Doctors & Specialists
In general, HPSM will only cover services you receive from Medi-Cal providers in HPSM’s network. You are covered for services from a non-network provider in the United States only for medical emergencies, for urgent care outside of the plan’s service area or when HPSM pre-approves coverage for a visit to non-network provider.
Preauthorization of referrals are not required if your doctor refers you to a specialist within the HPSM network. You can use the provider search form to quickly find in-network specialists, pharmacies, clinics and hospitals.
If you need to be referred to a specialist outside the HPSM network, the specialist must obtain approval from your primary care provider (PCP) before you receive services. Contact your PCP to learn more. You can find your PCP's phone number on your HPSM member I.D. card. Your PCP will then consult HPSM's Prior Authorization Required List to determine whether the service requires preauthorization.
Search for a provider
Use the online provider search form to find the latest information for in-network primary care providers (PCP), specialists, pharmacies, clinics or hospitals. This directory is updated weekly. You may need a referral from your PCP before making an appointment with a specialist for non-emergency care. Call your PCP to find out if a referral is required.
Download the Medi-Cal Provider Directory
Request a Printed Copy
If you would like a provider directory mailed to you, please send an email to email@example.com with the following information:
- Your first and last name
- Daytime phone number (in case we need to call you about your request)
- Mailing address
- Which directory you want (HealthWorx HMO, ACE, CareAdvantage, or Medi-Cal)
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 Provider Directory Error Report Form.
Find a dentist
Dental care is covered through HPSM Dental.