Member Centered Programs

San Francisco Health Plan is dedicated to improving the health outcomes for our members. We offer several programs and services to help members manage, control, and maintain their health. These programs are as follows:

CalAIM Incentive Payment Program – San Francisco Health Plan (SFHP) is pleased to announce the availability of the Incentive Payment Program (IPP). Through the IPP, SFHP provides grants to contracted Enhanced Care Management (ECM) and Community Support providers to address gaps in delivery system infrastructure and support the expansion of ECM and Community Support services in San Francisco. To apply for funding, please complete the fillable PDF application and submit to IPP@sfhp.org. For additional details, kindly review this FAQ (Frequently Asked Questions). If you have any questions about the IPP or need assistance with your application, please email IPP@sfhp.org.

• Progress Report: Providers receiving CalAIM IPP grants over $200K are responsible for reporting to SFHP on their progress towards the objectives outlined in their IPP Agreement. Please complete this form to report on the objectives/milestones with target completion dates within the reporting period and submit the report by email to IPP@sfhp.org. Please note that organizations with overdue reports are ineligible for future funding until the overdue report is submitted.
• Final Report: Providers receiving CalAIM IPP grants are responsible for reporting to SFHP on completion of the objectives/milestones outlined in their IPP Agreement. Please complete this form to report on the objectives/milestones and submit the report by email to IPP@sfhp.org. Please note that organizations with overdue reports are ineligible for future funding until the overdue report is submitted.

Care Management – San Francisco Health Plan offers a variety of programs with a multidisciplinary team that can work with members both in person and over the phone to develop and implement patient centered care management plans.

Doula Services – Doula services will be provided under the federal authority of Preventive Services as a State Plan benefit in both fee-for-service and managed care delivery systems. The Department of Health Care Services (DHCS) will cover doula services for prenatal and postpartum visits, and during labor and delivery, miscarriage, or abortion, starting January 1, 2023. Services could be at the beneficiary’s home, as part of an office visit, in a hospital, or in an alternative birth center. Services include health education, advocacy, and physical, emotional, and nonmedical support.

• Doula Benefit Overview for Providers
• Doula Benefit FAQ for Providers
• Required Documents for Doulas
• Standing Orders for Doula Services

Member Incentives – San Francisco Health Plan offers member incentive programs to encourage members to have appropriate preventative care and services.

Sparkler – San Francisco Health Plan is partnering with the Department of Early Childhood (DEC) to make the Ages & Stages Questionnaires® (ASQ) more accessible and easier to complete using the Sparkler app. Sparkler is a FREE, evidence-based, mobile family engagement platform, available in Chinese, English, and Spanish to San Francisco providers and families of children aged 0 to 5. The ASQs on Sparkler are the same as the ASQs often given by educators or pediatricians except that they are digitally enabled via smartphones or tablets.

To learn more visit San Francisco’s Sparkler webpage.