MCP: Code Directory (mcp code dir)
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mcp code dir MCP: Code Directory 1 The following directory includes managed care plan (MCP) information for counties that offer Medi-Cal benefits to recipients enrolled in a managed care plan. The directory lists Health Care Plan (HCP) names, codes, addresses, telephone numbers and counties of operation. Note: MCP is used interchangeably with HCP. For example, recipient eligibility messages use HCP, while manual pages use MCP. For information about contacting the Health Care Options (HCO) contractor or Office of the Ombudsman, refer to the MCP: An Overview of Managed Care Plans section in this manual. Providers billing for dental services should refer to the Denti-Cal Provider Manual for specific billing/plan information. County County Code Health Care Plan (HCP) HCP Number Plan Type Alameda 01 Alameda Alliance for Health 1240 South Loop Road Alameda, CA 94502-7084 (510) 747-4500 300 Two-Plan LI Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627 340 Two-Plan CP Center for Elders’ Independence (CEI) 510 17 th Street, Suite 400 Oakland, CA 94612-1570 (510) 433-1150 051 SP On Lok Lifeways 133 Bush Street San Francisco, CA 94109 (415) 292-8888 056 SP COHS County Organized Health System IM Imperial Model SBM San Benito Model CP Commercial Plan LI Local Initiative SP Special Projec DNTL Dental PCCM Primary Care Case Management TCM Targeted Case Management GMC Geographic Managed Care RM Regional Model 1 – MCP: Code Directory October 2015
Transcript of MCP: Code Directory (mcp code dir)
mcp code dirMCP: Code Directory 1
The following directory includes managed care plan (MCP) information for counties that offer Medi-Cal benefits to recipients enrolled in a managed care plan. The directory lists Health Care Plan (HCP) names, codes, addresses, telephone numbers and counties of operation.
Note: MCP is used interchangeably with HCP. For example, recipient eligibility messages use HCP, while manual pages use MCP. For information about contacting the Health Care Options (HCO) contractor or Office of the Ombudsman, refer to the MCP: An Overview of Managed Care Plans section in this manual. Providers billing for dental services should refer to the Denti-Cal Provider Manual for specific billing/plan information.
CountyCounty Code Health Care Plan (HCP)
HCP Number
Plan Type
Alameda 01 Alameda Alliance for Health1240 South Loop RoadAlameda, CA 94502-7084(510) 747-4500
300 Two-Plan LI
Anthem Blue Cross Partnership Plan1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-800-407-4627
340 Two-Plan CP
Center for Elders’ Independence (CEI)510 17th Street, Suite 400Oakland, CA 94612-1570(510) 433-1150
051 SP
On Lok Lifeways133 Bush StreetSan Francisco, CA 94109(415) 292-8888
056 SP
Alpine 02 Anthem Blue Cross Partnership Plan1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-800-407-4627
100 RM
California Health and Wellness Plan1215 K Street, 17th Floor, Suite 1722Sacramento, CA 958141-877-658-0305
118 RM
Amador 03 Anthem Blue Cross Partnership Plan1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-800-407-4627
101 RM
COHS County Organized Health System IM Imperial Model SBM San Benito ModelCP Commercial Plan LI Local Initiative SP Special ProjecDNTL Dental PCCM Primary Care Case Management TCM Targeted Case ManagementGMC Geographic Managed Care RM Regional Model
1 – MCP: Code DirectoryOctober 2015
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CountyCounty Code Health Care Plan (HCP)
HCP Number
Plan Type
Amador 03(continued)
