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Behavioral Health Services

Santa Clara Family Health Plan (SCFHP) is committed to members' physical and behavioral health. SCFHP partners with Santa Clara County Behavioral Health Services Department to cover behavioral health services including mental health, and we can help members coordinate care and resources ensuring members can get the support and medical services.

Specialty behavioral health services (or mental health services) are available to members through Santa Clara County Behavioral Health Services Department if members meet Medi-Cal specialty mental health services medical necessity criteria. Medi-Cal specialty mental health services provided by the Santa Clara County Behavioral Health Services Department include:

  • Mental health services (assessment, therapy, rehabilitation, collateral, and plan development)
  • Medication support services
  • Day treatment intensive
  • Day rehabilitation
  • Crisis intervention
  • Crisis stabilization
  • Adult residential treatment services
  • Crisis residential treatment services
  • Psychiatric health facility services
  • Psychiatric inpatient hospital services
  • Targeted case management

Members can call Santa Clara Behavioral Health Services any time, toll-free telephone number at 1-800-704-0900, 24 hours a day, 7 days a week. To find all counties’ toll-free telephone numbers online, visit http://www.dhcs.ca.gov/individuals/Pages/MHPContactList.aspx

What is Behavioral Health Care?

Also known as behavioral health, mental health is the balance of the state of functioning of the brain and emotions and how that balance (or imbalance) affects behavior and thoughts.

What services are available through SCFHP to treat mental health and wellness?

Primary care providers can prescribe medications to help with any mild to moderate symptoms. Mild to moderate symptoms refer to how mental health and wellness gets in the way with daily life and function. Members should talk to their doctor about how they are feeling. Some SCFHP providers mild to moderate services such as talk therapy.

What services are available through the county?

Santa Clara County Behavioral Health Department provides services for those with severe needs that require a higher level of care and treatment. For more information about the how Santa Clara County Behavioral Health Department can help you, please call at 1-800-704-0900 or visit their website at https://bhsd.sccgov.org/home. The county call center is able to help you in the following languages: English, Spanish, Chinese, Vietnamese, Farsi, Tagalog.

How do I find a behavioral health provider?

There are many different ways you can locate a provider. One way is to look on the SCFHP website Find a Doctor search tool to locate a behavioral health provider. Another, is to call SCFHP customer service for MC Phone: 1-800-260-2055; TTY: 711 and for CMC Phone: 1-877-723-4795; TTY: 711 for assistance. And lastly, you can call the Santa Clara County Behavioral Health Department who will ask screening questions to make sure you are given the right type of provider/clinic to address your needs 1-800-704-0900.

What resources are available for children under the age of 21?

The Early, Periodic Screening, Diagnostic and Treatment (EPSDT) benefit provides broad guidance regarding beneficiaries under the age of 21 for both physical and behavioral health care. SCFHP has network providers that provide mild to moderate level services to beneficiaries under the age of 21. Providers can refer to Kidscope, or other developmental clinics to confirm diagnosis and treatment recommendations. The Santa Clara County Behavioral Health Department assists with referrals for children between the ages of 0-5 and their families through the KidConnections Network of Care. The Children, Youth and Family System of Care provides services to children and adolescents and their families who are experiencing extreme emotional distress by addressing behavioral health needs in the least restrictive, most family-like manner possible. To access the services above, please call the Santa Clara County Behavioral Health Department at 1-800-704-0900.

What is Behavioral Health Treatment?

Behavioral health treatment (BHT) includes evaluation, assessment, and treatment for beneficiaries under the age of 21 with or without an Autism Spectrum Disorder diagnosis. The most common treatment is Applied Behavioral Analysis (ABA) or social skills groups. BHT can be prescribed by an MD, Surgeon, or licensed psychologist. A prior authorization is required before services are rendered. Authorizations are reviewed for medical necessity every 6 months.

Does an SCFHP member need to get an authorization before starting services?

There is no need to get an authorization before starting treatment with a provider in the SCFHP network. Primary care providers need to submit a request for authorization to see a non-contracted (out of network) provider.

How does an SCFHP member access substance use treatment?

Members should talk to their primary care provider about how the use of alcohol and/or other substances affects your physical and mental health. Services to treat alcohol and/or substances are provided through the Santa Clara County Gateway Call Center. To access these services, call 1-800-488-9919. A representative will talk to you about the different types of treatment, then give you instructions on what to do next.

What if urgent care is needed or someone is having a behavioral health crisis?

The person in crisis should visit the nearest emergency room for an evaluation. It might be safest for them to have someone help get them there. They can also call the crisis hotline at 988. For life-threatening emergencies, call 911.

Additional Resources

Behavioral Health Prevention and Treatment

  • Organization: Bay Area Community Health (BACH)
  • Description: Bay Area Community Health offers flexible and personalized support to achieve our patients’ behavioral health goals. Mental health services include:
    • Prevention
    • Assessment
    • Diagnosis
    • Treatment/intervention
    • Follow-up of mental health conditions and disorders (e.g., depression, anxiety, attention deficit and disruptive behavior disorders)
    • Substance abuse services are screening, diagnosis, and treatment services for substance use disorders (e.g., abuse of alcohol, tobacco, prescription drugs).
  • Languages: English, Español, Tiếng Việt
  • Age range: All ages
  • Call 1-408-729-9700 for more information.

Behavioral Health Counseling

  • Organization: Gardner Health Services
  • Description: Gardner Health Services provides behavioral health services for patients who need support caring for their emotional health. Their counselors, peer partners, and psychiatrists work together with the patients’ physician to improve overall health and well-being.
  • Languages: English, Español
  • Age range: All ages
  • Call: 1-408-457-7100. PCP referral required.