The HPSM Compliance Program
The Health Plan of San Mateo (HPSM) is committed to conducting its business operations in compliance with ethical standards, contractual obligations, and all applicable state and federal statutes, regulations and rules, including those pertaining to Medicare, Medi-Cal and operations of health plans. HPSM’s compliance commitment extends to its business partners and delegated entities that enable HPSM to fully meet the needs of its members.
Our Compliance Program helps us serve our members ethically
We’re committed to practicing business in an ethical manner. Our Compliance Program is designed to:
- Assure compliance with all applicable federal and state laws governing HPSM
- Assure compliance with contractual obligations
- Detect violations of ethical standards
- Combat fraud and abuse
- Ensure effective education and training of staff and business partners
Reporting Potential Compliance Issues and/or Fraud, Waste and Abuse
You can call HPSM’s Compliance Officer, Ian Johansson, during business hours to report compliance issues. HPSM’s business hours are 8:00 a.m. to 5:00 p.m., Monday through Friday (except holidays). To report an issue to Mr. Johansson, call 650-616-0050.
Policies on FWA
- Reporting Compliance Concerns
- Investigating and Reporting Fraud, Waste, Abuse and Neglect
- Hotline Communication Policy
The toll-free Compliance Hotline is 1-800-826-6762.
The Compliance Hotline is accessible 24 hours a day, 365 days a year, excluding designated holidays. Callers can report issues anonymously. All reports will be referred to HPSM’s Compliance Officer and investigated.
Compliance Incident Report Form
Are you an FDR?
Learn about HPSM's requirements, policies and procedures for a contracted First Tier, Downstream or Related Entity (FDR).
Media and Resources
Download and print these 11x17 posters: