RESOURCE COLLECTION
Grievance and appeal information for members of Behavioral Health Services
Information, forms, and notices for all BHS programs, including BHSA-funded programs. For Healthy Workers members, see the Resources section below to file a grievance or appeal directly with SFHP.
Behavioral HealthDocuments
Informational Handout (BHS 315) describes the appeal process for Medi-Cal members and the grievance process for all members receiving San Francisco Behavioral Health Services. Also available in Spanish, Chinese-Traditional, Vietnamese, Russian, Tagalog
Grievance and Appeal Form (BHS 316) is for members or their authorized representative to file a grievance or to request an appeal. Authorized representatives include relatives, friends, advocates, or your provider, who can help you in the grievance process with your written consent. Also available in: Spanish/Spanish-LARGE print, Chinese/Chinese-LARGE print, Vietnamese, Russian, Tagalog, and English-LARGE print
BBS Notice to Clients (BHS 317) informs members of option to file a complaint with the Board of Behavioral Sciences about services provided by its licensed or registered professionals. Also available in: Spanish, Traditional Chinese (中文-繁體), Vietnamese (Tiếng Việt), Russian (русский), Tagalog (Filipino).
The taglines inform members, potential enrollees, and the public of the availability of no-cost language assistance services, including assistance in non-English languages and the provision of free auxiliary aids and services for people with disabilities. If you need help in your language call 1-888-246-3333 (TTY: 711).
This notice informs members, potential enrollees, and the public about nondiscrimination, protected characteristics, and accessibility requirements. Also available in: Spanish, Chinese, Vietnamese, Russian, and Tagalog.
3.11-01 Defines the grievance and appeal system for BHS members, describes the processes for handling grievances and appeals of adverse benefit determinations, and identifies the respective roles and responsibilities of BHS, providers, and members through its informing materials and documentation requirements.
Technical Revision. Last reviewed February 11, 2026
Resources
Grievance and appeal information for SFHP Healthy Workers enrolled in BHS