MCP: Code Directory (mcp code dir) · Long Beach, CA 90802 (855) 665-4627 806 Cal MediConnect...
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mcp code dir 1 Part 1 – MCP Code Directory MCP: Code Directory Page updated: August 2020 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. ‹‹ MCP Code Directory Table ›› 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 Local Initiative Alameda 01 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627 340 Two-Plan Commercial Plan Alameda 01 Center for Elders’ Independence (CEI) 510 17th Street, Suite 400 Oakland, CA 94612-1570 (510) 433-1150 051 Special Project Alameda 01 On Lok Lifeways 133 Bush Street San Francisco, CA 94109 (415) 292-8888 056 Special Project Alpine 02 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627 100 Regional Model Alpine 02 California Health and Wellness Plan 1215 K Street, 17th Floor, Suite 1722 Sacramento, CA 95814 1-877-658-0305 118 Regional Model
Transcript of MCP: Code Directory (mcp code dir) · Long Beach, CA 90802 (855) 665-4627 806 Cal MediConnect...
mcp code dir 1
Part 1 – MCP Code Directory
MCP: Code Directory Page updated: August 2020
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.
‹‹MCP Code Directory Table››
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 Local Initiative
Alameda 01 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627
340 Two-Plan Commercial Plan
Alameda 01 Center for Elders’ Independence (CEI) 510 17th Street, Suite 400 Oakland, CA 94612-1570 (510) 433-1150
051 Special Project
Alameda 01 On Lok Lifeways 133 Bush Street San Francisco, CA 94109 (415) 292-8888
056 Special Project
Alpine 02 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627
100 Regional Model
Alpine 02 California Health and Wellness Plan 1215 K Street, 17th Floor, Suite 1722 Sacramento, CA 95814 1-877-658-0305
118 Regional Model
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‹‹MCP Code Directory Table (continued)››
County County Code Health Care Plan (HCP)
HCP Number Plan Type
Amador 03 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627
101 Regional Model
Amador 03 California Health and Wellness Plan 1215 K Street, 17th Floor, Suite 1722 Sacramento, CA 95814 1-877-658-0305
119 Regional Model
Amador 03 KP Cal, LLC 1800 Harrison Street Oakland, CA 94612 1-800-390-3510
177 Regional Model
Butte 04 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627
102 Regional Model
Butte 04 California Health and Wellness Plan 1215 K Street, 17th Floor, Suite 1722 Sacramento, CA 95814 1-877-658-0305
120 Regional Model
Calaveras 05 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627
103 Regional Model
Calaveras 05 California Health and Wellness Plan 1215 K Street, 17th Floor, Suite 1722 Sacramento, CA 95814 1-877-658-0305
121 Regional Model
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‹‹MCP Code Directory Table (continued)››
County County Code Health Care Plan (HCP)
HCP Number Plan Type
Colusa 06 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627
104 Regional Model
Colusa 06 California Health and Wellness Plan 1215 K Street, 17th Floor, Suite 1722 Sacramento, CA 95814 1-877-658-0305
122 Regional Model
Contra Costa
07 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627
344 Two-Plan Commercial Plan
Contra Costa
07 Center for Elders’ Independence (CEI) 510 17th Street, Suite 400 Oakland, CA 94612-1570 (510) 433-1150
054 Special Project
Contra Costa
07 Contra Costa Health Plan 595 Center Avenue, Suite 100 Martinez, CA 94553-4629 1-877-661-6230
301 Two-Plan Local Initiative
Del Norte 08 Partnership HealthPlan of California 4665 Business Center Drive Fairfield, CA 94534 (707) 863-4100
523 County Organized Health System
El Dorado 09 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627
