This page is used by staff working with Healthy San Diego, the Medi-Cal managed care system in San Diego. The staff can obtain resources to assist and inform Medi-Cal members about their health care choices.
Healthy San Diego
Forms
HSD CMCBH Quick Guide Matrix (doc)
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Updated 2/20/19 | 2019-02-20 |
HSD Drug Medi-Cal Quick Guide (pdf)
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Revised 02/02/2023 | 2023-02-03 |
HSD Medi-Cal BH IP Guide Plus (pdf)
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Revised 02/02/2023 | 2023-02-03 |
HSD Medi-Cal EDO Quick Guide Screening Tool (docx)
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Updated 08/13/2019 | 2022-09-16 |
HSD Medi-Cal Quick VID Tool (pdf)
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Revised 02/02/2023 | 2023-02-03 |
HSD Pharmacy Benefit Quick Guide (pdf)
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Revised 02/02/2023 | 2023-02-03 |
HSD-Overview (pdf)
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Revised 02/02/2023 | 2023-02-03 |
Health Plan Contact Card (pdf)
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Revised 05/30/2023 | 2023-05-30 |
Medi-Cal Voluntary Inpatient Detox (VID) Quick Guide (pdf)
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Updated 1/3/19 | 2019-02-13 |
Data Exchange
Provider Network Search Link | Blue Shield Provider Search | CHG Provider Search | Molina Provider Search | County of San Diego Behavioral Health Services Provider Directory | |
API Provider Directory | CHG Provider Directory API | County of San Diego Behavioral Health Services Provider Directory API | |||
Patient Portal | Blue Shield Patient Portal | CHG Patient Portal | Molina Patient Portal | TBD | |
General Info / Plan Home Page | Blue Shield Home Page | CHG Home Page | Molina Home Page | County of San Diego Behavioral Health Services | |
Behavioral Health Landing Page | Blue Shield BH Page | CHG BH Page | County of San Diego Behavioral Health Services |
Managed Care Plan (MCP) Enhanced Care Management (ECM) Referral Forms and Email Contacts
Providers should utilize the below links for ECM referrals and contacts – all referrals should be directed to the MCP using the below forms/email contacts:
Blue Shield Promise | ECM Referral Form (blueshieldca.com) | Email: ECM@blueshieldca.com |
Community Health Group | ECM Referral Form (chgsd.com) | Email: ecm-cs@chgsd.com |
Kaiser | ECM Referral Form (kaiserpermanente.org) | Email: RegCareCoordCaseMgmt@KP.org |
Molina | ECM Referral Form (molinahealthcare.com) | Email: MHC_ECM@Molinahealthcare.com |
Agreements (MOUs)
Blue Shield | ||
CHG | ||
Kaiser | ||
Molina |
Policies and Procedures
Training & Education | ||
Assessment and Referral | ||
Care Coordination | ||
Quarterly Meetings and QI Activities | ||
Dispute Resolution |
Medi-Cal Managed Care Plan (MCP) | Mental Health Plan (MHP) | Drug Medi-Cal Organized Delivery System (DMC-ODS) |
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Blue Shield | ||
CHG | ||
Kaiser | ||
Molina |