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.
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 250,000 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 nearly 800,000 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 over 355,000 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.
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.
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 300,000 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 206,000 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 accrediation 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 40 years, and now serves over 180,000 people.
Contra Costa Health Plan
525 Center Street, Suite 100
Martinez, CA 94553
Gold Coast Health Plan delivers health care services in Ventura County with a member-first focus that reflects a commitment to our members and our providers. We understand the necessity of having a local presence in the cities we serve, and we are committed to establishing and strengthening relationships in those communities.
Gold Coast Health Plan
711 East Daily Drive, Suite 106
Camarillo, CA 93010
Founded in 1987 by the San Mateo Health Commission, the Health Plan of San Mateo (HPSM) is a local non-profit health care plan that offers health coverage and a provider network to San Mateo County’s underserved population. HPSM currently serves more than 100,000 county residents through six health programs: Medi-Cal, San Mateo ACE (Access and Care for Everyone), HealthWorx, Healthy Kids, and CareAdvantage — a Medicare Advantage plan.
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 almost 1.25 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
9700 Stockdale Highway
Bakersfield, CA 93311
L.A. Care Health Plan is a public entity and community-accountable health plan serving residents of Los Angeles County through a variety of health coverage programs including Medi- Cal, L.A. Care Covered™, L.A. Care Cal MediConnect Plan, L.A. Care Health Plan Medicare Advantage HMO, L.A. Care’s Healthy Kids 0-5, and PASC-SEIU Homecare Workers Health Care Plan. L.A. Care is a leader in developing new programs through innovative partnerships designed to provide health coverage to vulnerable populations and to support the safety net.
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 500,000 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 $2.3 billion annual budget.
Partnership HealthPlan of California
4665 Business Center Drive
Fairfield, CA 94534
San Francisco Health Plan (SFHP) is a licensed community health plan providing affordable health coverage to over 100,000 low- and moderate-income San Franciscans. SFHP was designed for and by the residents it serves – many of whom would not be able to otherwise obtain health care for themselves or their families. Through SFHP, members have access to a full spectrum of medical services including preventive care, hospitalization, prescription drugs, family planning, and substance abuse programs.
San Francisco Health Plan
50 Beale Street, 12th Floor
San Francisco, CA 94105
Santa Clara Family Health Plan (SCFHP) is a local, public, not-for-profit health plan dedicated to improving the health and well-being of the residents of Santa Clara County. Since 1997, SCFHP has partnered with providers to deliver high-quality health care to our members. We offer comprehensive, affordable medical, dental and vision coverage through our health insurance programs: Medi-Cal, Cal MediConnect and Healthy Kids. We currently serve over 250,000 residents of Santa Clara County.
Santa Clara Family Health Plan
6201 San Ignacio Ave.
San Jose, CA 95119