HPSJ

Health Plan of San Joaquin (HPSJ) is a nonprofit public-benefit corporation that administers Medi-Cal managed care for residents of San Joaquin County, California. It operates as a local health plan within California's Medicaid program, contracting with a network of providers to deliver comprehensive medical services.

HPSJ contracts with physicians, clinics, hospitals, and other providers to deliver medical, behavioral health, and preventive services. The plan offers care coordination, case management, and disease-management programs for chronic conditions, as well as maternal and child health initiatives. Members have access to a 24/7 nurse advice line, patient support services, and interpretation assistance, as well as an online member portal for benefits and claims information.

Enrollment is limited to residents of San Joaquin County who are eligible for Medi-Cal and have selected HPSJ as their managed care plan. The plan operates under state oversight and is subject to regulation by the California Department of Health Care Services and the Department of Managed Health Care.

Governed by a volunteer board of directors representing community interests, HPSJ aims to improve access to care, manage costs, and promote preventive health. It is funded through capitation payments from the state and through contracts with the local healthcare network.

Overall, HPSJ serves as the local Medi-Cal managed care option for San Joaquin County, coordinating services across the continuum of care and supporting members in navigating the healthcare system.