Home | Health Plan of San Mateo HPSM
HPSM is looking for providers to serve more than 120,000 Medi-Cal members. Learn more
Where to Start | HPSM Providers
Check out HPSM’s new HEALTHmattersMD blog. Where providers can always find the latest news and updates about HPSM! Learn more
Find a Provider | HPSM Members
HPSM strives to make sure all members can see network providers and specialists near their home or work. We follow time and distance standards set by the state based on zip code. If …
Member Portal | HPSM Members
Welcome to HPSM Six Steps to a Healthy Start Your Member ID Cards CareAdvantage Benefits Other Programs & Services Don't Lose Your Medi-Cal
Provider Portal / eReports | HPSM Providers
If you have questions or need assistance with HPSM's online tools, please contact Claims Services at 650-616-2106 or ClaimsInquiries@hpsm.org. Or watch our video on Signing Up …
Medi-Cal | HPSM Members
HPSM’s Medi-Cal program received Accreditation from the National Committee for Quality Assurance (NCQA) on January 17, 2020. NCQA is a not-for-profit organization dedicated to …
Prior Authorizations | HPSM Providers
Before submitting a request form, search HPSM's prior authorization list by code or service name to see if prior authorization is required. Learn more about the temporary changes to …
Contact Us - HPSM
Call HPSM’s Nurse Advice Line Call 1-833-846-8773 anytime, 24 hours a day–7 days a week. A Licensed Registered Nurse (RN) will give you medical advice when you think you need urgent …
Search Our Provider Directory | HPSM Providers
Out-of-network specialists (except CareAdvantage members, who can be referred to non-network specialists that accept Medicare and agree to bill HPSM) Standing referral (i.e., specialized …
Community Supports (CS) | HPSM Providers
HPSM offers nine CS service options to qualified members: Community Transitions/Nursing Facility to Home provides coordination of services to qualified members.