Dear SFHP Members: Congress was unable to reach an agreement on funding for Fiscal Year 2026, and the federal government was shut down on October 1, 2025. While we do not know how long the shutdown will last, SFHP will continue its operations as normal. You can still access the care you need. We are committed to ensuring your access to care is not interrupted. If you encounter any issues, please contact SFHP Customer Service at 1(415) 547 7800 or toll-free 1(800) 288 5555 (TTY users can dial 711). We’re open Monday through Friday, from 8:00am to 5:00pm.

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Program Funding

In-Home Supportive Services (IHSS)

  • DPH gives money to local Department of Human Services
  • Department of Human Services gives money to the state
  • The state then claims a match from federal government of approximately 50%
  • State then sends all of the money back to the Department of Human Services
  • DHS sends it to IHSS
  • IHSS sends it to San Francisco Health Plan
  • San Francisco Health Plan sends most of it to DPH

  • Comprehensive health insurance paid for by federal and state government
  • 50% of cost paid by federal government (CMS)
  • 50% of cost paid by state government
  • Each state submits a plan for providing Medicaid coverage to CMS, so each state is slightly different
  • In California, Medicaid is called Medi-Cal
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