Managed Care for Mental Health Services

The MC Specialty Mental Health Service Consolidation Program provides mental health services to all MC recipients in the county through single managed care Mental Health Plan (MHP). Individuals are automatically enrolled upon MC approval.

The MHP for Santa Clara County is:

  • Santa Clara County Mental Health Department
  • 645 South Bascom Avenue
  • San Jose, CA 95128

The toll free telephone number is: 1-800-704-0900

Individuals may call the mental health plan to get information about:

  • Mental health plan services offered
  • How to access mental health services
  • A list of the mental health plan’s psychiatrists, therapists, clinics

Mental Health Services

Most mental health services must be pre-approved by the MHP before the psychiatrist or therapist can be reimbursed by MC. Prior approval is not required for hospital services when an individual needs hospital admission for emergency mental health treatment.

When an MC recipient needs mental health services, he/she should contact his/her family doctor, clinic, or the MHP for approval.

Related Topics

Overview of the Managed Care Two-Plan Model

Health Care Options Enrollment Contractor

HCO Referrals

Coordinated Care Initiative - Cal MediConnect

Other Health Coverage (OHC)

Client Responsibility

EW Responsibility

Unavailable OHC

Health Insurance Premium Payment (HIPP) Program

OHC Identification by DHCS

Cost Avoidance

PHP, HMO, Triwest

OHC Information in MEDS

Removal of OHC Codes for Victims of Domestic Violence

OHC for Foster Care/Adoption Assistance Children

Repayment for Medical Services

Third Party Liability (TPL)

Kaiser Dues Subsidy Program