LHPC members are 16 local, not-for-profit, publicly governed health care plans serving over 7.5 million Medi-Cal managed care beneficiaries across the state. Our plans are mission-driven, community-based organizations designed to meet the unique needs of their members.
LHPC member plans are committed to providing access to quality, affordable, and comprehensive health care services for all Californians. Our plans:
Provide health plan members with a greater choice of physicians and hospitals.
Serve patients with a variety of medical conditions, 33% of whom have chronic conditions.
Help control health care costs by coordinating care for populations that may not know how to use the health care system.
Invest in a variety of community benefit initiatives and projects that serve the unique and complex needs of their communities.
Deliver higher value for members than commercial counterparts by spending more member premium dollars on patient care and health care quality improvement services.
Operate with transparency and are made up of a broad cross section of community and provider stakeholders.
LHPC member plans are an integral part of California’s health care system, without us, many Californians would have reduced access to high-quality, affordable care.
The difference is local: Local health plans are specifically tailored to respond to local needs.
Reinvest in the community: Plan revenue remains in the community and is used to enhance member services, expand coverage, and improve the community’s health.
Listen and respond to members: Plans work with consumer advisory committees to gain insight into member needs.
Managed care makes a difference: We provide our members with a medical home that ensures better coordination of care and treatment.
Focus on prevention: We place a strong emphasis on preventive care for our members. Our members enjoy an ongoing program of health education, disease management, checkups and screenings.
Increase plan member choices: Our plans provide members with a greater number of primary care physicians from which to choose, as well as a broad selection of specialists.
Greater assurance of quality care: Our Medi-Cal physicians are credentialed and their facilities are evaluated annually. A centralized system of accepting, tracking, and resolving member complaints exists to ensure member satisfaction and to improve the delivery of care.
Care for vulnerable populations: Local health plans contract with safety-net and traditional providers to preserve the relationships many Medi-Cal enrollees have with their providers, and to ensure these providers have the financial resources to continue serving the indigent and uninsured.
Community Investments
LHPC’s member plans make a positive impact on the communities and members they serve and rank higher in member satisfaction, provider satisfaction and care quality scores than all Medi-Cal plans in California. Our member plans are committed to providing access to quality, affordable, and comprehensive health care services for all Californians.
As a part of this commitment, LHPC’s member plans invest in a variety of community benefit initiatives and projects that serve the unique and complex needs of their communities. Investments cover a wide spectrum of health care needs and services including:
Development of community resources centers for member education and awareness.
Equipment purchase grants for small and individual practices.
Grants to community organizations to hold community health fairs.
Grants to support clinic expansion and addition of services.
Grants to support supplemental vision services, dental services and mobile services.
Incentive pool to increase access to autism screenings.
Incentives to recruit primary care, specialty and behavioral health Medi-Cal providers.
Program for intensive home visits.
Recuperative care for the homeless.
Staffing and coaching for behavioral health, assisted living and clinic providers.
Alameda Alliance for Health is a public, not-for-profit managed
care health plan committed to making high quality health care
services accessible and affordable to lower-income people of
Alameda County. Established in January 1996, the Alliance was
created by and for Alameda County residents. The Alliance
currently provides health care coverage to over 300,000 children
and adults through their programs: Medi-Cal and Alliance
Group Care.
Alameda Alliance for Health
1240 South Loop Road
Alameda, CA 94502
CalOptima is a county organized health system that administers
health insurance programs for over 870,000 low-income families,
children, seniors and people with disabilities in Orange County.
CalOptima was created in 1993 by the Orange County Board of
Supervisors to ensure the delivery of quality health care
services to local residents.
CalViva Health is a managed care health plan operated by the
Fresno-Kings-Madera Regional Health Authority (a governmental
entity) for the tri-county service area. CalViva Health is
dedicated to improving access to care and providing quality
health care to families in the Fresno, Kings, and Madera County
area with a current enrollment of nearly 394,000 Medi-Cal
beneficiaries. The plan is governed by a Board of
Commissioners representing county government, health care
providers, and at-large members of the communities.
CalViva Health
7625 North Palm Avenue, Suite 109
Fresno, CA 93721
CenCal Health administers Medi-Cal (California’s version of
Medicaid), which is a publicly-funded health care program for the
low income residents of Santa Barbara and San Luis Obispo
counties. CenCal Health is a public entity that is governed
by a 13 member Board of Directors appointed by the Santa Barbara
and San Luis Obispo county boards of supervisors. Our Board of
Directors is composed of local government representatives,
physicians, hospital representatives, member representatives,
other health care provider representatives, and business
representatives.
CenCal Health
4050 Calle Real
Santa Barbara, CA 93110
The Alliance is an award-winning regional non-profit health plan,
established in 1996, with over 18 years of successful operation.
Using the State’s County Organized Health System (COHS) model, we
currently serve over 389,000 members in Santa Cruz, Monterey and
Merced counties. We work in partnership with our contracted
providers to promote prevention, early detection and effective
treatment, and improve access to quality health care for lower
income residents.
