Member Centered Programs

Member Centered Programs

San Francisco Health Plan is dedicated to improving the health outcomes for our members. We offer several programs and services to help members manage, control, and maintain their health. These programs are as follows:

CalAIM Incentive Payment Program – San Francisco Health Plan (SFHP) is pleased to announce the availability of the Incentive Payment Program (IPP). The IPP is intended for Enhanced Care Management and Community Supports providers with improving the delivery system infrastructure and implementation of services. Please complete the fillable PDF application and submit to CalAIMECMILOS@sfhp.org by June 15, 2022.

Care Management – San Francisco Health Plan offers a variety of programs with a multidisciplinary team that can work with members both in person and over the phone to develop and implement patient centered care management plans.

Doula Services – Doula services will be provided under the federal authority of Preventive Services as a State Plan benefit in both fee-for-service and managed care delivery systems. The Department of Health Care Services (DHCS) will cover doula services for prenatal and postpartum visits, and during labor and delivery, miscarriage, or abortion, starting January 1, 2023. Services could be at the beneficiary’s home, as part of an office visit, in a hospital, or in an alternative birth center. Services include health education, advocacy, and physical, emotional, and nonmedical support.

• Doula Benefit Overview for Providers
• Doula Benefit FAQ for Providers
• Required Documents for Doulas

Member Incentives – San Francisco Health Plan offers member incentive programs to encourage members to have appropriate preventative care and services.

Medically Tailored Meals – Providers can refer certain SFHP Medi-Cal members for medically tailored meals (MTM) interventions through Project Open Hand, a nutrition service agency for people with chronic conditions. Those who are eligible and enrolled into the program will receive 12-26 weeks of medically tailored meals or medically tailored groceries in addition to 4 Medical Nutrition Therapy sessions with a Registered Dietician. Read More »