MHP and DMC-ODS Beneficiary Materials Order Form

This form is for County of San Diego Beneficiary Materials hard copy requests only.

•Complete the form below by indicating the number of copies you would like to receive in the designated area for each threshold language.

•Allow 3-5 Business days to process. Processing time may be longer if materials are currently being reordered. County staff will notify you when materials are ready for pick-up.

•Pick-up materials within 7 days of notice from Monday to Friday between 8:30am to 3:00pm, at:

Behavioral Health Services (BHS) Administration 3255 Camino Del Rio S, San Diego, CA 92108


All County of San Diego Beneficiary Materials are available in electronic format on www.optumsandiego.com

Phone
Type of Program*

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Other Beneficiary Materials

Self-Addressed Envelopes for Grievances or Appeals:

Contact the Advocacy Agencies (JFS or CCHEA) directly. They will provide programs with postage paid self-addressed envelopes for clients. Postage paid self-addressed envelopes are required to be provided to clients for mailing grievances and appeals.


For Residential Services, call JFS at 619-282-1134 or 800-479-2233

For Outpatient Services, call CCHEA at 877-734-3258



Client Grievance and Appeal Form and Advance Directive Brochure

Available in all threshold languages for printing at www.optumsandiego.com (Beneficiary Tab)



Behavioral Health Services Provider Directory

The English Provider Directory and link for threshold languages Provider Directory are available at the link below:

https://optumsandiego.com/content/SanDiego/sandiego/en/community-resources/providerdirectory1/provider-directory-in-other-languages.html



MHPs (County Operated) ONLY - Notice of Privacy Practices - County Programs Only

Available in all threshold languages for printing at www.optumsandiego.com (Beneficiary Tab)



MHPs ONLY - Physicians Notice to Patients – California Regulation

Available in all threshold languages for printing at www.optumsandiego.com (Beneficiary Tab)



MHPs ONLY - Fee-For-Service Provider Directory

The Fee-For Service Provider Directory is available in all threshold languages for printing at:

https://www.optumsandiego.com/content/SanDiego/sandiego/en/community-resources/providerdirectory.html (Community Resources Tab)

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