Contract Providers

Press Enter to show all options, press Tab go to next option

Welcome to the Fresno County Mental Health Plan, we have provided the following links for your convenience.

If you have additional questions please feel free to contact a Utilization Review Specialist at (559) 600-4645.

Overview of Medi-Cal Mental Health Managed Care of Fresno County

FCMHP Specialty Mental Health Service Quick Reference Guide - Updated March 2020

STRTP Process for Licensure, Program Approval, Medi-Cal Certification

Assessment Form

Reassessment Forms

Clinical Face Sheet

Progress Notes 

Plan of Care - Option No. 1

Plan of Care - Option No. 2

Discharge Summary

Notice of Action - A - English (NOA-A)

Notice of Action - A - Spanish (NOA-A) 

Notice of Action - A - Hmong  (NOA-A)

Medication Referral Form

Mental Health Access Form (electronic version)

Mental Health Access Form (paper version)

Individual/Group Site Certification Tool

Notice of Action - E - English (NOA-E)

Notice of Action - E - Spanish (NOA-E)

Notice of Action - E - Hmong (NOA-E)                                                                                                              

Provider Manuals

FCMHP Clinical Documentation and Billing Manual, 2019

Outpatient ICD-10 Medi-Cal Billable Codes

Inpatient ICD-10 Medi-Cal Billable Codes

California Child and Adolescent Needs and Strengths Form (CANS-50-English Only)

Pediatric Symptom Checklist (PSC-35-English)

Pediatric Symptom Checklist (PSC-35-Hmong)

Pediatric Symptom Checklist (PSC-35-Spanish)

5150 Re-Certification Training

Organizational Provider Site Certification Tool

TBS Referral Form

Individual and Group Provider Fee Schedule

Psychological Testing Referral Form

Frequently Asked Questions

FCMHP Individual Chart Review Tool

County Acceptable Abbreviations

Medication Consent Forms

Fresno County Avatar Service Codes

Contact Us                                                               


Free viewers are required for some of the attached documents.
They can be downloaded by clicking on the icons below.

Acrobat Reader Download Acrobat Reader Flash Player Download Flash Player Windows Media Player Download Windows Media Player Microsoft Silverlight Download Microsoft Silverlight Word Viewer Download Word Viewer Excel Viewer Download Excel Viewer PowerPoint Viewer Download PowerPoint Viewer