Search

HPSM
Providers

Where to Start

Primary Care Provider Grants

HPSM's New Primary Care Provider Grants

Learn more
HEALTHmattersMD

Check out HPSM’s new HEALTHmattersMD blog

Where providers can always find the latest news and updates about HPSM!

Learn more

Change Healthcare cyberattack

As we mitigate the impact of this incident, safely file claims from our Submit Claims page.

Submit claims

Language Assistance Services Available

Language Assistance Resources Request an Interpreter

HPSM Awarded NCQA Accreditation for its Medi-Cal line of business

Learn more 

Pride Month
vax

COVID-19 Vaccine

Resources for Providers

Learn more
Authorizations
Claims
Directory Search
Find a Form
Formulary Search
Learning Lab
Portal/eReports Log in
Provider Resources
View More Tasks

News & Announcements

 
Care Gap Pay-for-Performance Incentive Update (for Pediatric Track Providers) (245 KB)
 
Care Gap Pay-for-Performance Incentive Update (for Family Practice and Adult Medicine Track Providers) (245 KB)
 
Hospital Network Rate Increases Effective 6/1/2025 (257 KB)
 
Community Based Adult Services (CBAS) Network Rate Increases Effective 6/1/2025 (198 KB)
 
Updates on the Skilled Nursing Facility Workforce and Quality Incentive Program (192 KB)

Popular Forms

 
Referral Authorization Correction Form (66 KB)
 
Prior Authorization Request Form (1108 KB)
 
Prescription Drug Authorization Request Form (231 KB)
 
ACE Referral Authorization Form (384 KB)

Page Directory

Authorizations
Prior Authorizations Referrals Prescription Authorizations Specialty Authorizations Prior Authorization List Changes
Claims
Claims Submit Claims Rebill or Update Claims Submit a Claims Dispute or Appeal Electronic Payments Contact Claims Department
Clinician Documentation & Quality Resources
Clinical GuidelinesMedical Record and Facility Site Reviews
Search
Provider Forms Provider Portal Search the Formulary Search the Provider Directory
HPSM Dental Providers
Dental Provider Payments Covered Dental Services Benefits of Dental Integration HPSM Dental Mission An Innovative Pilot Program
Culturally Inclusive Care
Cultural Humility & Cultural Competency Health Literacy Language Assistance Services Maternal Health Older Adults and Persons with Disabilities LGBTQIA+ Patients
Additional Care Resources
Behavioral Health CalAIM COVID-19 Resources Diabetes Prevention Program Glucose Monitors Home Health Care Providers Hypertension and Remote Patient Monitoring (RPM) Using Automatic Blood Pressure Monitors Nurse Advice Line Tobacco Cessation Resources Urgent Care
Our Network
Update Your Info Provider Intake Form Provider Incentive Programs
Provider Education
Grievance and Appeals Process HEALTHmattersMD Provider Notifications Learning Lab Provider Manual Provider Videos
 
 
` }