California Health and Wellness Plan1215 K Street, 17th Floor, Suite 1722Sacramento, CA 958141-877-658-0305
119 RM
KP Cal, LLC1800 Harrison StreetOakland, CA 946121-800-390-3510
177 RM
Butte 04 Anthem Blue Cross Partnership Plan1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-800-407-4627
102 RM
California Health and Wellness Plan1215 K Street, 17th Floor, Suite 1722Sacramento, CA 958141-877-658-0305
120 RM
Calaveras 05 Anthem Blue Cross Partnership Plan1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-800-407-4627
103 RM
California Health and Wellness Plan1215 K Street, 17th Floor, Suite 1722Sacramento, CA 958141-877-658-0305
121 RM
Colusa 06 Anthem Blue Cross Partnership Plan1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-800-407-4627
104 RM
California Health and Wellness Plan1215 K Street, 17th Floor, Suite 1722Sacramento, CA 958141-877-658-0305
122 RM
COHS County Organized Health System IM Imperial Model SBM San Benito ModelCP Commercial Plan LI Local Initiative SP Special ProjecDNTL Dental PCCM Primary Care Case Management TCM Targeted Case ManagementGMC Geographic Managed Care RM Regional Model
1 – MCP: Code DirectoryOctober 2015
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CountyCounty Code Health Care Plan (HCP)
HCP Number
Plan Type
Contra Costa 07 Anthem Blue Cross Partnership Plan1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-800-407-4627
344 Two-Plan CP
Center for Elders’ Independence (CEI)510 17th Street, Suite 400Oakland, CA 94612-1570(510) 433-1150
054 SP
Contra Costa Health Plan595 Center Avenue, Suite 100Martinez, CA 94553-46291-877-661-6230
301 Two-Plan LI
Del Norte 08 Partnership HealthPlan of California4665 Business Center DriveFairfield, CA 94534(707) 863-4100
523 COHS
El Dorado 09 Anthem Blue Cross Partnership Plan1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-800-407-4627
105 RM
California Health and Wellness Plan1215 K Street, 17th Floor, Suite 1722Sacramento, CA 958141-877-658-0305
123 RM
KP Cal, LLC1800 Harrison StreetOakland, CA 946121-800-390-3510
178 RM
Fresno 10 Anthem Blue Cross Partnership Plan1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-800-407-4627
362 Two-Plan CP
COHS County Organized Health System IM Imperial Model SBM San Benito ModelCP Commercial Plan LI Local Initiative SP Special ProjecDNTL Dental PCCM Primary Care Case Management TCM Targeted Case ManagementGMC Geographic Managed Care RM Regional Model
1 – MCP: Code DirectoryOctober 2015
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CountyCounty Code Health Care Plan (HCP)
HCP Number
Plan Type
Fresno 10(continued)
CalViva Health7625 North Palm Avenue, Suite 109Fresno, CA 93711-57851-888-893-1569
315 Two-Plan LI
Central Valley Medical Services Corporation41 SprucewoodAliso Viejo, CA 92656(559) 400-6420
064 SP
Glenn 11 Anthem Blue Cross Partnership Plan1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-800-407-4627
106 RM
California Health and Wellness Plan1215 K Street, 17th Floor, Suite 1722Sacramento, CA 958141-877-658-0305
124 RM
Humboldt 12 Humboldt Senior Resource Center1910 California StreetEureka, CA 95501(707) 443-9747
063 SP
Partnership HealthPlan of California4665 Business Center DriveFairfield, CA 94534(707) 863-4100
517 COHS
Imperial 13 California Health and Wellness Plan1215 K Street, 17th Floor, Suite 1722Sacramento, CA 958141-877-658-0305
143 IM
Molina Healthcare Plan of CaliforniaPartner Plan, Inc.200 Oceangate, Suite 100Long Beach, CA 90802-4317(562) 435-3666
145 IM
Inyo 14 Anthem Blue Cross Partnership Plan1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-800-407-4627