Central California Alliance for Health
1600 Green Hills Road, Suite 101
Scotts Valley, CA 95066-4981
Community Health Group serves over 315,000 members and is
dedicated to providing exceptional customer service to the
Medi-Cal, Cal MediConnect, and Medicare Special Needs Plan
members in San Diego County. Community Health Group has achieved
NCQA accreditation for Medi-Cal and participates in several state
quality initiatives.
Community Health Group
2420 Fenton Street, Suite 100
Chula Vista, CA 91914
Contra Costa Health Plan (CCHP) was the first federally
qualified, state licensed, county sponsored HMO in the United
States. CCHP has been serving the health needs of people in
Contra Costa County for over 45 years, and now serves over
227,000 people.
Contra Costa Health Plan
525 Center Street, Suite 100
Martinez, CA 94553
Gold Coast Health Plan proudly serves more than 230,000 Medi-Cal
beneficiaries in Ventura County through its network of primary
care physicians, specialists, behavioral health providers,
hospitals, and pharmacies. Since it was founded in 2011, Gold
Coast Health Plan has been committed to providing access to
high-quality care and improving the health of its members, which
include 1 in 5 county residents, 1 in 8 seniors, and 1 in 2
children up to the age of 5.
Serving
Ventura County
Gold Coast Health Plan
711 East Daily Drive, Suite 106
Camarillo, CA 93010
Health Plan of San Joaquin, a not-for-profit, public health plan,
has been serving members and the community since 1996. Located in
the heart of California’s multicultural Central Valley, local
HPSJ is the leading Medi-Cal managed care provider, serving over
91% of Medi-Cal recipients in San Joaquin County and over 68% in
Stanislaus County.
Health Plan of San Joaquin
7751 South Manthey Road
French Camp, CA 95231
Health Plan of San Mateo (HPSM) is a local, non-profit
County Organized Health System (COHS) founded in 1987. HPSM’s
mission is to ensure that San Mateo County’s vulnerable and
underserved residents have access to high-quality care, services
and supports so they can live the healthiest lives possible. With
more than 150,000 members or participants, HPSM serves all of the
County’s Medi-Cal eligible residents, nearly 9,000 members
eligible for both Medicare and Medi-Cal, as well as families,
seniors, people with disabilities and children with complex
medical conditions.
Health Plan of San Mateo
801 Gateway Boulevard, Suite 100
South San Francisco, CA 94080
Organized as a Joint Powers Agency, Inland Empire Health Plan
(IEHP) is a local, not-for-profit, public health plan. We serve
1.5 million residents of Riverside and San Bernardino
counties through government-sponsored programs
including Medi-Cal (families, adults, seniors and people
with disabilities) and Cal MediConnect.
Inland Empire Health Plan
10801 6th Street, Suite 120
Rancho Cucamonga, CA 91730
Kern Health Systems (KHS), the Local Initiative for Medi-Cal
Managed Care, is the largest health plan in Kern County. Through
our Kern Family Health Care product, KHS began providing medical
care to our members in July of 1996. KHS is committed to
our mission of improving the health of our members with an
emphasis on prevention and access to quality healthcare.
KHS strives to be a leader in developing innovative partnerships
with the safety net and community providers to elevate the health
status of all community members.
Kern Health Systems
2900 Buck Owens Blvd.
Bakersfield, CA 93308
L.A. Care Health Plan serves more than 2.5 million members
in Los Angeles County, making it the largest publicly operated
health plan in the country. L.A. Care offers four health coverage
plans including Medi-Cal, L.A. Care Covered™, L.A.
Care Cal MediConnect Plan and the PASC-SEIU Homecare
Workers Health Care Plan, all dedicated to being accountable and
responsive to members. As a public entity, L.A. Care’s mission is
to provide access to quality health care for L.A.
L.A. Care Health Plan
1055 West Seventh Street, 10th Floor
Los Angeles, CA 90017
Partnership HealthPlan is a county organized health system that
provides cost effective health care delivery to over 630,000
low-income recipients through Medi-Cal, Healthy kids, and
PartnershipAdvantage. The HealthPlan’s goals are to improve
access, quality and cost effectiveness, through a managed care
system and operate with a $3.2 billion annual budget.
Partnership HealthPlan of California
4665 Business Center Drive
Fairfield, CA 94534
San Francisco Health Plan (SFHP) has been providing affordable
health care options to the San Francisco community for over 25
years. SFHP is a licensed community health plan providing
affordable health coverage to over 160,000 low- and
moderate-income families residing in San Francisco. SFHP’s
mission is to improve the health outcomes of the diverse San
Francisco communities through successful partnerships.
San Francisco Health Plan
50 Beale Street, 12th Floor
San Francisco, CA 94105
Santa Clara Family Health Plan (SCFHP) is a local,
community-based health plan dedicated to creating opportunities
for better health and wellness for all. In partnership with
providers and community organizations since 1997, we work to
ensure everyone in Santa Clara County has access to equitable,
high-quality health care. With a strong commitment to integrity,
outstanding service, and support for our community, we serve more
than 286,000 people through our Medi-Cal and Cal MediConnect
health care plans.
Santa Clara Family Health Plan
6201 San Ignacio Ave.
San Jose, CA 95119
