Welcome to the NEMS MSO Portal

Thank you for visiting the North East Medical Services (NEMS) MSO Portal, where you can find resources and information related to our Management Services Organization. Please bookmark this page for future reference.

This website is designed for providers, hospitals, and medical groups who have contracts with NEMS to provide managed care services to patients enrolled in San Francisco Health Plan's Medi-Cal, and Healthy Kids insurance programs.

This website does not provide information on SFHP's In-Home Supportive Services (IHSS) insurance program.

NEWS & ANNOUNCEMENTS

12/8/2017

The updated Specialist Roster and Ancillary Roster are now available on the Forms & Resources page.

11/16/2017

The updated Specialist Roster and Ancillary Roster are now available on the Forms & Resources page.

10/2/2017

The updated Specialist Roster and Ancillary Roster are now available on the Forms & Resources page.

9/22/2017

An updated Access to Care Standards is now available on the MSO Provider Manual page.

9/14/2017

An updated Specialist Roster is now available on the Forms & Resources page.

8/9/2017

An updated Specialist Roster is now available on the Forms & Resources page.

6/16/2017

An updated Specialist Roster is now available on the Forms & Resources page.

5/18/2017

An updated Specialist Roster is now available on the Forms & Resources page.

MSO PROVIDER MANUAL

A copy of the NEMS Management Services Organization (MSO)/NEMS Medical Group Provider Manual is now available for download:

NEMS MSO/Medical Group Provider Manual: PDF

MSO CONTACT INFORMATION:

MSO Main Phone Number:
(415) 352-5186
> MSO Utilization Management:
   Option 1
> MSO Claims Processing & Payment:
   Option 2
> MSO Provider Relations:
   Option 3
> All other MSO Inquiries:
   Option 4

Utilization Management Hotline:
(415) 352-5045

Member/Provider Services & Eligibility:
(415) 391-9686 ext. 8160

Language Assistance:
(415) 352-5045

TDD/TTY Services for deaf, hard of hearing, or speech impaired:
1-800-735-2929