107 RM
COHS County Organized Health System IM Imperial Model SBM San Benito ModelCP Commercial Plan LI Local Initiative SP Special ProjecDNTL Dental PCCM Primary Care Case Management TCM Targeted Case ManagementGMC Geographic Managed Care RM Regional Model
1 – MCP: Code DirectoryApril 2016
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CountyCounty Code Health Care Plan (HCP)
HCP Number
Plan Type
COHS County Organized Health System GMC Geographic Managed Care PHP Prepaid Health PlanCP Commercial Plan LI Local Initiative SP Special ProjectDNTL Dental PCCM Primary Care Case Management TCM Targeted Case Management
1 – MCP: Code DirectoryJanuary 2008
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CountyCounty Code Health Care Plan (HCP)
HCP Number
Plan Type
Inyo 14(continued)
California Health and Wellness Plan1215 K Street, 17th Floor, Suite 1722Sacramento, CA 958141-877-658-0305
128 RM
Kern 15 Health Net Community Solutions, Inc.State Health Programs11971 Foundation Place, Bldg. DRancho Cordova, CA 95670-79561-800-675-6110
360 Two-Plan CP
Kern Health Systems dba Kern Family Health Care1600 Norris RoadBakersfield, CA 93308-22341-800-391-2000 or (661) 632-1590
303 Two-Plan LI
Kings 16 Anthem Blue Cross Partnership Plan1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-800-407-4627
363 Two-Plan CP
CalViva Health7625 North Palm Avenue, Suite 109Fresno, CA 93711-57851-888-893-1569
316 Two-Plan LI
Lake 17 Partnership HealthPlan of California4665 Business Center DriveFairfield, CA 94534(707) 863-4100
511 COHS
Lassen 18 Partnership HealthPlan of California4665 Business Center DriveFairfield, CA 94534(707) 863-4100
518 COHS
Los Angeles 19 AIDS Healthcare Centers6255 W. Sunset Boulevard, 21st FloorLos Angeles, CA 90028-7422(323) 860-5231
915 PCCM
AltaMed Senior BuenaCare500 Citadel Drive, Suite 490Commerce, CA 90040-1589(323) 728-0411
052 SP
COHS County Organized Health System IM Imperial Model SBM San Benito ModelCP Commercial Plan LI Local Initiative SP Special ProjecDNTL Dental PCCM Primary Care Case Management TCM Targeted Case ManagementGMC Geographic Managed Care RM Regional Model
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CountyCounty Code Health Care Plan (HCP)
HCP Number
Plan Type
Los Angeles 19(continued)
Brandman Centers for Senior Care7150 Tampa AvenueReseda, CA 91335(818) 774-3000Fax: (818) 774-3020
060 SP
Health Net Community Solutions, Inc.State Health Programs11971 Foundation Place, Bldg. DRancho Cordova, CA 95670-79561-800-675-6110
352 Two-Plan CP
L.A. Care Health Plan1055 West 7th StreetLos Angeles, CA 90017(213) 694-1250
304 Two-Plan LI
Senior Care Action Network (SCAN)Health PlanP.O. Box 226163800 Kilroy Airport Way, Suite 100Long Beach, CA 90801-5616(562) 989-5100
200 SP
Senior Care Action Network (SCAN)Health Plan (Nursing home certified)P.O. Box 226163800 Kilroy Airport Way, Suite 100Long Beach, CA 90801-5616(562) 989-5100
201 SP
COHS County Organized Health System IM Imperial Model SBM San Benito ModelCP Commercial Plan LI Local Initiative SP Special ProjecDNTL Dental PCCM Primary Care Case Management TCM Targeted Case ManagementGMC Geographic Managed Care RM Regional Model
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CountyCounty Code Health Care Plan (HCP)
HCP Number
Plan Type
Los Angeles 19(continued)
Care 1st Cal MediConnect 601 Potrero Grande Drive Monterey Park, CA 91755 (855) 905-3825
817 Cal MediConnect
Caremore Cal MediConnect 12900 Park Plaza Drive, Suite 150 Cerritos, CA 90703 (888) 350-3447
818 Cal MediConnect
