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 CPMC 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 care agencies serving Asians in the U.S., providing hospitalization and access to 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
On December 1, 2010, CPMC formed an HSF partnership with the Brown & Toland Medical Group (BTMG), one of the Bay Area's largest multispecialty medical groups. Through this new partnership, CPMC will provide comprehensive inpatient care to a select group of patients who choose Brown & Toland as their medical group. 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 their 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 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 SFHP allows for better care management from acute to subacute, focusing on quality improvement, and improved navigation of necessary services for the patient. For more information, please visit the SFHP website.
- 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.
Key Statistics for the Medi-Cal Programs at CPMC
- In 2012, CPMC’s Medi-Cal shortfall (the difference between the cost of care and reimbursement) was nearly $66 million dollars.
- In 2012, CPMC provided care for 21,000 Medi-Cal beneficiaries.
- In 2012, the NEMS/CPMC partnership had 16,000 SFHP managed Medi-Cal beneficiaries enrolled, which is nearly a quarter of SFHP’s total membership.
- In 2012, Brown & Toland and Hill Physicians had over 7,500 SFHP managed Medi-Cal beneficiaries enrolled.
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