105 Regional Model
El Dorado 09 California Health and Wellness Plan 1215 K Street, 17th Floor, Suite 1722 Sacramento, CA 95814 1-877-658-0305
123 Regional Model
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‹‹MCP Code Directory Table (continued)››
County County Code Health Care Plan (HCP)
HCP Number Plan Type
El Dorado 09 KP Cal, LLC 1800 Harrison Street Oakland, CA 94612 1-800-390-3510
178 Regional Model
El Dorado 09 InnovAge PACE 3870 Rosin Court Sacramento, CA 95834 Phone: 1-888-678-6915 TTY: 711
070 Special Project
Fresno 10 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627
362 Two-Plan Commercial Plan
Fresno 10 CalViva Health 7625 North Palm Avenue, Suite 109 Fresno, CA 93711-5785 1-888-893-1569
315 Two-Plan Local Initiative
Fresno 10 Central Valley Medical Services Corporation 41 Sprucewood Aliso Viejo, CA 92656 (559) 400-6420
064 Special Project
Fresno 10 Sequoia PACE 1649 Van Ness Avenue Fresno, CA 93721 (800) 637-3187
032 Special Project
Glenn 11 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627
106 Regional Model
Glenn 11 California Health and Wellness Plan 1215 K Street, 17th Floor, Suite 1722 Sacramento, CA 95814 1-877-658-0305
124 Regional Model
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‹‹MCP Code Directory Table (continued)››
County County Code Health Care Plan (HCP)
HCP Number Plan Type
Humboldt 12 Humboldt Senior Resource Center 1910 California Street Eureka, CA 95501 (707) 443-9747
063 Special Project
Humboldt 12 Partnership HealthPlan of California 4665 Business Center Drive Fairfield, CA 94534 (707) 863-4100
517 County Organized Health System
Imperial 13 California Health and Wellness Plan 1215 K Street, 17th Floor, Suite 1722 Sacramento, CA 95814 1-877-658-0305
143 Imperial Model
Imperial 13 Molina Healthcare Plan of California Partner Plan, Inc. 200 Oceangate, Suite 100 Long Beach, CA 90802-4317 (562) 435-3666
145 Imperial Model
Inyo 14 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627
107 Regional Model
Inyo 14 California Health and Wellness Plan 1215 K Street, 17th Floor, Suite 1722 Sacramento, CA 95814 1-877-658-0305
128 Regional Model
Kern 15 Health Net Community Solutions, Inc. State Health Programs 11971 Foundation Place, Bldg. D Rancho Cordova, CA 95670-7956 1-800-675-6110
360 Two-Plan Commercial Plan
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‹‹MCP Code Directory Table (continued)››
County County Code Health Care Plan (HCP)
HCP Number Plan Type
Kern 15 Kern Health Systems dba Kern Family Health Care 2900 Buck Owens Boulevard Bakersfield, CA 93308-6316 1-800-391-2000 or (661) 632-1590
303 Two-Plan Local Initiative
Kern 15 Bakersfield PACE 1800 Height Street Bakersfield, CA 93305 (661) 872-3860
078 Special Project
Kings 16 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627
363 Two-Plan Commercial Plan
Kings 16 CalViva Health 7625 North Palm Avenue, Suite 109 Fresno, CA 93711-5785 1-888-893-1569
316 Two-Plan Local Initiative
Kings 16 Sequoia PACE 1649 Van Ness Avenue Fresno, CA 93721 (800) 637-3187
033 Special Project
Lake 17 Partnership HealthPlan of California 4665 Business Center Drive Fairfield, CA 94534 (707) 863-4100
511 County Organized Health System
Lassen 18 Partnership HealthPlan of California 4665 Business Center Drive Fairfield, CA 94534 (707) 863-4100
518 County Organized Health System
Los Angeles
19 AIDS Healthcare Centers 6255 W. Sunset Boulevard, 21st Floor Los Angeles, CA 90028-7422 (323) 860-5231
915 Primary Care Case Management
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‹‹MCP Code Directory Table (continued)››
County County Code Health Care Plan (HCP)
HCP Number Plan Type
Los Angeles
19 Brandman Centers for Senior Care 7150 Tampa Avenue Reseda, CA 91335 (818) 774-3000 Fax: (818) 774-3020