Health Net Cal MediConnect 11971 Foundation Place, Bldg. D Rancho Cordova, CA 95670 (888) 788-5395
801 Cal MediConnect
L.A. Care Cal MediConnect 1055 W 7th Street, 11th floor Los Angeles, CA 90017 (888) 522-1298
800 Cal MediConnect
Molina Dual Options Cal MediConnect 200 Oceangate, Suite 100 Long Beach, CA 90802 (855) 665-4627
816 Cal MediConnect
COHS County Organized Health System IM Imperial Model SBM San Benito ModelCP Commercial Plan LI Local Initiative SP Special ProjecDNTL Dental PCCM Primary Care Case Management TCM Targeted Case ManagementGMC Geographic Managed Care RM Regional Model
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CountyCounty Code Health Care Plan (HCP)
HCP Number
Plan Type
Madera 20 Anthem Blue Cross Partnership Plan1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-800-407-4627
364 Two-Plan CP
CalViva Health7625 North Palm Avenue, Suite 109Fresno, CA 93711-57851-888-893-1569
317 Two-Plan LI
Marin 21 Partnership HealthPlan of California4665 Business Center DriveFairfield, CA 94534(707) 863-4100
510 COHS
Mariposa 22 Anthem Blue Cross Partnership Plan1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-800-407-4627
108 RM
California Health and Wellness Plan1215 K Street, 17th Floor, Suite 1722Sacramento, CA 958141-877-658-0305
129 RM
Mendocino 23 Partnership HealthPlan of California4665 Business Center DriveFairfield, CA 94534(707) 863-4100
512 COHS
Merced 24 Central California Alliance for Health1600 Green Hills RoadScotts Valley, CA 95066-9998(831) 430-5505 or 1-800-700-3874
514 COHS
Modoc 25 Partnership HealthPlan of California4665 Business Center DriveFairfield, CA 94534(707) 863-4100
519 COHS
COHS County Organized Health System IM Imperial Model SBM San Benito ModelCP Commercial Plan LI Local Initiative SP Special ProjecDNTL Dental PCCM Primary Care Case Management TCM Targeted Case ManagementGMC Geographic Managed Care RM Regional Model
1 – MCP: Code DirectoryMarch 2016
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CountyCounty Code Health Care Plan (HCP)
HCP Number
Plan Type
Mono 26 Anthem Blue Cross Partnership Plan1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-800-407-4627
109 RM
California Health and Wellness Plan1215 K Street, 17th Floor, Suite 1722Sacramento, CA 958141-877-658-0305
133 RM
Monterey 27 Central California Alliance for Health1600 Green Hills RoadScotts Valley, CA 95066-9998(831) 430-5505 or 1-800-700-3874
508 COHS
Napa 28 Partnership HealthPlan of California4665 Business Center DriveFairfield, CA 94534(707) 863-4100
507 COHS
COHS County Organized Health System IM Imperial Model SBM San Benito ModelCP Commercial Plan LI Local Initiative SP Special ProjecDNTL Dental PCCM Primary Care Case Management TCM Targeted Case ManagementGMC Geographic Managed Care RM Regional Model
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CountyCounty Code Health Care Plan (HCP)
HCP Number
Plan Type
Nevada 29 Anthem Blue Cross Partnership Plan1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-800-407-4627
110 RM
California Health and Wellness Plan1215 K Street, 17th Floor, Suite 1722Sacramento, CA 958141-877-658-0305
134 RM
Orange 30 CalOPTIMA505 City Parkway WestOrange, CA 92868Phone: (714) 246-8400Fax: (714) 571-2441
506 COHS
OneCare Connect Cal MediConnect505 City ParkwayWest Orange, CA 928681-855-705-8823
802 Cal MediConnect
Orange County Health Authoritydba CalOptima PACE505 City Parkway WestOrange, CA 92868(714) 246-8500Fax: (714) 571-2441
059 SP
