San Francisco Mental Health Plan
Provider Manual

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TABLE OF CONTENTS


  1. WELCOME FROM THE DIRECTOR and MEDICAL DIRECTOR
  2. HOW TO USE THIS MANUAL
  3. QUICK REFERENCE PHONE NUMBERS
  4. SAN FRANCISCO MENTAL HEALTH PLAN MISSION, SYSTEM GOAL, VALUES
  5. THE SAN FRANCISCO MENTAL HEALTH PLAN
  6. HOW TO OBTAIN AUTHORIZATION FOR MENTAL HEALTH SERVICES
  7. MEMBER SERVICES
  8. PROVIDER NETWORK REQUIREMENTS
  9. PROVIDER PROBLEM RESOLUTION AND APPEALS
  10. CLAIMS PROCESSING AND PAYMENT
  11. COORDINATION WITH HEALTH PLAN, PRIMARY CARE PROVIDERS, AND OTHER SOCIAL SERVICES
  12. LEGAL REQUIREMENTS
  13. SFMHP QUALITY MANAGEMENT PROGRAM
  14. APPENDICES