060 Special Project
Los Angeles
19 Health Net Community Solutions, Inc. State Health Programs 11971 Foundation Place, Bldg. D Rancho Cordova, CA 95670-7956 1-800-675-6110
352 Two-Plan Commercial Plan
Los Angeles
19 L.A. Care Health Plan 1055 West 7th Street Los Angeles, CA 90017 (213) 694-1250
304 Two-Plan Local Initiative
Los Angeles
19 L.A. Coast PACE 1220 E. 4th Street Long Beach, CA 90802 (562) 206-1681 Fax: (562) 285-6129
076 Special Project
Los Angeles
19 Pacific PACE 50 Alessandro Place Pasadena, CA 91105 (650) 242-5908
074 Special Project
Los Angeles
19 Senior Care Action Network (SCAN) Health Plan P.O. Box 22616 3800 Kilroy Airport Way, Suite 100 Long Beach, CA 90801-5616 (562) 989-5100
200 Special Project
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‹‹MCP Code Directory Table (continued)››
County County Code Health Care Plan (HCP)
HCP Number Plan Type
Los Angeles
19 Senior Care Action Network (SCAN) Health Plan (Nursing home certified) P.O. Box 22616 3800 Kilroy Airport Way, Suite 100 Long Beach, CA 90801-5616 (562) 989-5100
201 Special Project
Los Angeles
19 Blue Shield of California Promise Cal MediConnect 601 Potrero Grande Drive Monterey Park, CA 91755 (855) 905-3825
817 Cal MediConnect
Los Angeles
19 Anthem Blue Cross Cal MediConnect 12900 Park Plaza Drive, Suite 150 Cerritos, CA 90703 (888) 350-3447
818 Cal MediConnect
Los Angeles
19 Health Net Cal MediConnect 11971 Foundation Place, Bldg. D Rancho Cordova, CA 95670 (888) 788-5395
801 Cal MediConnect
Los Angeles
19 L.A. Care Cal MediConnect 1055 W 7th Street, 11th floor Los Angeles, CA 90017 (888) 522-1298
800 Cal MediConnect
Los Angeles
19 Molina Dual Options Cal MediConnect 200 Oceangate, Suite 100 Long Beach, CA 90802 (855) 665-4627
816 Cal MediConnect
Madera 20 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 (800) 407-4627
364 Two-Plan Commercial Plan
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‹‹MCP Code Directory Table (continued)››
County County Code Health Care Plan (HCP)
HCP Number Plan Type
Madera 20 CalViva Health 7625 North Palm Avenue, Suite 109 Fresno, CA 93711-5785 (888) 893-1569
317 Two-Plan Local Initiative
Madera 20 Sequoia PACE 1649 Van Ness Avenue Fresno, CA 93721 (800) 637-3187
035 Special Project
Marin 21 Partnership HealthPlan of California 4665 Business Center Drive Fairfield, CA 94534 (707) 863-4100
510 County Organized Health System
Mariposa 22 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627
108 Regional Model
Mariposa 22 California Health and Wellness Plan 1215 K Street, 17th Floor, Suite 1722 Sacramento, CA 95814 1-877-658-0305
129 Regional Model
Mendocino 23 Partnership HealthPlan of California 4665 Business Center Drive Fairfield, CA 94534 (707) 863-4100
512 County Organized Health System
Merced 24 Central California Alliance for Health 1600 Green Hills Road Scotts Valley, CA 95066-9998 (831) 430-5505 or 1-800-700-3874
514 County Organized Health System
Modoc 25 Partnership HealthPlan of California 4665 Business Center Drive Fairfield, CA 94534 (707) 863-4100
519 County Organized Health System
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‹‹MCP Code Directory Table (continued)››
County County Code Health Care Plan (HCP)
HCP Number Plan Type
Mono 26 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627
109 Regional Model
Mono 26 California Health and Wellness Plan 1215 K Street, 17th Floor, Suite 1722 Sacramento, CA 95814 1-877-658-0305
133 Regional Model
Monterey 27 Central California Alliance for Health 1600 Green Hills Road Scotts Valley, CA 95066-9998 (831) 430-5505 or 1-800-700-3874
508 County Organized Health System
Napa 28 Partnership HealthPlan of California 4665 Business Center Drive Fairfield, CA 94534 (707) 863-4100
507 County Organized Health System