COHS County Organized Health System IM Imperial Model SBM San Benito ModelCP Commercial Plan LI Local Initiative SP Special ProjecDNTL Dental PCCM Primary Care Case Management TCM Targeted Case ManagementGMC Geographic Managed Care RM Regional Model
1 – MCP: Code DirectoryOctober 2015
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CountyCounty Code Health Care Plan (HCP)
HCP Number
Plan Type
Placer 31 Anthem Blue Cross Partnership Plan1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-800-407-4627
111 RM
California Health and Wellness Plan1215 K Street, 17th Floor, Suite 1722Sacramento, CA 958141-877-658-0305
135 RM
KP Cal, LLC1800 Harrison StreetOakland, CA 946121-800-390-3510
179 RM
Plumas 32 Anthem Blue Cross Partnership Plan1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-800-407-4627
112 RM
California Health and Wellness Plan1215 K Street, 17th Floor, Suite 1722Sacramento, CA 958141-877-658-0305
136 RM
COHS County Organized Health System IM Imperial Model SBM San Benito ModelCP Commercial Plan LI Local Initiative SP Special ProjecDNTL Dental PCCM Primary Care Case Management TCM Targeted Case ManagementGMC Geographic Managed Care RM Regional Model
1 – MCP: Code DirectoryOctober 2015
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CountyCounty Code Health Care Plan (HCP)
HCP Number
Plan Type
Riverside 33 Inland Empire Health PlanMailing Address:P.O. Box 1800Rancho Cucamonga, CA 91729Physical Address:10801 6th Street, Suite 120Rancho Cucamonga, CA 91730(909) 890-2000
305 Two-Plan LI
Molina Healthcare of California Partner Plan, Inc.200 Oceangate, Suite 100Long Beach, CA 90802-4317(562) 435-3666
355 Two-Plan CP
Senior Care Action Network (SCAN)Health PlanP.O. Box 226163800 Kilroy Airport Way, Suite 100Long Beach, CA 90801-5616(562) 989-5100
204 SP
Senior Care Action Network (SCAN)Health Plan (Nursing home certified)P.O. Box 226163800 Kilroy Airport Way, Suite 100Long Beach, CA 90801-5616(562) 989-5100
205 SP
COHS County Organized Health System IM Imperial Model SBM San Benito ModelCP Commercial Plan LI Local Initiative SP Special ProjecDNTL Dental PCCM Primary Care Case Management TCM Targeted Case ManagementGMC Geographic Managed Care RM Regional Model
1 – MCP: Code DirectoryOctober 2015
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CountyCounty Code Health Care Plan (HCP)
HCP Number
Plan Type
Riverside 33(continued)
InnovAge Greater California PACE 410 E. Parkcenter Circle North San Bernardino, CA 92408 (303) 704-0595 Fax: (303) 996-1600
061 SP
IEHP Dual Choice Cal MediConnect 10801 6th Street, Suite 120 P.O. Box 1800 Rancho Cucamonga, CA 91729 (877) 273-4347
810 Cal MediConnect
Molina Dual Options Cal MediConnect 200 Oceangate, Suite 100 Long Beach, CA 90802 (855) 665-4627
811 Cal MediConnect
COHS County Organized Health System IM Imperial Model SBM San Benito ModelCP Commercial Plan LI Local Initiative SP Special ProjecDNTL Dental PCCM Primary Care Case Management TCM Targeted Case ManagementGMC Geographic Managed Care RM Regional Model
1 – MCP: Code DirectoryOctober 2015
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CountyCounty Code Health Care Plan (HCP)
HCP Number
Plan Type
Sacramento 34 Aetna Better Health of California10260 Meanley DriveSan Diego, CA 92131-30091-855-772-9076
015 GMC
Anthem Blue Cross Partnership Plan1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-800-407-4627
190 GMC
Health Net Community Solutions, Inc.State Health Programs11971 Foundation Place, Bldg. DRancho Cordova, CA 95670-79561-800-675-6110
150 GMC
KP Cal, LLC1800 Harrison StreetOakland, CA 946121-800-390-3510
170 GMC
Molina Healthcare of California Partner Plan, Inc.200 Oceangate, Suite 100Long Beach, CA 90802-4317(562) 435-3666
