Services to the Poor and Underserved
CPMC offers free care to uninsured patients with family incomes below 400 percent of the federal poverty level, regardless of their immigration status. CPMC currently offers the most generous charity care policy in San Francisco. For more information on how to apply for charity care please visit Patient Financial Services.
There are multiple pathways that patients at CPMC can receive charity care, whether it is through the emergency department, CPMC’s clinics, or partnership programs.
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Healthy San Francisco at CPMC
An important component of CPMC's charity care program is its participation in Healthy San Francisco (HSF), a citywide universal health access program for the uninsured. CPMC partners with both North East Medical Services (NEMS) and Brown & Toland Medical Homes to provide care to HSF patients. To learn more about HSF and to see if you are eligible please visit HSF’s website. Opens new window
“I can’t imagine what would have happened without the extraordinary initiative, teamwork and skill that Dr. Napoles and my CPMC team provided. They’ve given me a whole new reason to love living in San Francisco!” - Healthy San Francisco Patient
- NEMS Medical Home
Since 2009, CPMC has partnered with North East Medical Services (NEMS), one of the largest health centers serving Asians in the U.S. CPMC provides free hospitalization and specialty care to HSF participants who are enrolled with NEMS as their medical home. Physicians at NEMS and CPMC work closely together to provide high-quality, timely care for these patients. Patients enrolled in HSF and who have chosen NEMS as their medical home are referred by a NEMS physician to receive care at CPMC if the services needed qualify for coverage. For more information on the NEMS medical home, please visit HSF's website Opens new window or contact NEMS Opens new windowdirectly.
- Brown & Toland Medical Home
Since 2010, CPMC has had an HSF partnership with Brown & Toland Medical Group (BTMG), one of the Bay Area's largest multispecialty medical groups. Through this partnership, CPMC provides comprehensive inpatient care to HSF participants who select Brown & Toland as their medical home. For more information on the Brown & Toland medical home, please visit HSF's website Opens new window or contact Brown & Toland Opens new window directly.
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Medi-Cal Programs at CPMC
CPMC provides care to Medi-Cal recipients as a key component of its contribution to the city’s health safety net. Though the Medi-Cal program reimburses hospitals for services provided to its members, the reimbursement falls short of the cost of care and CPMC covers the difference in cost. Federal and state agencies allow hospitals to report this difference in reimbursement as a “shortfall”. There are three different ways that patients can participate in Medi-Cal at CPMC.
- Traditional Fee-For-Service Medi-Cal:
CPMC is a participating Medi-Cal provider for Medi-Cal beneficiaries that obtain their coverage directly through the State of California. Please visit the Medi-Cal website Opens new window to determine if you are eligible for Medi-Cal benefits and for details on how to apply.
- Managed Medi-Cal (NEMS):
NEMS and CPMC partner to coordinate care across the care continuum for patients who select NEMS as their medical group through San Francisco Health Plan. This close partnership between NEMS and CPMC allows for better care coordination, focus on quality improvement, and improved navigation of necessary services for the patient. For more information, please visit the SFHP website Opens new window.
- Managed Medi-Cal (Hill Physicians and Brown & Toland):
CPMC provides access to quality services at the St. Luke's campus for patients who select Hill Physicians or Brown & Toland as their medical group through San Francisco Health Plan (SFHP). For more information please visit the SFHP website Opens new window .
Key Statistics for the Medi-Cal Programs at CPMC
- In 2014, CPMC’s Medi-Cal shortfall (the difference between the cost of care and reimbursement) was $101 million dollars.
- In 2014, CPMC provided care for 25,500 Medi-Cal beneficiaries.
- In 2014, the NEMS/CPMC partnership had 31,000 SFHP managed Medi-Cal beneficiaries enrolled. CPMC is the in-network hospital for one in three SFHP Medi-Cal members.
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