PAYERS

The Behavioral Health Partner That Delivers What Others Promise

Trusted by 10+ California health plans to manage behavioral health for their Medicaid populations
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75K+
Patients Served Annually
1.7 Days
Average Referral-to-Treatment
94%
Partner Satisfaction
We Refer Back
Your Patients Return to You
The Problem

Why Traditional Vendors Fall Short

Community-Based Organizations
Often struggle to scale access, maintain consistent quality, and meet payer reporting requirements.
  • Long wait times
  • Limited payer quality expertise
  • Inconsistent clinical oversight
  • HEDIS and compliance challenges
Telehealth Vendors
Marketplace-based models can limit accountability, care coordination, and higher levels of support.
  • Marketplace clinicians with limited accountability
  • Telehealth-only model
  • No higher levels of care
  • Limited payer metric expertise
In-House Programs
Internal programs face overhead, staffing, and infrastructure challenges that restrict growth.
  • High overhead
  • Difficult to scale
  • Limited specialization
  • Staffing challenges
There's a better way.
Wellity Health was purpose-built to solve these exact challenges with a comprehensive approach that combines the speed of telehealth, the clinical rigor of employed provider models, and the payer expertise you need to move quality metrics.
Our Approach

Built Differently. Better Outcomes.

[01]
Employed Clinical Teams
We directly employ our clinical workforce, ensuring consistent standards, clear accountability, and coordinated care across your population.
  • Standardized clinical protocols
  • Direct accountability for outcomes
  • Coordinated, team-based care
  • Immediate supervision and consultation
[02]
Hybrid Care Delivery Model
We provide a full continuum of behavioral health services, allowing members to receive the right level of care without fragmentation or external referrals.
  • Telehealth and in-person care
  • PHP and IOP programs
  • Interventional psychiatry (TMS, ketamine)
  • Same-day crisis access
[03]
Payer-Specific Metric Expertise
Clinicians trained in utilization and quality performance.
  • ASAM and LOCUS/CALOCUS
  • HEDIS optimization (FUH, AMM, ADD, FUM)
  • NCQA-aligned workflows
  • Real-time outcomes tracking
  • 72% FUH 7-day, 85% 30-day, and 82% same-day access rates.
[04]
Custom-Built Technology Platform
Our purpose-built platform supports payer workflows with real-time data, seamless integration, and measurable performance visibility.
  • Real-time eligibility verification
  • Automated documentation
  • Custom reporting dashboards
  • Bi-directional system integration
Proven Results

The Results Speak for Themselves

Access Metrics
1.7  days
Avg. referral to treatment (vs. 42 days CA avg)
82%
Same-day urgent access
92%
IOP/PHP & interventional access
<5%
Same-day no-show rate
Quality Metrics
67%
Reduction in behavioral ER visits
72%
FUH 7-Day Performance
85%
FUH 30-Day Performance
97%
Partner satisfaction score
Cost Impact
$2.8M
Behavioral ER cost reduction
94%
FUH 7-Day Performance
3-6 months
Time to ROI
$450-850
Cost per diverted ER visit
These outcomes are possible because of  our integrated model:
Employed clinicians following consistent protocols, hybrid delivery ensuring appropriate care settings, technology enabling rapid intervention, and deep payer expertise ensuring we're measuring what matters.
Northern California Health Plan Case Study
[01]
Challenge:
Plan needed to manage utilization review for 100,000+ members while maintaining quality and compliance.
[02]
Solution:
Wellity deployed ASAM/LOCUS/CALOCUS-trained clinicians with custom workflows integrated into plan systems.
[03]
Results:
0
Service Disruptions During Transition
100%
Regulatory Compliance
40%
Reduced Autorization Turnaround Time by
Improved
Clinical Documentation Quality
What We Provide

One Partner. Complete Continuum.

Your members have diverse needs. Our model delivers the full spectrum of behavioral health services under one roof, eliminating care fragmentation and referral delays.
Core Behavioral Health Services
  • Individual Therapy: Consistent clinical protocols and quality standards
  • Psychiatry & Medication Management: Board-certified psychiatrists, 3-5 day initial appointments
  • Group Therapy: Specialized programs (perinatal, substance use, chronic disease)
  • Family Therapy: Cultural competency training aligned to your populations
  • Crisis Intervention: Immediate clinical supervision and consultation available
Access Time:
1.7 days average, 82% same-day for urgent
Robust Case Magnement
  • CalAIM-Compliant Programs: Full Case management and Community Supports implementation
  • High-Touch Care Coordination: Dedicated care managers for complex cases
  • Social Determinants Support: Housing, food security, transportation assistance
  • Cross-System Navigation: Medical, behavioral, social services integration
Outcomes:
67% ER reduction, 35% hospitalization reduction among ECM enrollees
School-Based Mental Health (CYBHI)
  • On-Campus Services: Embedded counselors in K-12 settings
  • Early Intervention: Prevention and screening programs
  • Family Engagement: Culturally responsive parent workshops
  • Teacher Consultation: Behavioral support for educators
Impact:
Reducing academic disruption while building behavioral health literacy
Interventional Psychiatry
  • Transcranial Magnetic Stimulation (TMS): Treatment-resistant depression
  • Ketamine Therapy: Rapid-acting intervention for suicidality
  • Medication-Assisted Treatment (MAT): Substance use disorder programs
Differentiation:
Few vendors can deliver these higher-acuity services in community settings
Neuropsychological Assessment
  • Comprehensive Testing: ADHD, learning disorders, cognitive functioning
  • Diagnostic Clarity: Reducing misdiagnosis and inappropriate treatment
  • Treatment Planning Support: Evidence-based recommendations
Value:
Particularly critical for complex pediatric and adult cases
Our Partnerships