130 GMC
Sutter Senior Care7000 Franklin Boulevard. Suite 1020Sacramento, CA 95823(916) 424-8412
050 SP
UnitedHealthcare Community Plan of California8880 Cal Center Drive, Suite 300Sacramento, CA 95826-32281-866-270-5785
017 GMC
San Benito 35 Anthem Blue Cross Partnership Plan1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-800-407-4627
144 SBM
COHS County Organized Health System IM Imperial Model SBM San Benito ModelCP Commercial Plan LI Local Initiative SP Special ProjecDNTL Dental PCCM Primary Care Case Management TCM Targeted Case ManagementGMC Geographic Managed Care RM Regional Model
1 – MCP: Code DirectoryDecember 2017
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CountyCounty Code Health Care Plan (HCP)
HCP Number
Plan Type
San Bernardino 36 Inland Empire Health PlanMailing Address:P.O. Box 1800Rancho Cucamonga, CA 91729Physical Address:10801 6th Street, Suite 120Rancho Cucamonga, CA 91730(909) 890-2000
306 Two-Plan LI
Molina Healthcare of California Partner Plan, Inc.200 Oceangate, Suite 100Long Beach, CA 90802-4317(562) 435-3666
356 Two-Plan CP
Senior Care Action Network (SCAN) Health PlanP.O. Box 226163800 Kilroy Airport Way, Suite 100Long Beach, CA 90801-5616(562) 989-5100
206 SP
Senior Care Action Network (SCAN) Health Plan (Nursing home certified)P.O. Box 226163800 Kilroy Airport Way, Suite 100Long Beach, CA 90801-5616(562) 989-5100
207 SP
InnovAge Greater California PACE 410 E. Parkcenter Circle North San Bernardino, CA 92408 (303) 704-0595 Fax: (303) 996-1600
062 SP
COHS County Organized Health System IM Imperial Model SBM San Benito ModelCP Commercial Plan LI Local Initiative SP Special ProjecDNTL Dental PCCM Primary Care Case Management TCM Targeted Case ManagementGMC Geographic Managed Care RM Regional Model
1 – MCP: Code DirectoryOctober 2015
mcp code dir16
CountyCounty Code Health Care Plan (HCP)
HCP Number
Plan Type
San Bernardino 36(continued)
IEHP Dual Choice Cal Mediconnect 10801 6th Street, Suite 120 P.O. Box 1800 Rancho Cucamonga, CA 91729 (877) 273-4347
812 Cal MediConnect
Molina Dual Options Cal Mediconnect 200 Oceangate, Suite 100Long Beach, CA 90802 (855) 665-4627
813 Cal MediConnect
San Diego 37 Aetna Better Health of California10260 Meanley DriveSan Diego, CA 92131-30091-855-772-9076
016 GMC
Care 1st Cal MediConnect 601 Potrero Grande Drive Monterey Park, CA 91755 (855) 905-3825
803 Cal MediConnect
Care 1st Partner Plan, LLC601 Potrero Grande DriveMonterey Park, CA 917551-800-605-2556
167 GMC
Communicare Advantage Cal MediConnect 2420 Fenton Street, Suite 100 Chula Vista, CA 91914 (888) 244-4430
804 Cal MediConnect
Community Eldercare of San Diego (CESD) dba St. Paul’s PACE111 Elm StreetSan Diego, CA 92101-2692(619) 677-3800Fax: (619) 677-3888
057 SP
Community Health Group Partnership Plan740 Bay BoulevardChula Vista, CA 91910-5254(619) 498-6457
029 GMC
COHS County Organized Health System IM Imperial Model SBM San Benito ModelCP Commercial Plan LI Local Initiative SP Special ProjecDNTL Dental PCCM Primary Care Case Management TCM Targeted Case ManagementGMC Geographic Managed Care RM Regional Model
1 – MCP: Code DirectoryDecember 2017
mcp code dir17
CountyCounty Code Health Care Plan (HCP)
HCP Number
Plan Type
San Diego 37(continued)
Health Net Cal Mediconnect 11971 Foundation Place, Bldg. D Rancho Cordova, CA 95670 (888) 788-5805
805 Cal MediConnect
Health Net Community Solutions, Inc.State Health Programs11971 Foundation Place, Bldg. DRancho Cordova, CA 95670-79561-800-675-6110
068 GMC
