North Central Regions Jary Barreto Crisis Center: (619) New Vistas Crisis Center: (619) Vista Balboa Crisis Center: (619) San Diego County 2

10 San Diego County Mental Health Plan - East Region Halcyon Crisis Center: (619) North Coastal/North Inland Region Turning Point Crisis Center: (760) South Region Isis Crisis Center: (619) Crisis Intervention for Children and Adolescents, call: - Emergency Screening Unit (24 hours a day, 7 days a week) (619) The Access and Crisis Line (24 hours a day, 7 days a week) (888) Psychiatric Emergency Response Team Referrals go through law enforcement agencies or 911 What Specialty Mental Health Services Does San Diego County Provide? Specialty mental health services are services you receive from a mental health specialist, rather than your family doctor. Specialty mental health services can help you address conditions in your life that may not be addressed by standard medical care. Help is available for people who are in, or are eligible for, the Medi-Cal program. This help may include services such as: Help if you are having a crisis (crisis counseling) Group, individual or family therapy (talking to someone or others with similar experiences) and rehabilitation services Recovery programs Medication support services Assessing your need for services and help Case management If you believe you would benefit from specialty mental health services and are eligible for Medi-Cal, the San Diego County MHP will work to determine whether or not you may be helped with mental health treatments and services. For more information about specific services offered, please see the sections on Services in the State of California section of this booklet. Help is available for people who have, or are eligible for, Medi-Cal. This help may include services such as: 3 Assessments - A service which may include a clinical analysis of the history and current status of a beneficiary s mental, emotional or behavioral disorder, relevant cultural issues and history, diagnosis, and the use of testing procedures. Adult Walk-In Assessment Center in North County - Provides one time and short term urgent and crisis mental health services which include mental health assessment, linkage to ongoing mental health services and community resources and medication evaluations. Counseling Professional guidance, assistance and empowerment provided individually or in groups, using psychological methods.

11 The other services that are sometimes needed are included in the list on pages 9 (adults) and 12 (children) in the State of California section of this booklet. Medication Support Services Assists clients in using medications effectively in treatment of mental health problems through periodic monitoring for continued effectiveness, changing dosage needs, and side effects. Crisis Intervention or Stabilization Quick emergency response services enabling the individual to cope with the crisis while maintaining his/her status as a functioning community member to the greatest extent possible. Adult Residential Treatment Services For persons with chronic and severe mental illness. Programs help clients with medication monitoring and learning how to move toward recovery. Social skills are also taught. Clients meeting medical necessity criteria can stay in some programs for up to a year or more and then can get aftercare, including housing help and support services. Some programs assist the homeless mentally ill. Hospital Care Inpatient psychiatric hospitals are for mental health emergencies and situations that require intensive supervision and the structure of a hospital setting. Case Management Helps and supports people with long-term mental health problems to obtain housing, financial assistance, medical and psychiatric treatment and links to other community services such as education, work, and social programs. Client and Family Peer Support Services Programs providing peer education, advocacy, and assistance services to consumers and family members by persons who have experienced the Mental Health System. Full Service Partnership Programs Programs focused by age group which provide intensive outpatient services for individuals with serious mental health disorders, have no supports and who are at risk of homelessness, jail or institutionalization. Programs provide a broad array of services ranging from housing assistance, substance abuse services, physical health, etc. Dual Diagnosis Services Persons with both a mental health problem and a problem with alcohol or drug abuse can receive treatment for both through many mental health programs. SERVICES FOR CHILDREN AND YOUTH ONLY Outpatient School Based Services outpatient programs covering ages birth to 21 years old. Access to treatment services is through specific school and clinic sites. Treatment services include mental health support, individual, group and family therapy, behavioral intervention, medication management and outreach. Over 300 sites are school based. Children s Walk-In Assessment and Mobile Assessment Team- offers assessment, crisis intervention, case management, psychiatric evaluation, and medication management for children and adolescents experiencing a mental health or behavioral crisis in the North County area. Early Childhood Mental Health Services providing services to children ages 0-5. Includes Incredible Years parenting and children groups, teacher training and individual and family treatment. Day Treatment Intensive or Rehabilitation structured, multidisciplinary mental health treatment program lasting several hours each day and integrated with education and/or residential placement. San Diego County 4

