Reassessment Forms

Reassessments Forms

If you feel that additional treatment is clinically indicated for a consumer beyond our initial authorization period, reassessment paperwork must be submitted to the Fresno County Mental Health Plan for approval. To prevent a break in services, we recommend that the reassessment paperwork be submitted 10 days before the end of the authorization.

Our current Reassessment Form - PDF(PDF, 63KB) / Reassessment Form - Computer Type Word Document(DOC, 272KB) are included here. Please complete all sections. You may fax completed reassessment forms to (559) 455-4633 or mail them to:

Fresno County Mental Health Plan
P.O. Box 45003
Fresno, CA 93718-9886

Contact Us

Phone

(559) 600-4645

Alternate Phone

TTY: 711

Fax

(559) 455-4633

Mailing Address

Fresno County Mental Health Plan
P. O. Box 45003
Fresno, CA. 93718-9886

For billing questions and inquiries, contact Managed Care at (559) 600-4645 and ask to speak to a Provider Relations Specialists.

For authorization questions, contact Managed Care (559) 600-4645 and asks to speak to a Utilization Review Specialists.

 

If you have a Behavioral Health emergency 
please call 9-1-1

 

Central Valley Suicide Prevention Lifeline
988

 

Mobile Crisis Response
(559) 600-6000

 

For Access to Services or the Crisis Line,
1 800 654-3937

 

 CalHOPE Warm Line
1 833 317-HOPE(4673)

 

 

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