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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
    • Coordination with Primary Care Provider
    • Consultation/Liaison Services for Primary Care and Other Healthcare Providers
    • Role and Responsibility of Primary Care Provider
    • Coordination with Substance Abuse Treatment Services
    • Coordination with Other Social Services
    • Coordination with Specialized Child and Geriatric Services
12. LEGAL REQUIREMENTS
13. SFMHP QUALITY MANAGEMENT PROGRAM
14. APPENDICES