Nevada 29 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627
110 Regional Model
Nevada 29 California Health and Wellness Plan 1215 K Street, 17th Floor, Suite 1722 Sacramento, CA 95814 1-877-658-0305
134 Regional Model
Orange 30 CalOPTIMA 505 City Parkway West Orange, CA 92868 Phone: (714) 246-8400 Fax: (714) 571-2441
506 County Organized Health System
Orange 30 OneCare Connect Cal MediConnect 505 City Parkway West Orange, CA 92868 1-855-705-8823
802 Cal MediConnect
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‹‹MCP Code Directory Table (continued)››
County County Code Health Care Plan (HCP)
HCP Number Plan Type
Orange 30 Orange County Health Authority dba CalOptima PACE 505 City Parkway West Orange, CA 92868 (714) 246-8500 Fax: (714) 571-2441
059 Special Project
Placer 31 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627
111 Regional Model
Placer 31 California Health and Wellness Plan 1215 K Street, 17th Floor, Suite 1722 Sacramento, CA 95814 1-877-658-0305
135 Regional Model
Placer 31 KP Cal, LLC 1800 Harrison Street Oakland, CA 94612 1-800-390-3510
179 Regional Model
Placer 31 InnovAge PACE 3870 Rosin Court Sacramento, CA 95834 Phone: 1(888) 678-6915 TTY: 711
071 Special Project
Plumas 32 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627
112 Regional Model
Plumas 32 California Health and Wellness Plan 1215 K Street, 17th Floor, Suite 1722 Sacramento, CA 95814 1-877-658-0305
136 Regional Model
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‹‹MCP Code Directory Table (continued)››
County County Code Health Care Plan (HCP)
HCP Number Plan Type
Riverside 33 Inland Empire Health Plan Mailing Address: P.O. Box 1800 Rancho Cucamonga, CA 91729
Physical Address: 10801 6th Street, Suite 120 Rancho Cucamonga, CA 91730 (909) 890-2000
305 Two-Plan Local Initiative
Riverside 33 Molina Healthcare of California Partner Plan, Inc. 200 Oceangate, Suite 100 Long Beach, CA 90802-4317 (562) 435-3666
355 Two-Plan Commercial Plan
Riverside 33 Senior Care Action Network (SCAN) Health Plan P.O. Box 22616 3800 Kilroy Airport Way, Suite 100 Long Beach, CA 90801-5616 (562) 989-5100
204 Special Project
Riverside 33 Senior Care Action Network (SCAN) Health Plan (Nursing home certified) P.O. Box 22616 3800 Kilroy Airport Way, Suite 100 Long Beach, CA 90801-5616 (562) 989-5100
205 Special Project
Riverside 33 InnovAge Greater California PACE 410 E. Parkcenter Circle North San Bernardino, CA 92408 (303) 704-0595 Fax: (303) 996-1600
061 Special Project
Riverside 33 IEHP Dual Choice Cal MediConnect 10801 6th Street, Suite 120 P.O. Box 1800 Rancho Cucamonga, CA 91729 (877) 273-4347
810 Cal MediConnect
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‹‹MCP Code Directory Table (continued)››
County County Code Health Care Plan (HCP)
HCP Number Plan Type
Riverside 33 Molina Dual Options Cal MediConnect 200 Oceangate, Suite 100 Long Beach, CA 90802 (855) 665-4627
811 Cal MediConnect
Sacramento 34 Aetna Better Health of California 10260 Meanley Drive San Diego, CA 92131-3009 1-855-772-9076
015 Geographic Managed Care
Sacramento 34 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627
190 Geographic Managed Care
Sacramento 34 Health Net Community Solutions, Inc. State Health Programs 11971 Foundation Place, Bldg. D Rancho Cordova, CA 95670-7956 1-800-675-6110
150 Geographic Managed Care
Sacramento 34 KP Cal, LLC 1800 Harrison Street Oakland, CA 94612 1-800-390-3510
170 Geographic Managed Care
Sacramento 34 Molina Healthcare of California Partner Plan, Inc. 200 Oceangate, Suite 100 Long Beach, CA 90802-4317 (562) 435-3666
130 Geographic Managed Care
Sacramento 34 Sutter Senior Care 7000 Franklin Boulevard. Suite 1020 Sacramento, CA 95823 (916) 424-8412
050 Special Project