KP Cal, LLC393 East Walnut StreetPasadena, CA 91188-11011-800-390-3510
079 GMC
Molina Dual Options Cal Mediconnect 200 Oceangate, Suite 100Long Beach, CA 90802 (855) 665-4627
806 Cal MediConnect
Molina Healthcare of California Partner Plan, Inc.200 Oceangate, Suite 100Long Beach, CA 90802-4317(562) 435-3666
131 GMC
San Ysidro Health Center dba San Diego PACE1275 30th StreetSan Diego, CA 92154(619) 622-4104 Fax: (619) 205-6373
065 SP
UnitedHealthcare Community Plan of California 8880 Cal Center Drive, Suite 300Sacramento, CA 95826-32281-866-270-5785
018 GMC
COHS County Organized Health System IM Imperial Model SBM San Benito ModelCP Commercial Plan LI Local Initiative SP Special ProjecDNTL Dental PCCM Primary Care Case Management TCM Targeted Case ManagementGMC Geographic Managed Care RM Regional Model
1 – MCP: Code DirectorySeptember 2017
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CountyCounty Code Health Care Plan (HCP)
HCP Number
Plan Type
San Francisco 38 Anthem Blue Cross Partnership Plan1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-800-407-4627
343 Two-Plan CP
Family Mosaic Project1309 Evans AvenueSan Francisco, CA 94124-1705(415) 206-7600
601 SP/TCM
On Lok Lifeways1333 Bush StreetSan Francisco, CA 94109-5611(415) 292-8888
055 SP
San Francisco Health Plan50 Beale Street, 12th FloorP.O. Box 194247San Francisco, CA 94119-4247(415) 547-7800
307 Two-Plan LI
San Joaquin 39 Health Net Community SolutionsState Health Programs11971 Foundation Place, Bldg. DRancho Cordova, CA 95670-79561-800-675-6110
354 Two-Plan CP
Health Plan of San Joaquin7751 South Manthey Road French Camp, CA 95231 1-800-932-7526
308 Two-Plan LI
COHS County Organized Health System IM Imperial Model SBM San Benito ModelCP Commercial Plan LI Local Initiative SP Special ProjecDNTL Dental PCCM Primary Care Case Management TCM Targeted Case ManagementGMC Geographic Managed Care RM Regional Model
1 – MCP: Code DirectoryOctober 2015
mcp code dir19
CountyCounty Code Health Care Plan (HCP)
HCP Number
Plan Type
COHS County Organized Health System IM Imperial Model SBM San Benito ModelCP Commercial Plan LI Local Initiative SP Special ProjecDNTL Dental PCCM Primary Care Case Management TCM Targeted Case ManagementGMC Geographic Managed Care RM Regional Model
1 – MCP: Code DirectoryMarch 2016
San Luis Obispo 40 CenCal Health4050 Calle RealSanta Barbara, CA 931101-800-421-2560Fax: (805) 683-9203
501 COHS
San Mateo 41 Health Plan of San Mateo801 Gateway Boulevard, Suite 100South San Francisco, CA 94080-7408(650) 616-2106
503 COHS
Health Plan of San Mateo Cal Mediconnect801 Gateway Boulevard, Suite 100South San Francisco, CA 94080-7408(866) 880-0606
807 Cal MediConnect
Santa Barbara 42 CenCal Health4050 Calle RealSanta Barbara, CA 931101-800-421-2560Fax: (805) 683-9203
502 COHS
Santa Clara 43 Anthem Blue Cross Cal MediConnect1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-855-817-5785
814 Cal MediConnect
Anthem Blue Cross Partnership Plan1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-800-407-4627
345 Two-Plan CP
On Lok Lifeways133 Bush StreetSan Francisco, CA 94109(415) 292-8888
058 SP
Santa Clara Family Health Plan210 East Hacienda AvenueCampbell, CA 95008-6617(408) 376-2000Fax: (408) 376-2191
309 Two-Plan LI
mcp code dir20
CountyCounty Code Health Care Plan (HCP)
HCP Number
Plan Type
COHS County Organized Health System IM Imperial Model SBM San Benito ModelCP Commercial Plan LI Local Initiative SP Special ProjecDNTL Dental PCCM Primary Care Case Management TCM Targeted Case ManagementGMC Geographic Managed Care RM Regional Model
1 – MCP: Code DirectoryOctober 2015
