Managed Care Providers

San Mateo County has a longstanding commitment to collaborate with community partners, individual mental health professionals and counties to provide mental health services that enhance and support the lives of our residents. It is our goal to support our residents through services that are flexible, responsive, and professional. We believe in offering choices to our residents as they make their journey towards wellness. The Private Provider Network (PPN) is comprised of mental health professionals of varying disciplines and specialties. Currently, we have more than 200 providers. Although that may seem like a lot, we still have significant needs in the locations and specialties of our services.  For more information about joining our network, see the PPN Brochure.

Resources for Managed Care Providers:

Manual

• Managed Care Provider Manual

Forms
Note: Certain forms now have an electronically fillable version. Forms must be printed and faxed or mailed in.

• Adult Medi-Cal Managed Care Re-Authorization Request, (Electronically Fillable Form) - for LMFT, LCSW, PhD's
• Youth Medi-Cal Managed Care Re-Authorization Request, (Electronically Fillable Form)- for LMFT, LCSW, PhD's
• MD Assessment, Initial Mental Health Outpatient Client Plan & Re-Authorization Form for ACCESS, (Electronically Fillable Form) - for MDs only
• Health Insurance Claim Form
• Provider Closing Summary, (Electronically Fillable Form)
• Psychiatric Medication Referral - Request for ACCESS, (Electronically Fillable Form)

Contact Information

• Contact Information