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Becoming a San Francisco Health Plan Provider

Most of our providers are part of our medical group network.  If you are interested in becoming a San Francisco Health Plan provider, either independently or as part of a medical group, or for more information on the role of our providers in the care of San Francisco Health Plan members, e-mail Emily Webb, Provider Relations Coordinator, at ewebb@sfhp.org or call her directly at (415) 615-4250.

San Francisco Health Plan providers are the overall coordinators of care for our members.  Responsibilities of our providers include:

  • Assuring reasonable access and availability to primary care services
  • Providing all preventive care and CHDP/EPSDT required services
  • Providing access to urgent care
  • Providing 24-hour coverage for advice and referral to care
  • Making appropriate referrals for specialty care
  • Providing coordination and continuity of care after emergency care, out-patient, in-patient, and tertiary care referrals
  • Communicating authorization decisions to the member
  • Assisting the member in making appointments or other arrangements for specialty care or procedures
  • Tracking and following up on referrals that are made.

Our primary care providers must have hospital admitting privileges with a network hospital.  If a member is hospitalized emergently at a non-network hospital, the PCP arranges transfer to a network hospital once the member is medically stable.