12 Therapeutic Behavioral Services for youth with full-scope Medi-Cal. Provides specialized short-term, one-to-one behavioral services to prevent hospitalization, placements in more restrictive levels of care or to assist with the transition to lower levels of care. The services listed above are the services that the San Diego County MHP thinks are most likely to help people who need mental health services. Sometimes other services may be needed. The other services that are sometimes needed are included in the list on pages 9 (adults) and 12 (children) in the State of California section of this booklet. How Do I Get These Services? There is no wrong door to access mental health services in San Diego County. For assistance, you can do the following: Call the Access and Crisis Line at (888) Trained clinicians answer the phone 24 hours a day, 7 days a week. TTY for the deaf and hard of hearing at (619) A mental health practitioner will assess your condition and will work with you to decide how to most effectively meet your mental health needs and which services you are eligible for. You can request a list of providers in the region where you live including their language and cultural specialties. There are county-contracted clinics and many individual outpatient therapists providing services in all of San Diego to meet many language and cultural needs. Some of the individual outpatient providers may or may not be accepting new clients when you need services. To know which providers are currently accepting new clients, call the Access and Crisis Line at (888) You can also call the Access and Crisis Line if you wish to use services in any other part of the County instead of near your home. Free language assistance is available for mental health services. You have a right to mental health services in a language you understand. Free interpreting is available. In What Other Languages And Formats Are These Materials Available? If you have trouble understanding this booklet, please call the Strategic Planning and Administrative Unit at (619) to find out about other ways you can get this important information. Information is also available in Spanish, Vietnamese, Arabic, and Tagalog. For the visually impaired, information is available in large print and is available electronically for further enlargement. Taped versions of the materials may be available from the Strategic Planning and Administrative Unit at (619) Staff at all programs and interpreter services are also available to help. 5 San Diego County

13 San Diego County Mental Health Plan What Does It Mean To Be Authorized To Receive Mental Health Services And What Is The Amount, Duration And Scope Of Services Provided? You, your provider and San Diego County MHP are all involved in deciding what services you need to receive through the MHP, including how often you will need services and for how long. The San Diego County MHP may require your provider to report the reasons the provider thinks you need services before they are provided. The San Diego County MHP uses a qualified mental health professional to do the review. This review process is called an MHP payment authorization process. The State requires the San Diego County MHP to have an authorization process for day treatment intensive, day rehabilitation, and therapeutic behavioral services (TBS). The San Diego County MHP follows state rules for our MHP payment authorization process, which are described on page 3 in the State of California section of this booklet. If you would like more information on how San Diego County does MHP payment authorizations or when an MHP payment authorization for services might be requested, please contact San Diego County MHP at (800) How Do I Get More Information About San Diego County s Mental Health Services Including Doctors, Therapists, Clinics And Hospitals? If you would like additional information on the structure and operation of the San Diego County MHP, please call the County Mental Health Services Strategic Planning and Administration Unit at (619) or the Access and Crisis Line at (888) Can I See Any Doctor, Therapist, Clinic Or Hospital On San Diego County s Provider List? Yes. However, please be aware that some of the individual providers may or may not be accepting new Medi-Cal beneficiaries when you need help. So you may find it easier to call the Access and Crisis Line at (888) to get referrals to providers who are currently taking new clients. The Access and Crisis Line will also be able to help you find providers who are in another region of the County, which may be more convenient for you to reach. What If I Want To Change Doctors, Therapists Or Clinics? If you are currently receiving specialty mental health services as an outpatient client and wish to change your doctor, you can ask for another provider. If you are receiving services at a clinic, ask for an appointment with another provider. If you are receiving services from an individual outpatient therapist, you can call the Access and Crisis Line at (888) to request another provider. San Diego County 6

