Behavioral Health Plan and Provider Information

Medi-Cal Behavioral Health Plan - Provider Directory Website

Document

Member Access Application Programming Interface (API)

The plan offers a Patient Access Application Programming Interface (API) and a publicly accessible, standards-based Provider Directory API that can connect to mobile applications, and is available through the BHP’s website.

To learn more about Member Portal API and privacy, you may access educational resources here: 

Patient Privacy and Security Resources

Behavioral Health Plan Member Handbook

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This guide will help you know what specialty mental health services are, if you may get them, and how you can get help from the Orange County BHP.

For general information and accessibility issues please call:

Orange County Behavioral Health Plan
Phone: 800-723-8641
For TTY/TDD users, call 711

• Behavioral Health Plan Member Handbook (English) also in large print version *February 2026 edition*
• Behavioral Health Plan Member Handbook (Arabic) also in large print version *February 2026 edition*
• Behavioral Health Plan Member Handbook (Chinese - Simplified) also in large print version *February 2026 edition*
• Behavioral Health Plan Member Handbook (Farsi) also in large print version *February 2026 edition*
• Behavioral Health Plan Member Handbook (Korean) also in large print version *February 2026 edition*
• Behavioral Health Plan Member Handbook (Russian) also in large print version *February 2026 edition*
• Behavioral Health Plan Member Handbook (Spanish) also in large print version *February 2026 edition*
• Behavioral Health Plan Member Handbook (Vietnamese) also in large print version *February 2026 edition*

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This guide is available for listening in MP3 audio format in multiple languages.
About listening to files

MC BHP Handbook and Provider Directory Lobby Notice

BH Provider Handbook Coding Manual 

Behavioral Health Provider Handbook Coding Manual Version 11 (November 2020)
(121 page pdf file)

Forms / Brochures

Title	Arabic	Chinese	English	Farsi	Korean	Russian	Spanish	Vietnamese
Advance Health Care Directives (F346-705)
Grievances and Appeals
Grievance or Appeal Form (F346-706) Grievance Tracking Form
Grievance & Appeal Process Posters *** UPDATED ***
Grievance & Appeal Process Posters *** Large Print ***
Grievance Fact Sheet BHP
Credentialing
New Application Request Form
Credentialing Checklist
Cultural Competency Training Requirements
Authorization to Use and Disclose Protected Health Information (County only)
Behavioral Health Plan Intake /Advisement Checklist (F346-753)
Psychiatric Medication Consent (F346-7921)
BHS Combined Informed and Telehealth Consent
BHS Telehealth Email Acknowledgement Form
QMS Continuity of Care Request Form
National Voter Registration Act (NVRA) Preference Forms (County Operated Provider Use Only) National Voter Registration FAQs
Interpretation Services Poster
Supervision Reporting Forms
Clinical Supervision Reporting Form *** UPDATED ***
Clinical Supervisor Agreement (for County Programs only) *** NEW ***
Medical Supervision Reporting Form *** UPDATED 04/2026 ***
Qualified Provider Supervision Form *** Updated 03/2026 ***
NOABD
Notice of Adverse Benefit Determination-Delivery System
Notice of Adverse Benefit Determination- Modification Notice
Notice of Adverse Benefit Determination- Termination Notice
Notice of Adverse Benefit Determination- Denial Notice
NOABD Member Non-Discrimination Notice
Notice of Adverse Benefit Determination-Your Rights Under Medi-Cal
Notice of Availability

Car Seat Safety Flyers (County Operated Provider Use Only) 
Notice of Privacy Practices (NPP) (County Operated Provider Use Only) 
Patients' Rights Downloads
 

Quality Assurance Work Plan

• Quality Assessment and Performance Improvement Program
  • 2025/26 Work Plan - Excel
  • 2024/25 Work Plan - Excel
  • 2023/24 Work Plan - Excel
  • 2019/20 Work Plan - PDF
  • 2018/19 Work Plan - PDF

MOU between CalOptima Health and Health Care Agency

• General MOU between CalOptima Health and HCA - PDF
• Execution Date: 02/14/2025

Behavioral Health Quarterly Meeting Dates - Calendar Year 2025

• 01/15/2025
• 03/19/2025
• 05/21/2025
• 07/16/2025
• 09/17/2025
• 11/19/2025

These meetings are not intended to be open to the public.

MOU between Kaiser Permanente and Health Care Agency

• General MOU between Kaiser Permanente and HCA - PDF
• Execution Date: 10/27/2025

Behavioral Health Quarterly Meeting Dates - Calendar Year 2025

• 12/11/2025

These meetings are not intended to be open to the public.

MOU Between the Managed Care Plans (MCP) and Health Care Agency, Behavioral Health Annual Reporting to the Department of Health Care Services (DHCS)

• 2025 - PDF

For information and resources about the Drug Medi-Cal Organized Delivery System (DMC-ODS), visit http://www.ochealthinfo.com/DMC-ODS