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Medi-Cal Manuals | HPSM Members
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<span class="text-danger">Close</span></a> </div> </div><!-- /.canvas --> </header> <main class="main-content"> <div class="container-fluid"> <div class="row"> <div class="col-xs-12 col-sm-4 col-sm-push-8"> <div class="page-navigation"> <img src="/images/default-source/banners/medi-cal-content-1.png?sfvrsn=7f702786_6" title="health-worx-content-1" alt="health-worx-content-1" /> <div class="accordian-menu PMS308" role="navigation" aria-labelledby="pageNav"> <span id="pageNav"> <span class="Medi-Cal">Medi-Cal</span> <i href="#sideNav" class="fa fa-caret-down collapsed" data-toggle="collapse" data-parent=".accordian-menu"></i> </span> <div class="list-group panel" id="sideNav"> <a href="https://www.hpsm.org/member/medi-cal/eligibility" class="list-group-item strong "> Eligibility </a> <a href="https://www.hpsm.org/member/medi-cal/benefits" class="list-group-item dropdown-item collapsed "> Benefits & Services <i href="#group-154f66d73-5412-4ae0-8f4d-dd62957bd892" class="fa fa-caret-down 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data-parent="group-1022e58b3-d61e-4552-989f-46fd9ec9dd73"></i> </a> <div class="collapse" id="group-194a1dbf6-aa2f-4b3b-8884-0fd83f559ccd"> <a href="https://www.hpsm.org/member/medi-cal/medi-cal-rx/id-cards" class="list-group-item strong "> Your New ID Cards </a> <a href="https://www.hpsm.org/member/medi-cal/medi-cal-rx/your-pharmacy" class="list-group-item strong "> Find a Pharmacy </a> <a href="https://www.hpsm.org/member/medi-cal/medi-cal-rx/drug-list" class="list-group-item strong "> List of Covered Medicines </a> <a href="https://www.hpsm.org/member/medi-cal/medi-cal-rx/appeals-and-complaints" class="list-group-item strong "> Appeals and Complaints </a> <a href="https://www.hpsm.org/member/medi-cal/medi-cal-rx/helpful-contact-information" class="list-group-item strong "> Helpful Contact Information </a> </div> <a href="https://www.hpsm.org/member/medi-cal/hpsm-dental" class="list-group-item strong "> HPSM Dental </a> <a href="https://www.hpsm.org/member/medi-cal/where-can-i-get-care" class="list-group-item dropdown-item collapsed "> Where Can I Get Care? <i href="#group-126fd7936-aab2-416d-86c5-11f54183f5dd" class="fa fa-caret-down collapsed" data-toggle="collapse" data-parent="group-1022e58b3-d61e-4552-989f-46fd9ec9dd73"></i> </a> <div class="collapse" id="group-126fd7936-aab2-416d-86c5-11f54183f5dd"> <a href="https://www.hpsm.org/member/medi-cal/where-can-i-get-care/emergency-medical-care" class="list-group-item strong "> Emergency Medical Care </a> </div> <a href="https://www.hpsm.org/member/medi-cal/get-your-initial-health-assessment" class="list-group-item strong "> Initial Health Assessment </a> <a href="https://www.hpsm.org/member/medi-cal/continuity-of-care" class="list-group-item strong "> Continuity of Care </a> <a href="https://www.hpsm.org/member/medi-cal/whole-child-model" class="list-group-item dropdown-item collapsed "> Whole Child Model <i href="#group-114390f98-fab6-40ea-8ec5-67e4740693ff" class="fa fa-caret-down collapsed" data-toggle="collapse" data-parent="group-1022e58b3-d61e-4552-989f-46fd9ec9dd73"></i> </a> <div class="collapse" id="group-114390f98-fab6-40ea-8ec5-67e4740693ff"> <a href="https://www.hpsm.org/member/medi-cal/whole-child-model/qualifying-conditions" class="list-group-item