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 | ||||||||||||
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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 |
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Telephone Time to Answer |
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Provider Appointment Availability |
Data Analysis and Report Building |
Monitor Network Performance | ||||||||||
Wait Time in Provider Offices |