Sacramento 34 InnovAge PACE 3870 Rosin Court Sacramento, CA 95834 Phone: 1-888-678-6915 TTY: 711
072 Special Project
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‹‹MCP Code Directory Table (continued)››
County County Code Health Care Plan (HCP)
HCP Number Plan Type
San Benito 35 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627
144 San Benito Model
San Bernardino
36 Inland Empire Health Plan Mailing Address: P.O. Box 1800 Rancho Cucamonga, CA 91729
Physical Address: 10801 6th Street, Suite 120 Rancho Cucamonga, CA 91730 (909) 890-2000
306 Two-Plan Local Initiative
San Bernardino
36 Molina Healthcare of California Partner Plan, Inc. 200 Oceangate, Suite 100 Long Beach, CA 90802-4317 (562) 435-3666
356 Two-Plan Commercial Plan
San Bernardino
36 Senior Care Action Network (SCAN) Health Plan P.O. Box 22616 3800 Kilroy Airport Way, Suite 100 Long Beach, CA 90801-5616 (562) 989-5100
206 Special Project
San Bernardino
36 Senior Care Action Network (SCAN) Health Plan (Nursing home certified) P.O. Box 22616 3800 Kilroy Airport Way, Suite 100 Long Beach, CA 90801-5616 (562) 989-5100
207 Special Project
San Bernardino
36 InnovAge Greater California PACE 410 E. Parkcenter Circle North San Bernardino, CA 92408 (303) 704-0595 Fax: (303) 996-1600
062 Special Project
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‹‹MCP Code Directory Table (continued)››
County County Code Health Care Plan (HCP)
HCP Number Plan Type
San Bernardino
36 IEHP Dual Choice Cal Mediconnect 10801 6th Street, Suite 120 P.O. Box 1800 Rancho Cucamonga, CA 91729 (877) 273-4347
812 Cal MediConnect
San Bernardino
36 Molina Dual Options Cal Mediconnect 200 Oceangate, Suite 100 Long Beach, CA 90802 (855) 665-4627
813 Cal MediConnect
San Diego 37 Aetna Better Health of California 10260 Meanley Drive San Diego, CA 92131-3009 1-855-772-9076
016 Geographic Managed Care
San Diego 37 Blue Shield of California Promise Cal MediConnect 601 Potrero Grande Drive Monterey Park, CA 91755 (855) 905-3825
803 Cal MediConnect
San Diego 37 Blue Shield of California Promise Plan 601 Potrero Grande Drive Monterey Park, CA 91755 1-800-605-2556
167 Geographic Managed Care
San Diego 37 Communicare Advantage Cal MediConnect 2420 Fenton Street, Suite 100 Chula Vista, CA 91914 (888) 244-4430
804 Cal MediConnect
San Diego 37 Community Eldercare of San Diego (CESD) dba St. Paul’s PACE 111 Elm Street San Diego, CA 92101-2692 (619) 677-3800 Fax: (619) 677-3888
057 Special Project
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‹‹MCP Code Directory Table (continued)››
County County Code Health Care Plan (HCP)
HCP Number Plan Type
San Diego 37 Community Health Group Partnership Plan 740 Bay Boulevard Chula Vista, CA 91910-5254 (619) 498-6457
029 Geographic Managed Care
San Diego 37 Family Health Centers of San Diego 3420 College Avenue San Diego, CA 92115 (619) 515-2300
073 Special Project
San Diego 37 Gary and Mary West PACE of Northern San Diego 1706 Descanso Avenue San Marcos, CA 92078 (858) 412-8759
069 Special Project
San Diego 37 Health Net Cal Mediconnect 11971 Foundation Place, Bldg. D Rancho Cordova, CA 95670 (888) 788-5805
805 Cal MediConnect
San Diego 37 Health Net Community Solutions, Inc. State Health Programs 11971 Foundation Place, Bldg. D Rancho Cordova, CA 95670-7956 1-800-675-6110
068 Geographic Managed Care
San Diego 37 KP Cal, LLC 393 East Walnut Street Pasadena, CA 91188-1101 1-800-390-3510
079 Geographic Managed Care
San Diego 37 Molina Dual Options Cal Mediconnect 200 Oceangate, Suite 100 Long Beach, CA 90802 (855) 665-4627
806 Cal MediConnect
San Diego 37 Molina Healthcare of California Partner Plan, Inc. 200 Oceangate, Suite 100 Long Beach, CA 90802-4317 (562) 435-3666
131 Geographic Managed Care
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‹‹MCP Code Directory Table (continued)››
