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06/25/2025: BEHAVIORAL HEALTH TREATMENT (Medi-Cal Los Angeles County membership)
BHT services are a Medi-Cal covered benefit for members under 21 years of age when medically necessary, based upon the recommendation of a licensed physician, surgeon, or a licensed psychologist after a diagnosis of autism spectrum disorder (ASD). Referrals for these services are available by direct request to the members health plan.
 
06/25/2025: Continuity of Covered Services
Newly Enrolled Medi-Cal members may qualify for the completion of covered services by termed or non-participating or Out of Network providers. Covered services includes include: - Services relating to pregnancy, during pregnancy, and immediately after the delivery (the post-partum period, which is 12 months), and care of a newborn child between birth and age 36 months. - Care of a member with a terminal illness for the duration of a terminal illness, 12 months from the effective date of coverage for a new Member. - Medical Exemption Request (MER) that have been denied as automatic Continuity of Care requests to allow Members to complete courses of treatment
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