Providers
Prior Authorizations
HPSM Dental Providers
Referrals
Prescription Authorization Requests
Specialty Provider Authorizations
PAR List Changes
Glucose Monitors
Claims
Submit Claims
Rebill, Correct or Update Claims
Submit a Claims Dispute or Appeal
Get Paid Faster with EFT/ERA
Contact Claims Services
Provider Resources
Provider Manual
Language Assistance Services
Care Coordination
Behavioral Health
Incentive Payments
Section 1: About HPSM
Section 2: Customer Support
Section 3: Member Complaints
Section 4: Claims
Section 5: Provider Disputes
Section 6: Ancillary Services
Section 7: Utilization Management
Section 8: Provider Services
Section 9: Quality Improvement
Section 10: Health Education
Section 11: Fraud Waste and Abuse
Section 12: Privacy
Clinical Guidelines
Cultural Competency
Get a Phone or Video Interpreter
Get Translated Member Materials
Language Documentation Requirements
Health Literacy
Language Training & Resources
Provider Language Assistance Checklist
Tips for Supporting LGBTQIA+ Patients
Interpreter Services Request
Provider Forms
Directory Search
Formulary Search
Diabetes Prevention Program
End of Life Care
Grievance & Appeals Process
Healthcare Effectiveness Data and Information Set
Home Health Care
Initial Health Appointment
Maternal Care
Medical Record and Facility Site Reviews
Member Handbooks
HEALTHmatters MD
Pediatric Care
Potential Quality Issues
Urgent Care
Tobacco Cessation Information and Resources
Identifying Tobacco Users
Treating Patients Who Use Tobacco
Vulnerable Populations
Provider Education and Trainings
Older Adults and People with Disabilities
Provider Videos
Remote Patient Monitoring
Incentive Payments for Primary Care Providers
Incentive Payments for Nursing Facilities
Incentive Payments for Specialists
Learning Lab
Join HPSM Dental
Dental Provider Payments
Covered Dental Services
Benefits of Dental Integration
HPSM Dental Mission
An Innovative Pilot Program
Patient Experience
CalAIM at HPSM
Urgent Messages
News & Updates
Provider Portal / eReports
Join Our Provider Network
Provider Contacts
All Provider Tasks
Incentive Payments
HPSM offers several incentive programs to contracted providers to supplement standard reimbursement. Incentives are currently offered to primary care clinics, nursing facilities and select specialists. These programs are designed to improve outcomes and experience for HPSM members by supporting providers in meeting quality performance targets and ensuring a diverse and well-resourced provider network.
To request more information or for questions regarding these programs, please email PSInquiries@hpsm.org. If you’d like to request to join our network, please click here.