Substance Use Disorder Preventive Services
Alcohol misuse screening services are now a benefit covered by L.A. Care Health Plan for all members ages 18 and older. These services for alcohol misuse cover:
- One expanded screening for risky alcohol use per year
- Free 15-minute brief intervention sessions to address risky alcohol use per year
L.A. Care Health Plan does not cover services for major alcohol problems,
but you may be referred to the Los Angeles County Department of Public Health/Substance Abuse and Control (LACDPH/SAPC) with or without a referral from your PCP. For all other substance use disorder treatments, the member will also be referred to the Los Angeles County Department of Public Health/Substance Abuse and Control (LACDPH/SAPC).
Autism Spectrum Disorder
L.A. Care Health Plan covers behavioral health treatment (BHT) for autism spectrum disorder (ASD) for individuals under 21 years of age. This treatment includes applied behavior analysis and other evidence-based services. This means the services have been reviewed and have been shown to work. The services should develop or restore, as much as possible, the daily functioning of a member with ASD.
For more information please review the member handbook for your plan. Member Materials are located under the For Members section.
Mental health services may include treatment for anxiety, depression, or behavior health problems. Your doctor can provide you with some outpatient mental health services.
There are some specialized mental health services that are provided through the Los Angeles County Department of Mental Health (LACDMH). You may receive services from LACDMH with or without a referral from your doctor.
Please contact LACDMH to obtain provider lists, grievance process and continuity of care information.
- Specialized mental health and chemical dependency services are provided by L.A. Care Health Plan.
- Inpatient and outpatient mental health services are covered by L.A. Care Health Plan.
See the Benefit Descriptions section of your Member Handbook to learn more about L.A. Care's Mental Health Services. You may receive services with or without a referral from your doctor.
L.A. Care Covered™ and L.A. Care Covered Direct™
Mental Health and Substance Use Disorder (MH/SUD) benefits are covered through Beacon Health Options. You or your PCP can call Beacon’s Behavioral Health Hotline at 1-877-344-2858 (TTY 1-800-735-2929) to get an appointment. Prior authorization is not required for general outpatient health services for in-network providers. In addition, there is no limitation on the number of visits for medically necessary MH/SUD services. For information on services that do not require prior authorization and the general process for obtaining prior authorization for all other MH/SUD services, please call the Behavioral Health Hotline or review your plan’s Evidence of Coverage at L.A. Care Covered™ and L.A. Care Covered Direct™.