Provider Resources

Access Regulations

Providing members timely access to care is a major priority for San Francisco Health Plan. Ensuring timely access to patient care is a California Department of Health Services requirement of all Medi-Cal managed care plans and is essential for producing positive health outcomes, appropriate health-care utilization, and high levels of patient satisfaction. SFHP monitors provider network capacity, availability, and accessibility on an ongoing basis.

SFHP is committed to working with providers to improve access across the network and looks forward to your increased partnership and collaboration with this very important initiative. If you have any questions or would like to submit ideas on how best to increase patients’ access to care, please email Provider Relations.

Click here to view our access to care standards.

Access Monitoring Schedule
Monitoring Activity Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
After Hours and Triage Monitor
Network
Performance
Report Results to
Providers and Department
of Managed Health Care
Collaborate with
Providers to
Address any
Non-Compliance
Telephone Time
to Answer
Provider Appointment
Availability
Data
Analysis and
Report Building
Monitor Network Performance
Wait Time in
Provider Offices