County County Code Health Care Plan (HCP)
HCP Number Plan Type
San Diego 37 Rady Children’s Hospital – San Diego MC 5149 3020 Children’s Way San Diego, CA 92123 (858) 576-1700
705 Special Project
San Diego 37 San Ysidro Health Center dba San Diego PACE 1275 30th Street San Diego, CA 92154 (619) 622-4104 Fax: (619) 205-6373
065 Special Project
San Diego 37 UnitedHealthcare Community Plan of California 8880 Cal Center Drive, Suite 300 Sacramento, CA 95826-3228 1-866-270-5785
018 Geographic Managed Care
San Francisco
38 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627
343 Two-Plan Commercial Plan
San Francisco
38 Family Mosaic Project 1309 Evans Avenue San Francisco, CA 94124-1705 (415) 206-7600
601 Special Project/ Targeted Case Management
San Francisco
38 On Lok Lifeways 1333 Bush Street San Francisco, CA 94109-5611 (415) 292-8888
055 Special Project
San Francisco
38 San Francisco Health Plan 50 Beale Street, 12th Floor P.O. Box 194247 San Francisco, CA 94119-4247 (415) 547-7800
307 Two-Plan Local Initiative
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MCP Code Directory Table (continued)
County County Code Health Care Plan (HCP)
HCP Number Plan Type
San Joaquin
39 Central Valley PACE 2401 East Orangeburg Avenue Suite 330 Modesto, CA 95355 (855) 461-7223
030 Special Project
San Joaquin
39 Health Net Community Solutions State Health Programs 11971 Foundation Place, Bldg. D Rancho Cordova, CA 95670-7956 1-800-675-6110
354 Two-Plan Commercial Plan
San Joaquin
39 Health Plan of San Joaquin 7751 South Manthey Road French Camp, CA 95231 1-800-932-7526
308 Two-Plan Local Initiative
San Joaquin
39 Stockton PACE 582 E. Harding Way Stockton, CA 95204 (650) 741-0743
066 Special Project
San Joaquin
39 InnovAge PACE 3870 Rosin Court Sacramento, CA 95834 Phone: 1(888) 678-6915 TTY: 711
088 Special Project
San Luis Obispo
40 CenCal Health 4050 Calle Real Santa Barbara, CA 93110 1-800-421-2560 Fax: (805) 683-9203
501 County Organized Health System
San Mateo 41 Health Plan of San Mateo 801 Gateway Boulevard, Suite 100 South San Francisco, CA 94080-7408 (650) 616-2106
503 County Organized Health System
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‹‹MCP Code Directory Table (continued)››
County County Code Health Care Plan (HCP)
HCP Number Plan Type
San Mateo 41 Health Plan of San Mateo Cal Mediconnect 801 Gateway Boulevard, Suite 100 South San Francisco, CA 94080-7408 (866) 880-0606
807 Cal MediConnect
Santa Barbara
42 CenCal Health 4050 Calle Real Santa Barbara, CA 93110 1-800-421-2560 Fax: (805) 683-9203
502 County Organized Health System
Santa Clara 43 Anthem Blue Cross Cal MediConnect 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-855-817-5785
814 Cal MediConnect
Santa Clara 43 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627
345 Two-Plan Commercial Plan
Santa Clara 43 On Lok Lifeways 133 Bush Street San Francisco, CA 94109 (415) 292-8888
058 Special Project
Santa Clara 43 Santa Clara Family Health Plan 210 East Hacienda Avenue Campbell, CA 95008-6617 (408) 376-2000 Fax: (408) 376-2191
309 Two-Plan Local Initiative
Santa Clara 43 Santa Clara Family Health Plan Cal MediConnect 210 East Hacienda Avenue Campbell, CA 95008-6617 1-877-723-4795
815 Cal MediConnect
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‹‹MCP Code Directory Table (continued)››
County County Code Health Care Plan (HCP)
HCP Number Plan Type
Santa Cruz 44 Central California Alliance for Health 1600 Green Hills Road Scotts Valley, CA 95066-9998 (831) 430-5505 or 1-800-700-3874
505 County Organized Health System
Shasta 45 Partnership HealthPlan of California 4665 Business Center Drive Fairfield, CA 94534 (707) 863-4100
520 County Organized Health System
Sierra 46 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627
