Payers Who REQUIRE an LOA for Professional Fees

This list is not comprehensive. If a payer (Health Plan and/or capitated/referring Medical Group) is not listed here:

 CHECK the Active Contracts Report.

 If the payer is not listed on the Active Contracts Report, REQUEST AN LOA from either Ron Cleary ([email protected] or 415-476-4007), Pat De La Rocha ([email protected]), or the Individual Deal Desk in Health Plan Strategy & Contracting (415-353-9020).

 UCSF is only contracted with Blue Shield, Health Net, and Kaiser for managed Medicare. ALL OTHER PLANS NEED AN LOA.

 ALL OF THESE PAYERS NEED AN LOA. UCSF is not contracted with any Out-of-State Medicaid plans.

 Affinity Medical Group  Employee Health Systems (EHS)

 Bay Valley Medical Group  Gemcare IPA/Managed Care Systems

 CenCal Health  HAA Preferred Partners

 Centers for Elders Independence  Hawaii Medical Services Association (HMSA)  Children First Medical Group  Health Plan of San Mateo (HPSM)  Community Care Managed Health  Independence Medical Group (IMG)  Community Health Center Network (CHCN)  Kern Family Health Care

 Consolidated Tribal Health  MIA Plans (Fresno and Natividad)  Molina Healthcare  Santa Clara Family Health Plan (SCFHP)

 North Bay Medical Group  SLO Select IPA

 Omni IPA  St. Mary’s Health Plan

 Prime Community Care of Central  UCSD Medical Group Valley (PCCCV)  Valley Health Plan  River City Medical Group