Santa Clara 43(continued)
Santa Clara Family Health Plan Cal MediConnect210 East Hacienda AvenueCampbell, CA 95008-66171-877-723-4795
815 Cal MediConnect
Santa Cruz 44 Central California Alliance for Health1600 Green Hills RoadScotts Valley, CA 95066-9998(831) 430-5505 or 1-800-700-3874
505 COHS
Shasta 45 Partnership HealthPlan of California4665 Business Center DriveFairfield, CA 94534(707) 863-4100
520 COHS
Sierra 46 Anthem Blue Cross Partnership Plan1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-800-407-4627
113 RM
California Health and Wellness Plan1215 K Street, 17th Floor, Suite 1722Sacramento, CA 958141-877-658-0305
137 RM
Siskiyou 47 Partnership HealthPlan of California4665 Business Center DriveFairfield, CA 94534(707) 863-4100
521 COHS
Solano 48 Partnership HealthPlan of California4665 Business Center DriveFairfield, CA 94534(707) 863-4100
504 COHS
Sonoma 49 Partnership HealthPlan of California4665 Business Center DriveFairfield, CA 94534(707) 863-4100
513 COHS
Stanislaus 50 Health Net Community Solutions, Inc.State Health Programs11971 Foundation Place, Bldg. DRancho Cordova, CA 95670-79561-800-675-6110
361 Two-Plan CP
mcp code dir21
CountyCounty Code Health Care Plan (HCP)
HCP Number
Plan Type
Stanislaus 50(continued)
Health Plan of San Joaquin7751 South Manthey Road French Camp, CA 95231 1-800-932-7526
312 Two-Plan LI
Sutter 51 Anthem Blue Cross Partnership Plan1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-800-407-4627
114 RM
California Health and Wellness Plan1215 K Street, 17th Floor, Suite 1722Sacramento, CA 958141-877-658-0305
138 RM
Tehama 52 Anthem Blue Cross Partnership Plan1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-800-407-4627
115 RM
California Health and Wellness Plan1215 K Street, 17th Floor, Suite 1722Sacramento, CA 958141-877-658-0305
139 RM
Trinity 53 Partnership HealthPlan of California4665 Business Center DriveFairfield, CA 94534(707) 863-4100
522 COHS
Tulare 54 Anthem Blue Cross Partnership Plan1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-800-407-4627
311 Two-Plan LI
Health Net Community Solutions, Inc.State Health Programs11971 Foundation Place, Bldg. DRancho Cordova, CA 95670-79561-800-675-6110
353 Two-Plan CP
COHS County Organized Health System IM Imperial Model SBM San Benito ModelCP Commercial Plan LI Local Initiative SP Special ProjecDNTL Dental PCCM Primary Care Case Management TCM Targeted Case ManagementGMC Geographic Managed Care RM Regional Model
1 – MCP: Code DirectoryOctober 2015
mcp code dir22
CountyCounty Code Health Care Plan (HCP)
HCP Number
Plan Type
Tuolumne 55 Anthem Blue Cross Partnership Plan1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-800-407-4627
116 RM
California Health and Wellness Plan1215 K Street, 17th Floor, Suite 1722Sacramento, CA 958141-877-658-0305
141 RM
Ventura 56 Gold Coast Health Plan711 East Daily Drive, Suite 106Camarillo, CA 93010-60821-888-301-1228
515 COHS
Yolo 57 Partnership HealthPlan of California4665 Business Center DriveFairfield, CA 94534(707) 863-4100
509 COHS
Yuba 58 Anthem Blue Cross Partnership Plan1 Wellpoint WayMS CA T201Thousand Oaks, CA 91362-38931-800-407-4627
117 RM
California Health and Wellness Plan1215 K Street, 17th Floor, Suite 1722Sacramento, CA 958141-877-658-0305
142 RM
COHS County Organized Health System IM Imperial Model SBM San Benito ModelCP Commercial Plan LI Local Initiative SP Special ProjecDNTL Dental PCCM Primary Care Case Management TCM Targeted Case ManagementGMC Geographic Managed Care RM Regional Model
1 – MCP: Code DirectoryOctober 2015
