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New address or contact information?

If you move and/or change your contact information (phone number, email), you must tell both HPSM and either the San Mateo County Human Services Agency at 1-800-223-8383 or Social Security Administration at 1-800-772-1213. This will ensure that you continue to get important information about your Medi-Cal coverage status.

To report your new information with HPSM, you can log in to the Member Portal or call the number below if you need assistance.

Log in to the Member Portal

Member Services

Toll free: 1-800-750-4776
Local: 650-616-2133
TTY: 1-800-735-2929 or dial 7-1-1

Phone hours: Monday–Friday 8:00 a.m. to 6:00 p.m.
Office hours: Monday–Friday 8:00 a.m. to 4:00 p.m.
Email: CustomerSupport@hpsm.org

Fight against flu

Flu vaccines are an important step in protecting yourself from a disease that affects thousands of people in the United States every year.

You can get flu shots at:

  • Your doctor’s office
  • Retail pharmacies (call first to check vaccine availability)
  • A free flu clinic

Visit smchealth.org/flu for a schedule of free flu clinics in San Mateo County.

Member / My Health Plan / Medi-Cal

Doctors & Specialists

In general, HPSM will only cover services you receive from Medi-Cal providers in HPSM’s network. You are covered for services from a non-network provider in the United States only for medical emergencies, for urgent care outside of the plan’s service area or when HPSM pre-approves coverage for a visit to non-network provider.

If you have HPSM Medi-Cal and Medicare, you can join HPSM’s CareAdvantage plan! There are more than 650 primary care providers (PCPs) and 6,500 specialists in the CareAdvantage network – giving you lots of choices!

Learn more

Referrals

Preauthorization of referrals are not required if your doctor refers you to a specialist within the HPSM network. You can use the provider search form to quickly find in-network specialists, pharmacies, clinics and hospitals.

If you need to be referred to a specialist outside the HPSM network, the specialist must obtain approval from your primary care provider (PCP) before you receive services. Contact your PCP to learn more. You can find your PCP's phone number on your HPSM member I.D. card. Your PCP will then consult HPSM's Prior Authorization Required List to determine whether the service requires preauthorization.

Search for a provider

Use the online provider search form to find the latest information for in-network primary care providers (PCP), specialists, pharmacies, clinics or hospitals. This directory is updated weekly.  You may need a referral from your PCP before making an appointment with a specialist for non-emergency care. Call your PCP to find out if a referral is required.

Search

  •  Search by provider name, health plan, location or type of provider
  •  Click on a provider's name in the search results to see additional information
  •  Search results include links to interactive maps and directions
  •  Print or save the information for individual providers
  •  Weekly updates ensure you get the most accurate results

Download the Medi-Cal Provider Directory

Request a Printed Copy

If you would like a provider directory mailed to you, please send an email to with the following information:

  •  Your first and last name
  •  Daytime phone number (in case we need to call you about your request)
  •  Mailing address
  •  Which directory you want (CareAdvantage or Medi-Cal)

The provider directory is updated every week; however there may be incorrect or new information about a provider that has not yet been updated. If you find an error, please send us the correct information by using the Provider Directory Error Report Form.

Find a dentist

Dental care is covered through HPSM Dental.

For more information about Medi-Cal doctors and specialists, refer to section 3 of Medi-Cal Member Handbook. To order a printed Member Handbook, email CustomerSupport@hpsm.org or call Member Services.