113 Regional Model
Sierra 46 California Health and Wellness Plan 1215 K Street, 17th Floor, Suite 1722 Sacramento, CA 95814 1-877-658-0305
137 Regional Model
Siskiyou 47 Partnership HealthPlan of California 4665 Business Center Drive Fairfield, CA 94534 (707) 863-4100
521 County Organized Health System
Solano 48 Partnership HealthPlan of California 4665 Business Center Drive Fairfield, CA 94534 (707) 863-4100
504 County Organized Health System
Sonoma 49 Partnership HealthPlan of California 4665 Business Center Drive Fairfield, CA 94534 (707) 863-4100
513 County Organized Health System
Stanislaus 50 Central Valley PACE 2401 East Orangeburg Avenue Suite 330 Modesto, CA 95355 (855) 461-7223
031 Special Project
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‹‹MCP Code Directory Table (continued)››
County County Code Health Care Plan (HCP)
HCP Number Plan Type
Stanislaus 50 Health Net Community Solutions, Inc. State Health Programs 11971 Foundation Place, Bldg. D Rancho Cordova, CA 95670-7956 1-800-675-6110
361 Two-Plan Commercial Plan
Stanislaus 50 Health Plan of San Joaquin 7751 South Manthey Road French Camp, CA 95231 1-800-932-7526
312 Two-Plan Local Initiative
Stanislaus 50 Stockton PACE 582 E. Harding Way Stockton, CA 95204 (650) 741-0743
067 Special Project
Sutter 51 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627
114 Regional Model
Sutter 51 California Health and Wellness Plan 1215 K Street, 17th Floor, Suite 1722 Sacramento, CA 95814 1-877-658-0305
138 Regional Model
Sutter 51 InnovAge PACE 3870 Rosin Court Sacramento, CA 95834 Phone: 1(888) 678-6915 TTY: 711
089 Special Project
Tehama 52 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627
115 Regional Model
Tehama 52 California Health and Wellness Plan 1215 K Street, 17th Floor, Suite 1722 Sacramento, CA 95814 1-877-658-0305
139 Regional Model
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‹‹MCP Code Directory Table (continued)››
County County Code Health Care Plan (HCP)
HCP Number Plan Type
Trinity 53 Partnership HealthPlan of California 4665 Business Center Drive Fairfield, CA 94534 (707) 863-4100
522 County Organized Health System
Tulare 54 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627
311 Two-Plan Local Initiative
Tulare 54 Bakersfield PACE 1800 Height Street Bakersfield, CA 93305 (661) 872-3860
077 Special Project
Tulare 54 Health Net Community Solutions, Inc. State Health Programs 11971 Foundation Place, Bldg. D Rancho Cordova, CA 95670-7956 1-800-675-6110
353 Two-Plan Commercial Plan
Tulare 54 Sequoia PACE 1649 Van Ness Avenue Fresno, CA 93721 (800) 637-3187
034 Special Project
Tuolumne 55 Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627
116 Regional Model
Tuolumne 55 California Health and Wellness Plan 1215 K Street, 17th Floor, Suite 1722 Sacramento, CA 95814 1-877-658-0305
141 Regional Model
Ventura 56 Gold Coast Health Plan 711 East Daily Drive, Suite 106 Camarillo, CA 93010-6082 1-888-301-1228
515 County Organized Health System
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‹‹MCP Code Directory Table (continued)››
County County Code Health Care Plan (HCP)
HCP Number Plan Type
Yolo 57 Partnership HealthPlan of California 4665 Business Center Drive Fairfield, CA 94534 (707) 863-4100
509 County Organized Health System
Yuba Yuba Yuba Anthem Blue Cross Partnership Plan 1 Wellpoint Way MS CA T201 Thousand Oaks, CA 91362-3893 1-800-407-4627
117 Regional Model
Yuba Yuba California Health and Wellness Plan 1215 K Street, 17th Floor, Suite 1722 Sacramento, CA 95814 1-877-658-0305
142 Regional Model
Yuba Yuba InnovAge PACE 3870 Rosin Court Sacramento, CA 95834 Phone: 1(888) 678-6915 TTY: 711
090 Special Project
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