Since January 1, 2022, Medi-Cal members’ pharmacy services have been primarily managed by the California Department of Health Care Services (DHCS) through their Medi-Cal Rx program. However, there is one exception: HPSM still covers physician administered drugs (PADs), which are medicines that providers administer to patients in an office or clinic setting. You may need pre-approval (prior authorization) from HPSM for coverage of PADs based on medical necessity.
HEALTHmattersMD
Welcome to the HEALTHmattersMD blog—an online resource where providers can find the latest news and updates about HPSM. Top stories are highlighted with images, and you can find more stories listed under them. To read a story, just click the headline or the "Read more" link. In the side menu, you can also select articles by topic or see our newsletter archive and provider notices.
Top Stories
Now Accepting Applications for Primary Care Provider Grants
#ResourceNotFound: BlogPostResources, Published# Jun 20, 2025, 09:09 AM by Mat Thomas
Primary care organizations contracted with HPSM are invited to apply for our new Primary Care Provider Grants! Read more
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San Mateo County’s New Baby Bonus Program
Jun 20, 2025, 9:16 AM by Mat ThomasHPSM, in partnership with several organizations, has launched the new San Mateo County Baby Bonus pilot program
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Supporting Members with Diabetes
Jun 20, 2025, 9:25 AM by Mat ThomasLearn about the outreach HPSM is conducting to support better health outcomes for members managing diabetes
More stories
Medi-Cal: HPSM Still Covers Physician Administered Drugs
May 31, 2023, 2:19 PM
by Mat Thomas