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.

MSO Contact Information:
MSO Main Phone Number:
Claims Processing & Payment:
Member/Provider Services & Eligibility:
Language Assistance:
TDD/TTY Services for deaf, hard of hearing,
or speech impaired:
Utilization Management:
415-391-9686 ext. 8160


The following services are available for members and providers who have any Utilization Management (UM) issues, such as questions pertaining to treatment requests:
  • Staff are available during normal business hours from 8:30 AM to 5:00 PM to receive phone calls.
  • After normal business hours, members and providers can leave a message on voicemail. Calls will be returned within one business day.
  • Our staff are identified by name, title and organization name when initiating or returning calls.
  • Members who are deaf, hard of hearing, or speech impaired may call 1-800-735-2929 for TDD/TTY services.
  • Members may call 415-352-5045 for language assistance.