14 San Diego County Mental Health Plan How Can I Get A Provider List? You can call the Access and Crisis Line at (888) to request a listing of providers in your area, called a Provider List. Can I Use The Provider List To Find Someone To Help Me? You can request referrals for providers or ask for a list of providers in the areas where you wish to obtain services from the Access and Crisis Line staff at (888) or by accessing the San Diego County MHP website at What If I Want To See A Doctor, Clinic Or Hospital That Is Not Listed On San Diego County s Provider List? You can call the Access and Crisis Line at (888) to ask for service from a particular practitioner. What If I Need Urgent-Care Mental Health Services On A Weekend Or At Night? You may access services after hours for psychiatric urgent and emergency conditions: Call the Access and Crisis line at (888) The phones are answered 24-hours a day, 7 days a week. Children may be taken to the Emergency Screening Unit at 730 Medical Center Court, Chula Vista, CA Phone: (619) Go to your local hospital s Emergency Room. Through the Access and Crisis Line (888) , seek access to a walk-in clinic close to where you live. Call your doctor or therapist. How Do I Get Mental Health Services That My Mental Health Provider Does Not Offer? Call the Access and Crisis Line at (888) and discuss your options with a mental health counselor. 7 San Diego County

15 San Diego County Mental Health Plan For more information on Grievances, Appeals and State Fair Hearings, please turn to the section about Problem Resolution Processes in the State of California page 22 in this booklet. What If I Need To See A Doctor For Something Other Than Mental Health Treatment? How Are People Referred To Medi-Cal Services Other Than Mental Health Care In San Diego County? For information on getting Medi-Cal, or to find other medical insurance and assistance services, call the San Diego Health and Human Services Agency Public Assistance Information Unit toll free at (866) , Monday through Friday 8 a.m. - 5 p.m. If you are a member of a health plan, you can call the Member Services number for your plan listed below to get assistance in finding other types of medical treatment: Care 1 st Health Plan: (800) Community Health Group: (800) Health Net: (800) Kaiser Permanente: (800) Molina Health Care: (888) What Do Patient s Rights Advocates Do? Who are the Patient s Rights Advocates in San Diego County? How Do I Contact Them? The Patient s Rights Advocates can assist you with any problems or concerns you have with your mental health services. The MHP contracts with two organizations to be Patient s Rights Advocates for mental health clients: JFS Patient Advocacy Program will help you with problems with inpatient or 24-hour residential services. You can call them at (800) The Consumer Center for Health Education and Advocacy (CCHEA) will help you with problems with outpatient and all other residential mental health services. You can call them toll free at (877) What Can I Do If I Have A Problem Or Am Not Satisfied With My Mental Health Treatment? San Diego follows the State and federally mandated process for grievances and appeals, adhering to specific timeframes. If you have a grievance about your mental health service or want to appeal a decision made limiting your treatment: o For inpatient or 24-hour residential services, call JFS Patient Advocacy Program at (800) o For outpatient or any other type of non-residential mental health service, call the Consumer Center for Health Education and Advocacy toll free at (877) Both of these agencies will help you use the San Diego s Beneficiary Problem Resolution Process. Medi-Cal Beneficiaries in San Diego have the right to request a State Fair Hearing as specified in State and Federal regulations. San Diego County 8

