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San Mateo Access and Care for Everyone (ACE)

The San Mateo County ACE Program is a county-sponsored program that provides health care coverage to low-income adult residents of San Mateo County who meet eligibility requirements. HPSM administers the ACE Program under a contract with San Mateo County.

Effective January 1, 2009, the San Mateo County ACE Program includes participants of both the San Mateo County's Coverage Initiative, as well as the program formerly known as the Wellness-Education-Low-Cost-Linkages (WELL) Program. The consolidation of both programs under the San Mateo County ACE Program enables HPSM to provide uniform administration of the County’s indigent health care coverage programs. Approximately 12,000 to 15,000 participants are expected to be enrolled in the program.

For more information on the ACE Program, please click on the links below.

  • Overview and General Information
  • ACE Provider Network and Rules on Covered Services
  • Billing and Payment Process for the ACE Program
  • ACE Participant Handbook (en español)



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