Partnership Models Designed for Your Needs

[01]
Full-Service Behavioral Health Partner
Comprehensive behavioral health delivery for plans seeking full network replacement or significant capacity expansion.
What's Included:
  • Complete behavioral health service delivery
  • Enhanced Care Management (ECM) programs
  • Utilization review and authorization support
  • HEDIS measure optimization
  • Custom reporting and analytics
  • Dedicated account management team
Implementation:
Typically 60–90 days, depending on scope.
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[02]
Targeted Program Support
Focused solutions for plans addressing specific gaps, populations, or compliance needs.
Common Programs:
  • ECM implementation
  • School-based mental health (CYBHI)
  • FUH performance improvement
  • High-risk member interventions
  • Prenatal/postpartum mental health
Implementation:
30–60 days for focused programs.
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[03]
Utilization Review & Quality Services
Clinical expertise for plans needing oversight and quality support without direct care delivery.
What's Included:
  • ASAM/LOCUS/CALOCUS-trained reviewers
  • Prior authorization and concurrent review
  • HEDIS and NCQA consulting
  • Clinical documentation improvement
  • Appeals and grievance support
Implementation:
Operational within 30 days.
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Process Overview
[01]
Discovery & Assessment
(Week 1-2)
Assess population, gaps, and requirements.
[02]
Design & Contracting
(Week 3-6)
Build the model and finalize setup.
[03]
Launch & Integration
(Week 7-10)
Train teams and activate systems.
[04]
Ongoing Optimization
(Month 3+)
Monitor performance and improve continuously.
Data Platform

Real-time Visibility Into Every Member Interaction

Member-Level Tracking
Program Performance Metrics
Operational Dashboards
Integration Capabilities
Data Security & Compliance
Partner Results

Proven Partnership Across California

We serve 10+ health plans across California, from large Medicaid MCOs to regional commercial payers. Here's what they tell us makes the difference:
"The difference was immediate. Our members were getting appointments in days, not weeks, and the clinical quality was consistently high. But what really impressed us was their understanding of our HEDIS pressures—they didn't need education on what FUH or AMM meant. They just delivered."
— Director of Behavioral Health, 200,000+ member Medicaid MCO in Northern California
"We've worked with multiple behavioral health vendors over the years. Wellity is the first one that felt like an extension of our team rather than an outside contractor. The real-time data access alone saves our team hours every week."
— Vice President of Network Management, Regional health plan serving Bay Area counties
"When we needed to stand up Enhanced Care Management quickly for CalAIM compliance, Wellity had a program designed and operational in 60 days. Their care managers understand the Medicaid population and the regulatory requirements."
— Chief Medical Officer, 150,000+ member managed care plan
"The difference was immediate. Our members were getting appointments in days, not weeks, and the clinical quality was consistently high. But what really impressed us was their understanding of our HEDIS pressures—they didn't need education on what FUH or AMM meant. They just delivered."
— Director of Behavioral Health, 200,000+ member Medicaid MCO in Northern California
"We've worked with multiple behavioral health vendors over the years. Wellity is the first one that felt like an extension of our team rather than an outside contractor. The real-time data access alone saves our team hours every week."
— Vice President of Network Management, Regional health plan serving Bay Area counties
"When we needed to stand up Enhanced Care Management quickly for CalAIM compliance, Wellity had a program designed and operational in 60 days. Their care managers understand the Medicaid population and the regulatory requirements."
— Chief Medical Officer, 150,000+ member managed care plan
10+
California Health Plans Served
97%
Partner Satisfaction Rate
90%
Contract Renewal Rate
669%
Company Growth over 3 Years (Inc. 5000 #67 Fastest-Growing Healthcare Company)
Recognized for Rapid Growth
Inc.5000 America's Fastest-growing private companies
10+
Health Plans
75K+
Lives
Cafilornia-Based
HIPAA Compliant

Let's Talk About Your

Behavioral Health Strategy

Let's Talk About Your

Behavioral Health Strategy

Whether you're facing network adequacy challenges, struggling with HEDIS gaps, planning for CalAIM compliance, or simply looking for a behavioral health partner that delivers on promises - we'd welcome the conversation.
Schedule a Partnership call
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2026 outcomes report (pdf)
email
partners@wellityhealth.com
phone
(510) 952-1190
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