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 for patients at CPMC to receive charity care, whether it is through the emergency department, CPMC’s clinics, or our partnership programs with nonprofit health care providers such as Lions Eye Foundation, Operation Access, and North East Medical Services to give uninsured patients access to necessary services through charity care.
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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):
CPMC partners with North East Medical Services (NEMS) – one of the largest health centers serving Asians in the U.S. – to coordinate care across the care continuum for patients who select NEMS as their medical group through San Francisco Health Plan. CPMC serves as the hospital provider for these Medi-Cal beneficiaries. 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 2015, CPMC’s Medi-Cal shortfall (the difference between the cost of care and reimbursement) was $101.7 million dollars.
- In 2015, CPMC provided care for over 35,000 Medi-Cal beneficiaries.
- In 2015, the NEMS/CPMC partnership had 33,000 SFHP managed Medi-Cal beneficiaries enrolled. CPMC is the in-network hospital for one in three SFHP Medi-Cal members.
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