Mental health & substance use disorder services

Find out how to help members.

Therapist listening to patient while writing on clipboard

We provide coverage for the diagnosis and treatment of mental health and substance use disorders for all members, at any age and stage.

Your patients can determine which services are covered by logging in to their Sharp Health Plan online account.

We support and adhere to the California laws regarding mental health parity, maternal mental health and autism spectrum disorder. Please review our mental health guide for more information.

Behavioral health benefits to make life better

We partner with Magellan Healthcare, Inc.1 to offer a broad range of behavioral health benefits to San Diegans, including inpatient hospital services, partial hospital services and outpatient services ordered and performed by participating behavioral health professionals.

Members have direct access to plan providers for behavioral health services without obtaining a referral from their primary care provider. However, covered behavioral health benefits must be obtained through plan providers.

Behavioral health prior authorization

Looking for mental health and substance use disorder prior authorization guidance? It’s here.

Patient sitting and speaking with therapist

Do you have patients ready to schedule an appointment?

Have them contact a behavioral health provider today.

SEARCH THE IFP/COMMERCIAL PROVIDER LIST Search the Medicare provider list

Download the provider directory

Patients can download a provider directory that lists all primary care physicians, specialists, hospitals, urgent care centers and pharmacies for their network.

The name of a patient's network can be found on the front of any Sharp Health Plan member ID card.


Maternal Mental Health Referral Program

According to Maternal Mental Health Law 1367.625, it is mandatory for health care providers to screen patients for maternal mental health conditions during prenatal, postpartum, or interpregnancy care, including:

  • At least one maternal mental health screening during pregnancy
  • At least one additional screening during the first 6 weeks of the postpartum period
  • Additional postpartum screenings, if determined medically necessary and clinically appropriate in the judgement of the treating provider

Screenings commonly used include:

  • The Edinburgh Postnatal Depression Scale (EPDS)
  • The PHQ-9 Screening

We offer case management services to referred patients who are enrolled in benefits with Sharp Health Plan and who qualify. Our case management services include help with:

  • Understanding health care benefits
  • Making appointments
  • Doula services, for those who are eligible

To submit a referral, please use the request form below. Patients can find more information about the Maternal Mental Health Referral Program in the member flyer.

Referral request form Member flyer

Questions

Please visit our behavioral health resource center for more information on our services. Members can also call the Customer Care line at 1-858-499-8300 to be referred.

1. In California, Magellan does business as Human Affairs International of California, Inc.