California’s Medi-Cal delivery system is fragmented. In Medi-Cal, managed care plans are responsible for physical health care and some mental health services, while plans run by county behavioral health departments are responsible for specialty mental health services and most substance use disorder care. When individual Medi-Cal enrollees receive their health care from multiple systems, maintaining coordinated care is a challenge, which can affect their experience and outcomes. To address some of these challenges, managed care plans (MCPs) and behavioral health plans across California are working to create closer connections and better care for their common members. This paper looks at efforts in San Mateo County to streamline operational functions between its managed care plan and behavioral health department with a goal of improving member care and better managing resources. Health Plan of San Mateo (HPSM) is a County-Organized Health System created in 1987 to offer a comprehensive network of providers and to promote preventive care for Medi-Cal enrollees. HPSM currently serves more than 130,000 San Mateo County residents through various health programs and initiatives.
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