Mental Health and Substance Use Treatment
HPSM offers services to help members with their physical, mental, and emotional health. This page provides information and resources for HPSM providers to understand the mental health and substance use benefits available to HPSM members.
Mental health and substance use benefits are available through two systems of care: HPSM and San Mateo County Behavioral Health and Recovery Services (BHRS):
- HPSM manages the benefit for members with mild to moderate mental health issues (Non-Specialty Mental Health Services).
- BHRS manages benefit and treatment for members with:
- Serious mental health issues under the Medi-Cal Specialty Mental Health (SMH) Service benefit.
- Substance use issues under the Drug Medi-Cal Organized -Delivery System (DMC-ODS).
Since October 1, 2024, HPSM has managed the Behavioral Health Treatment (BHT)/Applied Behavioral Analysis (ABA) benefit. Learn more about this benefit.
Resources and Referral Forms for Primary Care Providers
- Behavioral Health Referral Form
- Video: How To Complete the Behavioral Health Referral Form
- Medi-Cal Specialty and Non-Specialty Behavioral Health Criteria and Services
- Regulatory Mental Health MOU Provider Training
- San Mateo County Health Mental Health and Substance Abuse Resources
- Developmental Services Referral Guide
Resources and Referral Forms for Non-Specialty Mental Health (NSMH) providers
- Referral for Higher Level of Care Form - Adult
- Referral for Higher Level of Care Form - Youth
- Video: How To Complete the Higher Level of Care Form
- New Provider Onboarding Deck
- Behavioral Health Provider FAQs
- Video: Managing Increased Behavioral Health Demand (4/14/2021 presentation)
- Video: Strategies for Managing Behavioral Health Demand: Prioritizing Highest Need Individuals
- Video: Strategies for Managing Behavioral Health Demand: Engaging Providers and Partners
- Video: Submitting a Claim for Behavioral Health Providers
Clinical Guidelines for Primary Care Providers and Behavioral Health Providers
- ADHD Medication Guide
- Guidelines for Assessment of and Intervention With Persons With Disabilities
- Guidelines for Psychological Practice for People with Low-Income and Economic Marginalization
- Guidelines for Psychological Practice with Lesbian, Gay & Bisexual Clients
- Guidelines for Psychological Practice with Older Adults
- Guidelines for Treatment of Patients with Substance Use Disorders
- Pharmacological Treatment of Patients with Alcohol Use Disorder