Provider Reimbursement

Provider Grants
HSF Medical Homes have different models of payment. HSF’s third-party administrator (TPA), San Francisco Health Plan, administers HSF provider agreements and grant payments to non-San Francisco Department of Public Health HSF Medical Homes and facilities.

Providers are required to submit their monthly invoices with the required enrollment and encounter data information. Payment is processed by the fifteenth (15th) of each month, provided that an invoice has been submitted with the required information.

Point of Service Fees
A Point of Service (POS) fee is what HSF participants pay to their Medical Home or network hospital for medical services at the time he or she receives them. Some participants may be subject to paying POS fees to their Medical Homes. The POS fee amount depends on the participant’s Medical Home, household income, and medical service being provided.

For more information about Point of Service fees, click here.