16 San Diego County Mental Health Plan For further information about the beneficiary problem resolution process, please turn to the section about Grievances, Appeals and State Fair Hearings on page 22 of the State of California section of this booklet. Does San Diego County Keep My Mental Health Records Private? You have a right to privacy. Your provider can exchange clinical information with another provider for your treatment purposes only. Otherwise your provider cannot tell anyone outside of the provider network any clinical information you give the county, unless you give written permission or a court deems it acceptable. Helpful Telephone Numbers For Friends And Family All of the groups listed below have free, caring, education and support services for families and friends of persons with mental illness. Client and Family Support Groups: Family and Youth Roundtable: (619) Parent to Parent Services: (858) Partners Program (Children and Youth): (619) RICA Peer Support Services: (619) NAMI (National Alliance on Mental Illness): Support services include a broad variety of groups including, Spanish speaking, siblings, adult children, education groups, individual community gatherings, etc. that are held in the evenings or mornings in locations throughout San Diego County. NAMI San Diego (covers Central, South & East Regions): (619) NAMI North Coastal: (760) NAMI Escondido/North Inland: (760) NAMI Family & Peer Support Line: (800) NAMI Schizophrenics In Transition (SIT): (760) Mental Health Association: (619) Provides advocacy, education, resource and referral information for clients and families. Public Conservators Office: (858) ext. 2 9 San Diego County Other Community Support Groups: Children and Adults with Attention Deficit Disorder: (800) Filipino Family Support Group (UPAC): (619) National Depression & Bi-Polar Support Alliance La Jolla: (858) San Diego: (858) Rancho Bernardo: (760) P-Flag (Parents and Friends of Lesbians and Gays): (619) Suicide Prevention Action Network: (800) The Center (lesbian and gay, adult and youth support groups): (619)

17 Advocacy Organizations: Alianza: (619) Ext 2391 Consumer Center for Health Education and Advocacy: (877) toll free Family Roundtable: (619) JFS Patient Advocacy: (800) Recovery Innovations of California (RICA): (619) For helpful information on San Diego County Mental Health Services, visit the Web site: San Diego County 10

18 Medi-Cal Mental Health Services General Statewide Information Why Is It Important To Read This Booklet? The first section of this booklet tells you how to get Medi-Cal mental health services through your county s Mental Health Plan. This second section of the booklet tells you more about how the Medi-Cal program works, and about how Medi-Cal specialty health services work in all counties of the state. If you don t read this section now, you may want to keep this booklet so you can read it later. State of California 1

19 County Mental Health Plans If you think you qualify for Medi- Cal and you think you need mental health services, call the Mental Health Plan in your county and say, I want to find out about mental health services. What Are Specialty Mental Health Services? Specialty Mental health services are special health care services for people who have a mental illness or emotional problems that a regular doctor cannot treat. Some specialty mental health services include: Crisis counseling to help people who are having a serious emotional crisis Individual, group, or family therapy Rehabilitation or recovery services that help a person with mental illness to develop coping skills for daily living Special day programs for people with mental illnesses Prescriptions for medicines that help treat mental illness Help managing medicines that help treat mental illness Help to find the mental health services you need Where Can I Get Mental Health Services? You can get mental health services in the county where you live. Each county has a Mental Health Plan for children, teens, adults and older adults. Your county Mental Health Plan has mental health providers (doctors who are psychiatrists or psychologists, and others). 2 State of California County Mental Health Plans

20 How Do I Get Services At My County Mental Health Plan? Call your county Mental Health Plan and ask for services. You do not need to ask your regular doctor for permission or get a referral. Just call the number for your county in the front of this booklet. The call is free. You can also go to a federally qualified health center, a rural health center or an Indian health clinic in your area for Medi-Cal mental health services. (These are official names for different kinds of clinics in your area. If you are not sure about a clinic in your area, ask the clinic workers. These kinds of clinics generally serve people who do not have insurance.) As part of providing mental health services for you, your county Mental Health Plan is responsible for: Figuring out if someone is eligible for specialty mental health services from the MHP. Providing a toll-free phone number that is answered 24-hours a day and 7 days a week that can tell you about how to get services from the MHP. Having enough providers to make sure that you can get the specialty mental health services covered by the MHP if you need them. Informing and educating you about services available from your county s MHP County Mental Health Plans State of California 3