Behavioral health
Integrated health care
Anthem Blue Cross (Anthem) facilitates integrated physical and behavioral health services as a vital part of health care. Our mission is to address the physical and behavioral health care of members by offering a wide range of targeted interventions, education and enhanced access to care to ensure improved outcomes and quality of life for members.
We work collaboratively with hospitals, group practices, independent behavioral health care providers, community, government agencies, human service districts and other resources. This enables Anthem to successfully meet the needs of members with mental health and substance use disorders as well as those with intellectual and developmental disabilities.
Behavioral health providers can be accessed directly by Anthem members. Members do not have to contact Anthem for a referral.
Note: Please call the Behavioral Health Utilization Management department for Medi-Cal Managed Care (Medi-Cal) at 1-888-831-2246 for questions regarding authorization for applied behavioral analysis (ABA).
Behavioral Health Reimbursement Policies
Access our library of Behavioral Health reimbursement policies to guide you in claims submissions for behavioral health services that could be available in a member’s benefit plan, addressing billable HCPCS or CPT® codes, and more.
If you cannot find the policy information you are searching for, please check our Reimbursement Policies page for additional guidance.
Note: Determination of coverage under a member's plan does not necessarily ensure reimbursement. Industry practices are constantly changing, and Medi-Cal reserves the right to review and revise these policies periodically.
Behavioral Health Reimbursement Policy Definitions (coming soon)
Behavioral Health Reimbursement Policy Disclaimer (coming soon)
Coming soon.
Related information
- Behavioral Health Screening, Assessment and Treatment Guidelines
- Evaluation and Treatment of Children and Adolescents with Attention Deficit/Hyperactivity Disorder
- Identification and Treatment of Antenatal Depression (AND), Postpartum Depression (PPD) and Postpartum Psychosis (PPP)
- Preferred Practice Guidelines for Bipolar Disorder in Adults
- Preferred Practice Guidelines for Bipolar Disorder in Children and Adolescents
- Preferred Practice Guidelines for Identification and Treatment of Substance Use Disorders
- Preferred Practice Guidelines for the Identification and Treatment of Depressive Disorder
- Preferred Practice Guidelines for Schizophrenia
- Anthem Blue Cross Cal MediConnect Plan (MMP): Santa Clara County Behavioral Health provider training
- Behavioral Health Interactive Care Reviewer Training: Submit and Inquire about Behavioral Health Authorizations
- Screening for alcohol use disorder in high-prevalence demographics
Provider tools & resources
- Log in to Availity
- Launch Provider Learning Hub Now
- Learn about Availity
- Prior Authorization Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Reimbursement Policies
- Provider Manuals, Policies & Guidelines
- Referrals
- Forms
- Provider Training Academy
- Pharmacy Information
- Provider News & Announcements
Interested in becoming a provider in the Anthem network?
We look forward to working with you to provide quality services to our members.
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