Behavioral Health Screening Form To Obtain Behavioral Health Assessment Template Page 4

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Health Plan Behavioral Health Network Contact Information
Medi-Cal Managed Care
Non-Specialty
Medi-Cal Managed Care
Behavioral Health
Contact Information
Health Plan
Services Provider
Fax:
(855) 703-3268
Health Net
MHN
Phone:
(800) 675-6110 (Follow member prompts)
Fax:
(562) 499-6105
Health Net – Molina
Molina
Phone:
(888) 665-4621
Fax:
(866) 422-3413
L.A. Care
Beacon
Phone:
(877) 344-2858
Fax:
(855) 473-7902 (Attn: Medi-Cal BH)
L.A. Care – Anthem
Anthem
Email:
Phone:
(888) 831-2246 (Option 1 for BH, 2 for BH Intake)
Fax:
(866) 422-3413
L.A. Care – Care 1st
Beacon
Phone:
(855) 765-9701
L.A. Care –Kaiser
Kaiser
See below for Regional Offices:
Bellflower Area –
San Fernando Valley –
Fax:
Fax:
(818) 592-3015
(562) 657-2497
Downey/Norwalk
Phone:
Woodland Hills
Phone:
(855) 701-7955
(562) 807-6200
San Gabriel Valley –
(661) 951-2999
Fax:
Fax:
(626) 856-3010
Lancaster
(661) 951-0070
Phone:
Baldwin Park/West Covina
Phone:
(626) 960-4844
(323) 783-4299
Fax:
Fax:
(310) 517-3499
Los Angeles – Sunset
South Bay
(323) 783-2600
Phone:
Phone:
(310) 325-6542
Panorama City –
Fax:
(818) 758-1336
Fax:
(323) 298-3119
West L.A.
Santa Clarita/Reseda
Phone:
(818) 758-1200
Phone:
(323) 298-3103
Cal MediConnect Health Plan
Non-Specialty
Cal MediConnect
Behavioral Health
Contact Information
Health Plan
Services Provider
Fax:
(877) 752-3257
st
Care 1
Beacon
Email:
Phone:
(855) 765-9701
Fax:
(877) 749-3734
CareMore
Beacon
Email:
Phone:
(855) 371-8092
Fax:
(855) 703-3268
Health Net
MHN
Email:
Phone:
(855) 464-3571
Fax:
(800) 916-4102
L.A. Care
Beacon
Email:
Phone:
(877) 344-2858
Fax:
(562) 499-6105
Molina
Molina
Phone:
(855) 665-4627
Rev. 08/24/15
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