Providers
Prior Authorizations
Submitting Prior Authorization Requests
Referrals
Prescription Authorization Requests
Specialty Provider Authorizations
PAR List Changes
Glucose Monitors
Claims
Submit Claims
Rebill, Correct or Update Claims
Submit a Claims Dispute or Appeal
Get Paid Faster with EFT/ERA
Contact Claims Services
Provider Resources
Provider Manual
Cultural Competency
Language Assistance Services
Care Coordination
Behavioral Health
Provider Incentive Programs
Section 1: About HPSM
Section 2: Customer Support
Section 3: Member Complaints
Section 4: Claims
Section 5: Provider Disputes
Section 6: Ancillary Services
Section 7: Utilization Management
Section 8: Provider Services
Section 9: Quality Improvement
Section 10: Health Education
Section 11: Fraud Waste and Abuse
Section 12: Privacy
Clinical Guidelines
Language Interpreter Services
Translated & Alternative Format Member Materials
Language Documentation Requirements
Language Training and Resources
Provider Forms
Directory Search
Formulary Search
Diabetes Prevention Program
End of Life Care
Grievance & Appeals Process
Healthcare Effectiveness Data and Information Set
Home Health Care
Initial Health Appointment
Maternal Care
Medical Record and Facility Site Reviews
Member Handbooks
HEALTHmatters MD
Pediatric Care
Potential Quality Issues
Urgent Care
Tobacco Cessation Information and Resources
Identifying Tobacco Users
Treating Patients Who Use Tobacco
Vulnerable Populations
Provider Education and Trainings
Older Adults and People with Disabilities
Provider Videos
Remote Patient Monitoring
Incentives for Primary Care Providers
Incentives for Nursing Facilities
Incentives for Specialty Providers
Learning Lab
SB855 Training Request
HPSM Dental Providers
Join HPSM Dental
Dental Provider Payments
Covered Dental Services
Benefits of Dental Integration
HPSM Dental Mission
An Innovative Pilot Program
Patient Experience
CalAIM at HPSM
Urgent Messages
News & Updates
Provider Portal / eReports
Join Our Provider Network
Provider Contacts
All Provider Tasks
Search Our Provider Directory
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.
- Search by provider name, health plan, location or type of provider
- Click on a provider's name in the search results to see additional information
- Search results include links to interactive maps and directions
- Print or save the information for individual providers
- Weekly updates ensure you get the most accurate results
Download a Provider Directory
Choose from the language and program options below.
Medi-Cal Provider Directory
HealthWorx HMO Provider Directory
San Mateo County ACE Provider List
CareAdvantage D-SNP 2023 Provider Directory
Medi-Cal directorio de proveedores y farmacias
HealthWorx HMO Directorio de proveedores y farmacias
San Mateo County ACE Lista de Proveedores
CareAdvantage D-SNP 2023 Directorio de proveedores y farmacias
Please use the Directory Information Verification Form to notify us of changes or report an error in your information.
Referrals to Specialists
Referrals to specialists do not require prior authorization with the following exceptions:
- Out-of-network specialists (except CareAdvantage members, who can be referred to non-network specialists that accept Medicare and agree to bill HPSM)
- Standing referral (i.e., specialized care over an extended period of time from an out-of-network provider)
- Contracted providers for services outside the SMMC ACE Network