Medi-Cal Informing Materials

These documents are given to clients receiving specialty mental health services that are covered by Medi-Cal.

	Beneficiary Handbook: Behavioral Health Member Handbook Specialty Mental Health Services and Drug Medi-Cal Organized Delivery System Effective Date: December 1, 2024 English \| Spanish (PDF: 1.13, 1.10 MB) Large type: English \| Spanish (Print on 8.5" x 14" white paper)
	Notice: Updated Beneficiary Handbooks Available 12/01/2024 English (PDF: 1.4MB)
	Mental Health Provider Manual *August 2021* English (PDF: 2.38 MB)
	Client Rights Poster English \| Spanish (PDF: 149 kB and 109 kB)
	SUD Member Rights Poster English \| Spanish (PDF: 106 kB and 143 kB)
	Member Rights & Grievance/Appeal Process and Form English \| Spanish (PDF: 937 and 899 kB) Large type: English \| Spanish (PDF: 1178 kB and 1211 kB) (Print on 8.5" x 14" white paper)
	Request for Change of Service Provider English \| Spanish (PDF: 1013 kB)
	Consumer Notification of Licensing Boards English \| Spanish (PDF: 80 kB) (Print on 8.5" x 11" paper)
	Early & Periodic Screening & Diagnosis Including Therapeutic Behavioral Services English \| Spanish (PDF: 670 and 608 kB) (Print on 8.5" x 11" white paper)
	Family Feedback Flyer English \| Spanish (PDF: 93 and 118 kB) (Print on 8.5" x 11" paper)
	Family Feedback Form - Adult Services English \| Spanish (PDF: 126 kB) (Print on 8.5" x 11" paper)
	Family Feedback Form- Children's Services English \| Spanish (PDF: 142 kB) (Print on 8.5" x 11" paper)
	Free Language Assistance Services English \| Spanish (PDF: 48 kB) (Print on 8.5" x 11" paper)
	Minors' Rights Handbook English \| Spanish (PDF: 246 kB)
	Point to Your Language Poster English \| Spanish (PDF: 116 kB) (Print on 11" x 17" paper)
	Provider Directory for Specialty Mental Health Services (Updated Monthly) English - January 2025\| Spanish - Enero 2025 (PDF: 2.75 MB & 1.97 MB)
	Provider Directory for Substance Use Treatment Services (Updated Monthly) English - January 2025 \| Spanish - Enero 2025 (PDF: 1.34 MB & 1.56 MB)
	Your Right to Make Decisions About Medical and Mental Health Treatment English \| Spanish (PDF: 459 and 573 kB) (Print on 14" x 8.5" paper)
	Member Non-Discrimination Notice English \| Spanish (PDF: 257 and 226 kB) (Print on 8.5" x 11" paper)
	Language Assistance Taglines English \| Spanish (PDF: 998 kB and 762 kB)
	Mental Health Patient's Rights CSU Poster English \| Spanish (PDF: 1.7 Mb and 521 kB)
	Interoperability and Health Information Exchange Frequently Asked Questions and Opt Out Information English (PDF: 125 KB)

Privacy Practices

Attention contractors: You are required by law to provide clients with your own HIPAA Notice of Privacy Practices statement.

Attention clients: these are the County Mental Health Services Notice of Privacy Practices statements.

Notice of Privacy Practices for Health Care Clients
Print version: English | Spanish (PDF: 193 and 122 kB)

Form: Acknowledgement of Receipt of Notice of Privacy Practices
English | Spanish (PDF: 34.8 kB)

Attention Clients: For more information about opting out of data sharing, please click here.

Mental Health Hotlines

	Beneficiary Handbook: Behavioral Health Member Handbook Specialty Mental Health Services and Drug Medi-Cal Organized Delivery System Effective Date: December 1, 2024 English \| Spanish (PDF: 1.13, 1.10 MB) Large type: English \| Spanish (Print on 8.5" x 14" white paper)
	Notice: Updated Beneficiary Handbooks Available 12/01/2024 English (PDF: 1.4MB)
	Mental Health Provider Manual *August 2021* English (PDF: 2.38 MB)
	Client Rights Poster English \| Spanish (PDF: 149 kB and 109 kB)
	SUD Member Rights Poster English \| Spanish (PDF: 106 kB and 143 kB)
	Member Rights & Grievance/Appeal Process and Form English \| Spanish (PDF: 937 and 899 kB) Large type: English \| Spanish (PDF: 1178 kB and 1211 kB) (Print on 8.5" x 14" white paper)
	Request for Change of Service Provider English \| Spanish (PDF: 1013 kB)
	Consumer Notification of Licensing Boards English \| Spanish (PDF: 80 kB) (Print on 8.5" x 11" paper)
	Early & Periodic Screening & Diagnosis Including Therapeutic Behavioral Services English \| Spanish (PDF: 670 and 608 kB) (Print on 8.5" x 11" white paper)
	Family Feedback Flyer English \| Spanish (PDF: 93 and 118 kB) (Print on 8.5" x 11" paper)
	Family Feedback Form - Adult Services English \| Spanish (PDF: 126 kB) (Print on 8.5" x 11" paper)
	Family Feedback Form- Children's Services English \| Spanish (PDF: 142 kB) (Print on 8.5" x 11" paper)
	Free Language Assistance Services English \| Spanish (PDF: 48 kB) (Print on 8.5" x 11" paper)
	Minors' Rights Handbook English \| Spanish (PDF: 246 kB)
	Point to Your Language Poster English \| Spanish (PDF: 116 kB) (Print on 11" x 17" paper)
	Provider Directory for Specialty Mental Health Services (Updated Monthly) English - January 2025\| Spanish - Enero 2025 (PDF: 2.75 MB & 1.97 MB)
	Provider Directory for Substance Use Treatment Services (Updated Monthly) English - January 2025 \| Spanish - Enero 2025 (PDF: 1.34 MB & 1.56 MB)
	Your Right to Make Decisions About Medical and Mental Health Treatment English \| Spanish (PDF: 459 and 573 kB) (Print on 14" x 8.5" paper)
	Member Non-Discrimination Notice English \| Spanish (PDF: 257 and 226 kB) (Print on 8.5" x 11" paper)
	Language Assistance Taglines English \| Spanish (PDF: 998 kB and 762 kB)
	Mental Health Patient's Rights CSU Poster English \| Spanish (PDF: 1.7 Mb and 521 kB)
	Interoperability and Health Information Exchange Frequently Asked Questions and Opt Out Information English (PDF: 125 KB)

Medi-Cal Informing Materials

Privacy Practices

Mental Health Hotlines

24-hour Access Line

24-hour Suicide Prevention

24-Hour Crisis Services