strong "> Qualifying Conditions </a> </div> <a href="https://www.hpsm.org/member/medi-cal/ride-benefit" class="list-group-item strong "> Ride Benefit </a> <a href="https://www.hpsm.org/member/medi-cal/language-services" class="list-group-item strong "> Language Services </a> <a href="https://www.hpsm.org/member/medi-cal/resources" class="list-group-item dropdown-item collapsed "> Member Materials <i href="#group-15a440ed8-78c1-4c02-a475-7a3bf2d5b9a3" class="fa fa-caret-down collapsed" data-toggle="collapse" data-parent="group-1022e58b3-d61e-4552-989f-46fd9ec9dd73"></i> </a> <div class="collapse" id="group-15a440ed8-78c1-4c02-a475-7a3bf2d5b9a3"> <a href="https://www.hpsm.org/member/medi-cal/resources/manuals" class="list-group-item strong active"> Member Manuals </a> <a href="https://www.hpsm.org/member/medi-cal/resources/member-forms" class="list-group-item strong "> Member Forms </a> <a href="https://www.hpsm.org/member/medi-cal/resources/member-notices" class="list-group-item strong "> Member Notices </a> <a href="https://www.hpsm.org/member/medi-cal/resources/member-newsletters" class="list-group-item strong "> Member Newsletters </a> </div> <a href="https://www.hpsm.org/member/medi-cal/medi-cal-quick-start-guide" class="list-group-item dropdown-item collapsed "> Quick-Start Guide <i href="#group-188a80ea2-1e01-406e-a1a5-66bf11c5b5ff" class="fa fa-caret-down collapsed" data-toggle="collapse" data-parent="group-1022e58b3-d61e-4552-989f-46fd9ec9dd73"></i> </a> <div class="collapse" id="group-188a80ea2-1e01-406e-a1a5-66bf11c5b5ff"> <a href="https://www.hpsm.org/member/medi-cal/medi-cal-quick-start-guide/welcome-to-hpsm" class="list-group-item strong "> Welcome to HPSM </a> <a href="https://www.hpsm.org/member/medi-cal/medi-cal-quick-start-guide/six-steps-to-a-healthy-start" class="list-group-item strong "> Six Steps to a Healthy Start </a> <a href="https://www.hpsm.org/member/medi-cal/medi-cal-quick-start-guide/know-your-id-cards" class="list-group-item strong "> Know Your ID Cards </a> <a href="https://www.hpsm.org/member/medi-cal/medi-cal-quick-start-guide/hpsm-benefits" class="list-group-item strong "> HPSM Benefits </a> <a href="https://www.hpsm.org/member/medi-cal/medi-cal-quick-start-guide/other-programs-services" class="list-group-item strong "> Other Programs & Services </a> <a href="https://www.hpsm.org/member/medi-cal/medi-cal-quick-start-guide/dont-lose-your-medi-cal" class="list-group-item strong "> Don't Lose Your Medi-Cal </a> </div> <a href="https://www.hpsm.org/member/medi-cal/problems-and-complaints" class="list-group-item strong "> Problems and Complaints </a> <a href="https://www.hpsm.org/member/medi-cal/nondiscrimination-notice" class="list-group-item strong "> Nondiscrimination Notice </a> <a href="https://www.hpsm.org/member/medi-cal/contact-us" class="list-group-item strong "> Contact Us </a> </div> </div> </div> <div class="related-items"> <!-- Have a Question? --> <div class="card"> <h3> </h3> <div class="name-and-phone-list"> <h5> </h5> </div> <div class="name-and-phone-list"> <h5> </h5> </div> <div class="name-and-phone-list"> <h5> </h5> </div> </div> </div> </div> <div class="col-xs-12 col-sm-8 col-sm-pull-4"> <div class="content-area container-fluid-margin"> <div class="sf_cols" data-sf-element="Row"> <div class="sf_colsOut sf_1col_1_100"> <div id="Contentplaceholder_TACCE306D001_Col00" class="sf_colsIn sf_1col_1in_100" data-sf-element="Column 1"> <div > <div class="sfContentBlock sf-Long-text" ><h1>Medi-Cal Member Manuals</h1></div> </div> </div> </div> </div> <div > <div class="sfContentBlock sf-Long-text" ></div> </div> <div class="page-documents"> <h3></h3> <div class="color-tabs notranslate"> <ul style="list-style-type:none;padding-left:0;" class="nav nav-tabs responsive-tabs" role="tablist"> <li class="lang-en active" role="tab" aria-controls="panelen" aria-selected="false"> <a href="#panelen" tabindex="1">English</a> </li> <li class="lang-es " role="tab" aria-controls="paneles" aria-selected="false"> <a href="#paneles" tabindex="2">Spanish</a> </li> <li class="lang-zh " role="tab" aria-controls="panelzh" aria-selected="false"> <a href="#panelzh" tabindex="3">Chinese</a> </li> <li class="lang-fil " role="tab" aria-controls="panelfil" aria-selected="false"> <a href="#panelfil" tabindex="4">Filipino</a> </li> </ul> <div class="tab-content"> <div class="tab-pane active first" id="panelen" role="tabpanel" aria-labelledby="taben" aria-hidden="true"> <a href="https://www.hpsm.org/docs/default-source/member-manuals/medi-cal_provider_directory.pdf?sfvrsn=86cc3c4f_542" role="button" target="_blank" class="download" tabindex="1">Medi-Cal Provider Directory <span></span></a> <a href="https://www.hpsm.org/docs/default-source/member-manuals/medi-cal_guide_for_new_members_english.pdf?sfvrsn=78d3d4d5_56" role="button" target="_blank" class="download" tabindex="1">Medi-Cal Benefits Quick-Start Guide <span></span></a> <a href="https://www.hpsm.org/docs/default-source/member-manuals/medi-cal-member-handbook-english.pdf?sfvrsn=fa21ef70_58" role="button" target="_blank" class="download" tabindex="1">Medi-Cal Member Handbook / Evidence of Coverage <span></span></a> </div> <div class="tab-pane " id="paneles" role="tabpanel" aria-labelledby="tabes" aria-hidden="true"> <a href="https://www.hpsm.org/docs/default-source/member-manuals/medi-cal_provider_directory.pdf?sfvrsn=86cc3c4f_542" role="button" target="_blank" class="download" tabindex="2">Medi-Cal directorio de proveedores y farmacias <span></span></a> <a href="https://www.hpsm.org/docs/default-source/member-manuals/medi-cal_guide_for_new_members_spanish.pdf?sfvrsn=78d3d4d5_56" role="button" target="_blank" class="download" tabindex="2">Guía de inicio rápido de beneficios de Medi-Cal <span></span></a> <a href="https://www.hpsm.org/docs/default-source/member-manuals/medi-cal-member-handbook-spanish.pdf?sfvrsn=fa21ef70_58" role="button" target="_blank" class="download" tabindex="2">Manual del Miembro de Medi-Cal <span></span></a> </div> <div class="tab-pane " id="panelzh" role="tabpanel" aria-labelledby="tabzh" aria-hidden="true"> <a href="https://www.hpsm.org/docs/default-source/member-manuals/medi-cal_provider_directory.pdf?sfvrsn=86cc3c4f_542" role="button" target="_blank" class="download" tabindex="3">Medi-Cal 服務提供者及藥房名錄 <span></span></a> <a href="https://www.hpsm.org/docs/default-source/member-manuals/medi-cal_guide_for_new_members_chinese.pdf?sfvrsn=78d3d4d5_56" role="button" target="_blank" class="download" tabindex="3">Medi-Cal 加州低收入醫療保險 (白卡) 福利快速入門指南 <span></span></a> <a href="https://www.hpsm.org/docs/default-source/member-manuals/medi-cal-member-handbook-chinese.pdf?sfvrsn=fa21ef70_58" role="button" target="_blank" class="download" tabindex="3">Medi-Cal 會員手冊及承保說明書 <span></span></a> </div> <div class="tab-pane " id="panelfil" role="tabpanel" aria-labelledby="tabfil" aria-hidden="true"> <a