Medi-Cal

There are two common ways to receive Medi-Cal benefits:

  1. The first way is to have it administered directly by the state. This is usually referred to as Medi-Cal Fee For Service or “traditional Medi-Cal”.
  2. The other way is that your Medi-Cal benefits are administered by a third-party insurance plan that your county of residence has chosen to administer those benefits for its residents. This is referred to as “Medi-Cal HMO” or “Managed Medi-Cal”.

All counties have Managed Medi-Cal plans. Typically, once you sign up for Medi-Cal, you are enrolled in traditional Medi-Cal FFS plan for the first 30 days, and then the state transitions you into one of the Managed Medi-Cal plans available in your county.

View a list of the Managed Medi-Cal plans available by County.

Stanford Medicine Children’s Health (Lucile Packard Children’s Hospital and Physicians) is contracted and in-network with the following Medi-Cal options

When calling your plan, it may be helpful to reference Stanford Tax ID numbers in your verification process:

  • Stanford Children’s Health (Physicians) 26-0089066
  • Lucile Packard Children’s Hospital Stanford 77-0003859

Stanford Medicine Children’s Health and Lucile Packard Children’s Hospital Stanford accept Medi-Cal Fee For Service for all hospital and physician services.

Stanford Medicine Children’s Health is in-network for hospital and all specialist physician services. Certain Stanford Medicine Children’s Health pediatricians in the East Bay, through affiliation with select medical groups may be selected as Primary Care Physicians (PCP.) Please check your health plan website for Primary Care Physician availability.

In order to be seen at Stanford Medicine Children’s Health, your PCP must refer you and your medical group or health plan must authorize all services requested. 

What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.

Stanford Medicine Children’s Health isin-network for hospital and all specialist physician services. Certain Stanford Medicine Children’s Health pediatricians in the East Bay and Santa Clara County, through affiliation with select medical groups may be selected as Primary Care Physicians. Please check your health plan website for Primary Care Physician availability.

In order to be seen at Stanford Medicine Children’s Health, your Primary Care Physician must refer you and your medical group or health plan must authorize all services requested. 

What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.

Stanford Medicine Children’s Health is in-network for all hospital services, all specialist physician services, and Primary Care Physician services at our Monterey location.

In order to be seen at Stanford Medicine Children’s Health, your Primary Care Physician would need to refer you, and your medical group or health plan must authorize all requests. 

What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.

Stanford Medicine Children’s Health is in-network for all hospital, specialist, and Primary Care Physician services. Please check your health plan website for Primary Care Physician availability.

In order to be seen at Stanford Medicine Children’s Health, your Primary Care Physician must refer you and your medical group or Contra Costa Health Plan must authorize all services requested. 

What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.

Stanford Medicine Children’s Health is in-network for all hospital and specialist physician services.

In order to be seen at Stanford Medicine Children’s Health, your Primary Care Physician must refer you and your medical group or health plan must authorize all services requested. 

What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.

Stanford Medicine Children’s Health is in-network for all hospital, specialist, and limited Primary Care Physician services.

In order to be seen at Stanford Medicine Children’s Health, your Primary Care Physician must refer you and Health Plan of San Mateo must authorize all services requested.

What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.

Stanford Medicine Children’s Health is in-network for all hospital and specialist physician services.

In order to be seen at Stanford Medicine Children’s Health, your Primary Care Physician must refer you and your medical group or health plan must authorize all services requested. 

What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.

Stanford Medicine Children’s Health is in-network for all hospital and specialist physician services.

In order to be seen at Stanford Medicine Children’s Health, your Primary Care Physician must refer you and your medical group or health plan must authorize all services requested.

What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.

Stanford Medicine Children’s Health is in-network for all hospital and specialist physician services. In order to be seen at Stanford Medicine Children’s Health, your Primary Care Physician must refer you and your medical group or health plan must authorize all services requested.

What are specialist services? Specialist services are services by physicians specializing in advanced areas such as Cardiology, Neurology, Surgery, Oncology, etc. This is different than your general pediatrician.

If your Medi-Cal plan is not included on the list of in-network plans, that means that Stanford Medicine Children’s Health does not have a contract with your plan. Some Medi-Cal/Medicaid plans are willing to authorize treatment on a case-by-case basis. It is recommended that you work with your Primary Care Physician to obtain a referral/authorization for treatment at Stanford Medicine Children’s Health. Once your health plan has authorized the care, they will reach out to negotiate a single case agreement with our Managed Care Department.