Mental Health and Medi-Cal

I have a Medi-Cal managed plan. The way it works is that for all of my Healthcare, I have a “Medical Home,” which is basically a single health system. As long as I stay within that health system, everything is covered … except for mental health.

For mental health, they have some other 3rd party outside contractor called Beacon Health Options that handles their mental health stuff.

I want to use the psychiatry department at my “medical home” rather than Beacon Health. My PCP has been corresponding with the Psych department within the health system (Medical Home) to get advice on my case so far and I’d feel most comfortable staying with them.

Through my PCP, I have already had every genetic test under the sun which says that I have really unusual responses to psychiatric drugs (like anti-depressents and anti-anxiety medication) due to my unusual genetics.

I want to request an exception from my Managed Medicaid plan to let me get my psych care at my approved Medical Home. What is the best way to write my request so that the exemption gets approved. I know it is a long-shot but I really would like to give it my best effort and I know my PCP will advocate for me to the insurance company if I ask him to because he is awesome.

Any advice would be sincerely appreciated. My apologies for this wall of text.