href="https://www.hpsm.org/docs/default-source/member-manuals/medi-cal_provider_directory.pdf?sfvrsn=86cc3c4f_542" role="button" target="_blank" class="download" tabindex="4">Medi-Cal Direktoryo ng Tagabigay ng Serbisyo at Parmasiya <span></span></a> <a href="https://www.hpsm.org/docs/default-source/member-manuals/medi-cal_guide_for_new_members_tagalog.pdf?sfvrsn=78d3d4d5_56" role="button" target="_blank" class="download" tabindex="4">Gabay sa Mabilis na Pagsisimula sa Mga Benepisyo ng Medi-Cal <span></span></a> <a href="https://www.hpsm.org/docs/default-source/member-manuals/medi-cal-member-handbook-tagalog.pdf?sfvrsn=fa21ef70_58" role="button" target="_blank" class="download" tabindex="4">Medi-Cal Aklat-Gabay ng Miyembro at Katibayan ng Pagkakasakop <span></span></a> </div> </div> </div><!-- Tabs End --> </div> <div > <div class="sfContentBlock sf-Long-text" ><h3>Request a Printed Copy</h3><p>If you would like a provider directory mailed to you, please send an email to <a class="email" href="mailto:providerdirectoryrequests@hpsm.org" target="_blank">providerdirectoryrequests@hpsm.org</a> with the following information:</p><ul class="fa-ul"><li><span class="fa fa-address-card "> </span>Your first and last name</li><li><span class="fa fa-phone "> </span>Daytime phone number (in case we need to call you about your request)</li><li><span class="fa fa-envelope "> </span>Mailing address</li><li><span class="fa fa-book "> </span>Which directory you want (CareAdvantage or Medi-Cal)</li></ul></div> </div> </div> <div class="container-fluid-margin"> <div > <div class="sfContentBlock sf-Long-text" ><h2>Medi-Cal Formulary</h2></div> </div> <div > <div class="sfContentBlock sf-Long-text" ><h3 class="mt-4">Download the list of covered medicines</h3><div class="row bg-soft-light"><div class="col-md-5 col-sm-12"><p class="my-2"><a type="button" class="btn btn-info" href="https://medi-calrx.dhcs.ca.gov/home/cdl" target="_blank " data-sf-ec-immutable=""><span class="fa fa-file-pdf-o"></span> Download the formulary</a></p></div><div class="col-md-7 col-sm-12"><p class="my-2">The formulary includes covered medicines. See the last section for an alphabetical index. </p></div></div></div> </div> <div > <div class="sfContentBlock sf-Long-text" ><p>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 <a href="https://providers.hpsm.org/ChangeRequestPublic/" target="_blank">Provider Directory Error Report Form</a>. </p></div> </div> </div> </div> </div> </div> <!-- Container-End --> <div class="pre-footer reveal-fade-in"> <div class="container-fluid"> <div class="row"> <div class="col-sm-12"> </div> </div> </div> </div> </main> <footer> <div class="row pb-3"> <div class="col-xs-12 col-sm-3 col-md-3"> <div> <img style="width:150px;" role="presentation" src="/assets/_img/hpsm-logo.png" /> <p class="notranslate"><span class="block">801 Gateway Blvd., Suite 100</span><span class="block">South San Francisco, CA 94080</span></p> <p> Phone: <span style="color:#2e9947;">650-616-0050</span> <br />Fax: <span style="color:#2e9947;">650-616-0060</span> <br />TTY: <span style="color:#2e9947;">1-800-735-2929</span> <br />or dial <span style="color:#2e9947;">7-1-1</span> </p> <p class="mt-3"> <a style="margin-left:0.5rem;margin-right:1.0rem;" rel="noreferrer" target="_blank" href="https://www.facebook.com/healthplanofsanmateo"> <img style="display: