HPSM’s PHM Program offers six special support programs to help our members stay healthy:
Baby + Me Program
Promotes timely care and health from the start of pregnancy to birth and beyond. HSPM Medi-Cal members who are pregnant or who recently gave birth are eligible for this program, through which members can:
- Qualify for up to $100 in gift cards for going to two appointments within specific timeframes with their perinatal care provider
- Learn about programs and services to support them during and after pregnancy, such as doula services and nutrition support services
Learn more about the program and how to refer members. including how to refer eligible members. Members can also join by calling HPSM’s Health Promotion Unit at 650-616-2165. After joining, members can opt out at any time by calling our Health Promotion Unit.
Doula services
HPSM Medi-Cal, CareAdvantage and HealthWorx (HMO) members are eligible for doula services during pregnancy, labor and delivery and up to 12 months after the end of pregnancy (including support for stillbirth, miscarriage and abortion). Direct eligible members to our doula webpage to learn more. Due to a standing order, doula services do not require a written recommendation from a licensed healthcare provider.
Diabetes Prevention Program (DPP)
A no-cost, 12-month program for eligible Medi-Cal and CareAdvantage members with prediabetes designed to prevent or delay the onset of type 2 diabetes. It includes weekly one-hour sessions led by a trained Lifestyle Coach for the first six months and monthly sessions in the last six months. Sessions are in-person or online. Through the program:
- Coaches help participants create plans for eating healthy, exercising regularly and managing weight
- Participants receive educational handouts to help them meet their personal health goals, along with group support from other program participants
- Eligible Medi-Cal members who participate in DPP can enroll in HPSM’s Fitness Membership Program at no cost while they’re in DPP
To learn more about eligibility requirements and how to refer HPSM members, visit our DPP provider webpage. Members can learn more about DPP and how to join by visiting our DPP member webpage or by calling HPSM’s Health Promotion Unit at 650-616-2165. After joining, members can opt out at any time by calling our Health Promotion Unit.
Complex Case Management
Helps members who have one or more ongoing health conditions (such as diabetes, high blood pressure or asthma) get the care they need to reach their health goals. A Care Manager follows up regularly to:
- Identify and prioritize concerns, goals and interventions
- Develop a care plan with the member
- Help secure other support services
- Assist in managing various health issues and needs
Learn more about Complex Case Management on our website or by calling the Integrated Care Management Team at 650-616-2060.
HPSM’s Asthma Program by Breathe California
Helps members manage symptoms by providing support services, including education and home assessment visits (if needed). If a home assessment suggests that supplies are needed (like air filters and dehumidifiers), Breathe California can help members get them at no cost.
To learn more at about the program, visit our website or call HPSM’s Integrated Care Management team at 650-616-2060.
Care Transitions Program
Helps members who’ve been sent home from the hospital avoid returning to the hospital. Once home, members can be referred to HPSM’s Integrated Care Management Team (ICM) for follow-up. The ICM team assigns the member a Care Manager who:
- Helps the member develop and follow their care plan
- Connects the member with their primary care provider
- Talks with the family about other care needs
Members can learn more, join or opt out by calling HPSM's Integrated Care Management Team at 650-616-2060.
Our Health Information Library has resources for your patients for child health, diabetes, mental health, quitting tobacco and more. Members can also access general health information, tips, resources and self-management tools for different health topics by visiting our our Health Tips webpage.