Skip to Content

Department of Health Services

Behavioral Health Division

Medi-Cal Informing Materials

dhs-bh-banner-750x100.png

Medi-Cal logo 75

These documents are given to clients receiving specialty mental health services that are covered by Medi-Cal.

Beneficiary Handbook: Drug Medi-Cal Organized Delivery System 
English | Spanish- Pending (PDF: 1.09 MB) 
Large type: English | Spanish- Pending
(Print on 8.5" x 14" white paper)

Beneficiary Handbook Cover thumbnail 35

Beneficiary Handbook: Mental Health Services (MHS) UPDATED DECEMBER 27TH, 2023
English | Spanish (PDF: 1.19 and 1.29 MB)
Large type: English | Spanish (PDF: 1.23 and 1.36 MB)
(Print on 8.5" x 14" white paper)

Notice: Updated Beneficiary Handbooks Available 12/01/2024
English (PDF: 1.4MB)

Mental Health Provider Manual August 2021
English (PDF: 2.38 MB)

Client Rights Flyer

Client Rights Poster
English | Spanish (PDF: 102 and 27 kB)
(Print on 8.5" x 14" paper)

Clients Rights and Grievance appeal Process Form

Client Rights & Grievance/Appeal Process and Form
English | Spanish (PDF: 786 and 789 kB)
Large type: English | Spanish (PDF: 785 and 591 kB)
(Print on 8.5" x 14" white paper)

Consumer Notification of Licensing Boards

Consumer Notification of Licensing Boards
English/Spanish (PDF: 80 kB)
(Print on 8.5" x 11" paper)

Early and Periodic Screening Form

Early & Periodic Screening & Diagnosis Including Therapeutic Behavioral Services
English | Spanish (PDF: 670 and 608 kB)
(Print on 8.5" x 11" white paper)

Family Feedback Flyer

Family Feedback Flyer
English | Spanish (PDF: 93 and 118 kB)
(Print on 8.5" x 11" paper)

Adult Family Feedback Form

Family Feedback Form - Adult Services
English | Spanish (PDF: 126 kB)
(Print on 8.5" x 11" paper)

Children Family Feedback Form

Family Feedback Form- Children's Services
English | Spanish (PDF: 142 kB)
(Print on 8.5" x 11" paper)

Free Language Assistance flyer

Free Language Assistance Services
English/Spanish (PDF: 48 kB)
(Print on 8.5" x 11" paper)

Thumb Minors Rights Handbook

Minors' Rights Handbook
English/Spanish (PDF: 246 kB)

CTS Point to Your Language thumbnail 35

Point to Your Language Poster
English/Spanish  (PDF: 116 kB)
(Print on 11" x 17" paper)

Provider Directory for Specialty Mental Health Services

Provider Directory for Specialty Mental Health Services (Updated Monthly)
English - November 2024 | Spanish - Noviembre 2024 (PDF: 2.75 MB & 1.97 MB)

Provider Directory for Specialty Mental Health Services

Provider Directory for Substance Use Treatment Services (Updated Monthly)
English - November 2024 | Spanish -  Noviembre 2024 (PDF: 1.34 MB & 1.56 MB)

Your Right to Make Decisions About Medical Treatment

Your Right to Make Decisions About Medical and Mental Health Treatment
English | Spanish (PDF: 459 and 573 kB)
(Print on 14" x 8.5" paper)

MHS 158 (04-19) Beneficiary Non-Discrimination Notice-1

Beneficiary Non-Discrimination Notice
English | Spanish (PDF: 141 and 130 kB)
(Print on 8.5" x 11" paper)

Mental Health Patient's Rights CSU Poster
English | Spanish (PDF: 1.7 Mb and 521 kB)

Interoperability and Health Information Exchange Frequently Asked Questions and Opt Out Information

English (PDF: 125 KB)

Privacy Practices

Attention contractors: You are required by law to provide clients with your own HIPAA Notice of Privacy Practices statement.

Attention clients: these are the County Mental Health Services Notice of Privacy Practices statements.

Notice of Privacy Practices for Health Care Clients
Print version: English | Spanish (PDF: 193 and 122 kB)

Form: Acknowledgement of Receipt of Notice of Privacy Practices
English | Spanish (PDF: 34.8 kB)

Attention Clients: For more information about opting out of data sharing, please click here.