Low Income Health Program (LIHP) Transition to Medi-Cal
Some former LIHP enrollees are encountering difficulties in their transition to Medi-Cal. Some former LIHP enrollees are not showing as eligible on the Medi-Cal Eligibility site. Others have been assigned to a new primary care provider or are having difficulty filling prescriptions. If a former LIHP enrollee is experiencing one of these issues, select the appropriate link below and follow the instructions in the form:
As part of the Affordable Care Act (ACA), LIHP will transition to Medi-Cal on January 1, 2014.
Enacted in March 2010, the federal Patient Protection and Affordable Care Act, commonly referred to as "Obamacare" provides the framework, policies, regulations and guidelines for implementation of comprehensive health care reform by the states. The Affordable Care Act will expand access to high-quality affordable insurance and health care.
Promulgada en marzo de 2010, la ley federal de protección al paciente y cuidado de salud accesible, conocida como "Obamacare", proporciona el marco, normas, regulaciones y pautas para la implementación de una reforma de salud global realizada por los estados. La ley de cuidad de salud accesible ampliara el acceso a seguros de calidad a un precio módico y al cuidado de salud.
More Information on the LIHP Transition
New! Pharmacy Comparison Chart
New!Drug Carve-Out List
Contact Information for LIHP Enrollees Transitioning to Medi-Cal
Correspondence to LIHP Enrollees
30 Day Notice to LIHP Enrollees
Welcome to Medi-Cal Packet
Welcome to Medi-Cal Packet (Spanish)
Medi-Cal -What It Means to You
Medi-Cal - What it Means to You (Spanish)
Frequently Asked Questions (FAQ's) on the LIHP Transition
Medi-Cal Enrollment Toolkit
Medi-Cal Choice Form, Provider Instructions and Medi-Cal Choice Form Process
California Department of Health Care Services (DHCS) LIHP Transition Website
Guidance on Continuity of Care
Letter to AIDS Drug Assistance Program (ADAP) Clients
The Department of Health Care Services scheduled a series of webinars on the LIHP transition for physicians and other providers. Click here to review webinar topics and visit the DHCS LIHP Transition website here to review webinar materials posted under the DHCS Partners section of the site.
LIHP is a program that funds medical care for uninsured adult county residents. LIHP uses a network of community health centers along with hospitals, community physicians, and mental health providers throughout San Diego County to provide health care services.
LIHP Enrollee Information
The Low Income Health Program (LIHP) will cover medical procedures that are deemed medically necessary by your LIHP doctor/network provider, services include:
Access to a Primary Care Provider
Outpatient and Inpatient Services
Emergency Medical and Dental Services
Limited Mental Health Benefits
For more information, please consult the Enrollee Handbook below.
LIHP Enrollee Handbooks
The following handbooks provide information about LIHP:
Enrollee Handbook - Provides LIHP information on how to receive health services for LIHP enrollees.
Enrollee Handbook (Español) - Proporciona información sobre LIHP de como recibir servicios de salud para miembros de LIHP.
LIHP Enrollee Rights - Provides LIHP information on Your Rights.
LIHP Rights & Responsibilities - Provides LIHP information of your Rights and Responsibilities as part of the application for, and receipt of LIHP.
LIHP Minimum Eligibility Criteria
Individuals may be eligible for LIHP if they meet the minimum eligibility criteria.
Does not meet the Medi-Cal eligibility criteria
19 through 64 years of age
A San Diego County resident
A US citizen or legal alien with 5 years residency (with some exceptions)(for Citizenship click here).
Meet LIHP financial requirements
Click here for LIHP income limits
There is no property evaluation for LIHP.
How to Apply
Click here for more information on how to apply for LIHP.
To check on the status of your LIHP application pending in a FRC, you may leave a voice message at the following phone number. All voice mail messages left on the FRC LIHP line should be returned within 1 business day.
|FAMILY RESOURCE CENTER PHONE NUMBERS
ONLY FOR INFORMATION ON PENDING LIHP APPLICATIONS
|Family Resource Center||LIHP Only Phone Number
1255 Imperial Ave., 5th Floor
San Diego, CA 92101
220 S. First St.
El Cajon, CA 92109
Lemon Grove, CA 91945
5055 Ruffin Rd.
San Diego, CA 92123
1315 Union Plaza Ct.
Oceanside, CA 92054
620 E. Valley Pkwy.
Escondido, CA 92025
5001 73rd St.
San Diego, CA 92115
690 Oxford St., #E
Chula Vista, CA 91911
4588 Market St.
San Diego, CA 92102
If you have a LIHP question or would like more information please send us an email
LIHP Provider Information
Provider Treatment Authorization Phone Number is 858-658-8650.
Medical Management Fax Number is 855-394-7927.
LIHP Service Forms
LIHP Provider Handbook
How to become a LIHP/CMS Contracting Specialty Provider
Become a contracting provider and gain access to the Electronic Treatment Authorization System (eTAR) and Provider Online Verification (POV) website!
Are you already a specialty contracted provider?
See how you can add eConsult services to your existing contract.
Specialty Contracting Providers Change Notification.
Has there been a change to any of the following?
Tax Identification Number (TIN)
National Provider Identification Number (NPI)
Additional Provider Added to Group
If so Please fill out and submit the Contracting Providers Change Form.
Non-Contracting Provider Changes
If you have any questions on how to fill out the Credentialing Provider Application please call 858-495-1373.
How to become a LIHP/CMS Ancillary (Non-Specialty Services) Provider
Become a contracting ancillary provider and gain access to the Electronic Treatment Authorization System (eTAR) and Provider Online Verification (POV) website!
Ancillary contracting providers change notification.
Has there been a change to your LIHP/CMS contract contact, site address or providers within your facility? Please click here to email contract change notifications.
How to become a LIHP/CMS Primary Care Clinic Provider
Establish a NEW Primary Care Clinic contract with LIHP.
To add an ADDITIONAL site to an already contracting LIHP PCP site.
Please click here if you would like more information on the LIHP contracting process.