Behavioral Health benefits are provided by U.S. Behavioral Health Plan, California (USBHPC) (855) 202-0984. Members have access to mental health and substance use disorder (MH/SUD) treatment services through USBHPC. Members do not need a referral from their primary care physician and can search for providers directly through USBHPC.
USBHPC uses clinical criteria based on sound clinical evidence to make coverage decisions for behavioral health services. Members can access the clinical criteria and training resources for its use on the USBHPC website. Select Clinical Criteria under the Resources heading at the bottom of the page. Members can also call USBHPC at (855) 202-0984 to request the actual criteria used to make certain coverage decisions.
Refer to the Sutter Health Plus Evidence of Coverage and Disclosure Form for additional information regarding USBHPC and your MH/SUD benefits.