inline;" width="24" height="24" src="https://www.hpsm.org/images/default-source/logos/facebook.svg?Status=Temp&sfvrsn=ac66c4ba_2" role="presentation" alt="facebook" /> </a> <a style="margin-left:1.0rem;" target="_blank" rel="noreferrer" href="https://www.instagram.com/healthplanofsanmateo/"> <img style="display: inline;" width="24" height="24" src="https://www.hpsm.org/images/default-source/logos/instagram.svg?Status=Temp&sfvrsn=d4ddac80_2" role="presentation" alt="instagram" /> </a> </p> </div> </div> <div class="col-xs-12 col-sm-3 col-md-3"> <div> <a id="MemberFooterLink" class="text-lg text-capitalize" title="Members" href="/member">Members</a> <a id="ProviderFooterLink" class="text-lg notranslate" title="Providers" href="/provider">Providers</a> <a id="HealthTipsFooterLink" class="text-lg" title="Health Tips" href="/health-tips">Health Tips</a> <a id="CareerFooterLink" class="text-lg" title="Careers" href="/job-seeker">Careers</a> <a id="AboutUsFooterLink" class="text-lg" title="About HPSM" href="/about-us">About HPSM</a> </div> </div> <div class="col-xs-12 col-sm-3 col-md-3"> <div> <ul style="line-height:1.5rem;"> <li class="nav-item"><a id="ContactFooterLink" href="/contact-us">Contact Us</a></li> <li class="nav-item"><a id="LanguageFooterLink" href="https://www.hpsm.org/docs/default-source/member-notices/language-assistance-tagline.pdf">Language Assistance</a></li> <li class="nav-item"><a id="PrivacyFooterLink" href="/privacy-policy">Privacy Policy</a></li> <li class="nav-item"><a id="NDNFooterLink" href="/non-discrimination-notice">Non-Discrimination Notice</a></li> <li class="nav-item"><a id="AccessibilityFooterLink" href="/help/accessibility">Accessibility Statement</a></li> <li class="nav-item"><a id="ComplianceFooterLink" href="/about-us/governance/compliance">Compliance</a></li> </ul> </div> </div> <div class="col-xs-12 col-sm-3 col-md-3"> <div> <div id="tagline"> <p>Helping San Mateo County’s vulnerable and underinsured residents live the healthiest lives possible.</p> </div> <br /><br /> <small class="notranslate">Ⓒ 2024 Health Plan of San Mateo</small> </div> </div> </div> </footer> <!-- JS Global Plugins --> <script src="/assets/_js/vendor/jquery.easing.1.3.js" type="text/javascript"></script> <script src="/assets/_js/vendor/bootstrap.min.js" type="text/javascript"></script> <script src="/assets/_js/vendor/jasny-bootstrap.js" type="text/javascript"></script> <script src="/assets/_js/vendor/enquire.min.js" type="text/javascript"></script> <script src="/assets/_js/vendor/jQuery.headroom.js" type="text/javascript"></script> <script src="/assets/_js/vendor/hoverIntent.js"></script> <script src="/assets/_js/vendor/jquery.matchHeight.js" type="text/javascript"></script> <script src="https://unpkg.com/scrollreveal/dist/scrollreveal.min.js"></script> <script src="/assets/_js/vendor/bootstrap-responsive-tabs.min.js" type="text/javascript"></script> <script src="/assets/vendor/cubeportfolio/js/jquery.cubeportfolio.min.js"></script> <!-- Main Javascript File --> <script src="/assets/_js/hs.core.js"></script> <script src="/assets/_js/hs.cubeportfolio.js"></script> <script src="/assets/_js/main.js" type="text/javascript"></script> <script src="/Frontend-Assembly/Telerik.Sitefinity.Frontend.Search/Mvc/Scripts/SearchBox/Search-box.min.js?v=MTMuMy43NjQwLjA%3d" type="text/javascript"></script><script type="text/javascript"> $( document ).ready(function() { $(this).parent('.dropdown-item').toggleClass('collapsed'); }); </script> </body> </html>