We believe truly integrated health care involves a radical shift in conceptualizing care and challenges providers to function in ways that often contrast sharply with how they were trained to work.
Understanding the complexity of the health care delivery systems within our local environment is essential in guiding our members to navigate, negotiate and advocate for treatment across all systems. Our goal is to partner with you to bring evidence based behavioral health services to our Members at the right place and at the right time.
Behavior Health Benefits
L.A. Care offers behavioral health services through Carelon Behavioral Health.
Benefits may include:
- Individual and group mental health evaluation and treatment (psychotherapy)
- Psychological testing (prior authorization required)
- Medication support services for the purpose of monitoring drug therapy and psychiatric consultation, as needed.
- Outpatient laboratory, drugs, supplies, and supplements
If you are not currently contracted with Carelon Behavioral Health, call 1-877-344-2858 to discuss continuity of care for an L.A. Care member.
Crisis Services (for commercial lines of business)
- Behavioral Health crisis services that are provided to an enrollee by a 988 center, mobile crisis team, or other provider of behavioral health crisis services, regardless of whether the service is provided by an in-network or out-of-network provider or facility.
- For noncontracting providers: For information on how to obtain prompt authorization for the transfer of a stabilized enrollee’s care to another provider or authorization to provider post-stabilization care, please visit Carelon Health IPA of California's (CHIPA) provider page and reference 24-Hour Access. For contact information, please visit CHIPA's website or call 877-344-2858.
Memorandum of Understanding (MOU) Meetings
Behavioral health hosts quarterly meetings to address care coordination, Quality Improvement (QI) activities, QI outcomes, systemic and case-specific concerns. Meetings are as follows:
Regional Centers
Focuses on Intermediate Care Facility – Developmentally Disabled Services
- September 10, 2024 | 11:00 a.m. to 12:00 p.m. (Virtual)
- June 11, 2024 | 11:00 a.m. to 12:00 p.m. (Virtual)
- March 12, 2024 | 11:00 a.m. to 12:00 p.m. (Virtual)
County Behavioral Health Departments
Focuses on SUD Services in Drug Medi-Cal Organized Delivery System (ODS) Counties AND Specialty Mental Health Services in Medi-Cal Mental Health Plans
- September 11, 2024 | 9:00 a.m. to 10:00 a.m. (Virtual)
- June 12, 2024 | 9:00 a.m. to 10:00 a.m. (Virtual)
- March 13, 2024 | 9:00 a.m. to 10:00 a.m. (Virtual)