Alliance Medi-Cal

Alliance Medi-Cal members can access mental health services through the Alliance or through the Alameda County Behavioral Health ACCESS center. The Alliance covers the following medically necessary outpatient mental health services:

  • Dyadic therapy
  • Family therapy
  • Group therapy
  • Individual therapy
  • Psychiatric consultation and medical management
  • Neuropsychological and psychological testing
  • Transcranial Magnetic Stimulation
  • Spravato/Ketamine
  • Outpatient electroconvulsive therapy (ECT)

No prior authorization is required for an initial mental health evaluation and ongoing outpatient visits with contracted mental health providers. Prior authorization is required for the following outpatient services:

  • Psychological/neuropsychological testing
  • Transcranial Magnetic Stimulation (TMS)
  • Outpatient electroconvulsive therapy (ECT)
  • Ketamine/Spravato drug treatment

All prior authorization requests may be submitted with supporting clinical documentation demonstrating medical necessity.

Services Beyond Outpatient Visits and Procedures

Intensive outpatient, partial hospitalization, residential, and inpatient care are not covered benefits through the Alliance. Similar services are available to members by contacting Alameda County Behavioral Health ACCESS at 1.800.491.0100.

If a member’s mental disorder requires a higher level of care beyond outpatient visits, the provider may refer the Medi-Cal member to specialty mental health care by calling ACCESS and completing the Department of Mental Health Services (DHCS) required transition of care form, which can be accessed here: Transition of Care Tool for Medi-Cal Mental Health Services.

Need assistance with care coordination?

You may also provide this number directly to your patients.

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