Behavioral Health Services

CenCal HEALTH members have access to services addressing mental health and substance use.  Coverage and provision of these services are shared between CenCal Health, County Behavioral Health Services and State FFS.  CenCal Health is also responsible for providing services to children up to age 20 who is diagnosed with a neuro-developmental disability.  Services include behavior intervention services such as Applied Behavior Analysis (ABA), speech therapy, physical therapy, occupational therapy and psychiatric medication services. 

CenCal HEALTH has partnered with the Holman Group to help manage mental health benefits for CenCal Health Medi-Cal Members with mild to moderate mental health conditions in need of outpatient mental health services.

Calls related to outpatient mental health services can be connected to the Holman Group at (800) 321-2843.

Outpatient Services

The outpatient services for members impacted by mild to moderate mental health conditions will also cover alcohol screening, brief intervention and referral for treatment when provided by Primary Care Providers (PCPs). These new benefits include individual and group evaluation and treatment (psychotherapy), testing, monitoring of drug therapy, outpatient lab services and psychiatric consultation.

Behavioral Health Resources

Substance Use Screening and Treatment

CenCal Health covers screening members for alcohol use and providing brief behavioral interventions at primary healthcare.  Members with primary Medi-Cal Insurance who meet DSM V criteria for substance use disorder must be referred to County Alcohol and Drug Services for appropriate out-patient and residential treatment services.  Members with primary Medicare Insurance who meet DSM V criteria for substance use disorders must be referred to appropriate resources that accept Medicare.

Tools and Resources

CenCal Health Policy for Alcohol Misuse: Screening and Behavioral Counseling Interventions in Primary Care

The Alcohol Use Disorders Identification Test (AUDIT)

Audit C for Alcohol Screening

Santa Barbara County Organized Delivery System (ODS) Presentation to CenCal Health Providers

Services for Alcohol and Other Drug Use

Santa Barbara County Alcohol and Drug Services

San Luis Obispo County Alcohol and Drug Services 

Prop 56: BHI & ACEs Resources

The Department of Health Care Services (DHCS) Behavioral Health Integration (BHI) Incentive Program goals is to incentivize improvement through Prop 56 funding for physical & behavioral health outcomes and deliver efficient care and patient experience.  DHCS is providing this funding to incentivize Medi-Cal providers and health plans to partner together to promote BHI in their practice.

Behavioral Health Integration (BHI) Incentive Program Details: 

  • Three (3) Year Program: April 1, 2020 – December 31, 2022
  • $93 million statewide financial allocation plus additional Federal funds
  • Funding per MCP will be 5% of capitation currently paid by DHCS
  • Funding is an incentive for providers and does not count toward PPS calculation
Contracted Providers are required to submit an application to CenCal Health to operate one (1), or more, of six (6) BHI projects.  Eligible providers include FQHC, RHC, HIS clinics, Hospitals, Medical Groups, Individual providers, Mental Health and Substance Use providers, County Mental Health and Substance Use Disorder providers.

Reference our recorded webinar or CenCal Health's presentation for project details and application timeline requirements.

Click here to find DHCS statewide application, program process guide, and FAQ's

Submit your application or contact CenCal Health via email at 

Adverse Childhood Experiences (ACEs) Details:

The ACEs Aware initiative is first-in-the-nation!  It’s a statewide effort to screen children/adults in primary care settings, and to treat the impacts of toxic stress with trauma-informed care.  ACEs Aware is built on the consensus of scientific evidence demonstrating that early detection and evidence-based intervention improves outcomes.  The goal is to reduce ACEs and toxic stress by half (in one generation), and to launch a national movement to ensure everyone is ACEs Aware.

Effective January 1, 2020 DHCS approved reimbursement for Adverse Childhood Event Screenings (ACEs) for both children and adults up to 65 years of age with Prop 56 funds.  Reimbursement will continue effective July 1, 2020 only to providers that have completed the required 2 hour training available on the ACES Aware website

We Can Prevent ACEs Video

CDC ACEs Resources