Health Program of Alameda County (HealthPAC)

The Health Program of Alameda County, also known as HealthPAC (and formerly known as CMSP or ACE), is a County program that provides affordable health care to uninsured people living in Alameda County. HealthPAC is not insurance and does not provide everything that insurance does. In order to be eligible for HealthPAC an individual must be an Alameda County resident and be between 0 and 200 percent of the Federal Poverty Level, not be eligible for Medi-Cal, and not be enrolled in private insurance. Services are provided through one of the 9 community-based clinics that are part of the network or through Alameda Health System. In order to enroll, people make an eligibility appointment at one of the clinics or at Health Care Services Agency and bring in identification, proof of residency, and proof of income. Citizenship is not a requirement of the program.

A list of enrollment sites can be found below in the “For Everyone” section under HealthPAC Brochure.

The following documents are provided in Portable Document Format (PDF) and require the free Adobe Reader.

For Everyone:

Brochure

• HealthPAC Brochure – English (PDF – 561kb)
• HealthPAC Brochure – 中文 (PDF – 784kb)
• HealthPAC Brochure – Español (PDF – 583kb)

Participant Handbook

• HealthPAC Handbook – English (PDF – 682kb)
• HealthPAC Handbook – 中文 (PDF – 1,104kb)
• HealthPAC Handbook – Español (PDF – 893kb)

Notice of Privacy Practices

• HealthPAC Notice of Privacy Practices – English (PDF – 179kb)
• HealthPAC Notice of Privacy Practices – Espanol (PDF – 77kb)
• HealthPAC Notice of Privacy Practices – 中文 (PDF – 284kb)

HealthPAC and Public Charge Flyers

The public charge rule only applies to certain immigrant and benefit programs. HealthPAC is NOT part of the public charge rule.

• HealthPAC and Public Charge – English  (PDF – 875kb)
• HealthPAC and Public Charge – Español  (PDF – 937kb)
• HealthPAC and Public Charge – 中文  (PDF – 902kb)
• HealthPAC and Public Charge – Tagalog  (PDF – 913kb)
• HealthPAC and Public Charge – ngôn ngữ tiếng Việt  (PDF – 812kb)

HealthPAC Transition of 19-25 year old members to Medi-Cal

• Frequently Asked Questions (PDF – 123kb)
• Clinic Flyer – English (PDF – 150kb)
• Clinic Flyer – Spanish (PDF – 151kb)
• Transition Letter – English/Spanish (PDF – 68kb)

For Providers

HealthPAC Contract Documents and Attachments – For Providers

• (A-1) HealthPAC Plan  (PDF – 430 kb) *
• Appendix A – DOFR  (PDF – 425 kb) *
• Appendix B – HPAC FPL Schedule  (PDF – 85 kb) *
• Appendix C – Guidelines for Determining Family Size  (PDF – 382 kb) *
• Appendix D – Income Tax Forms  (PDF – 310 kb) *
• Appendix E – HealthPAC Verification Documents  (PDF – 404 kb) *
• Appendix F – Statement of Income and Residency  (PDF – 354 kb) *
• Appendix G – HPAC Co-Pay Schedule  (PDF – 134 kb) *
• Appendix H – (A5) Quality Measurement and Improvement Plan  (PDF – 124 kb) *
• A-2 – Interpretations and Procedures  (PDF – 461 kb) *
• A-4 (Map) – Provider Network  (PDF – 577 kb) *
• A-6 – NET Transportation Policies and Procedures  (PDF – 470 kb) *
• HealthPAC PLAN:Eligibility, Applications, Enrollment, and Services (Effective: July 1, 2018)  (PDF – 255kb) *
• HealthPAC Formulary – By Brand Name  (PDF – 459kb)
• HealthPAC Formulary – By Class  (PDF – 457kb)
• HealthPAC Formulary – By Generic Name  (PDF – 445kb)