CareWorx Healthcare Solutions

Health Plan Profile

Community Health Group

San Diego County's local, non-profit Medi-Cal health plan.

Region
San Diego County
Established
1982
Members
~330K members
Plan Types
1

Who They Are

About CHG

Overview

Community Health Group (CHG) is a locally based, non-profit health plan headquartered in Chula Vista that has served San Diego County since 1982. CHG focuses exclusively on Medi-Cal members in San Diego under the county's Geographic Managed Care (GMC) model and is known for its strong community ties, bilingual member services, and longstanding relationships with FQHCs, IPAs, and behavioral health providers across the county. Membership skews heavily Spanish-speaking and includes large populations of families, SPD members, and dual-eligibles, with active CalAIM ECM and Community Supports programs.

Mission

"To improve the health and well-being of our members and the communities we serve."

Unlike its larger national-plan competitors in San Diego, CHG is mission-bound to a single county and a single product line — Medi-Cal — which shapes everything from member services hours to provider contracting priorities.

Services

What CHG offers

Medi-Cal Managed Care for San Diego County
Enhanced Care Management (ECM)
Community Supports under CalAIM
Bilingual member services and outreach
Care coordination for SPD and complex members
Behavioral health navigation

Plan Types

Lines of business

The product lines this plan operates across Medi-Cal, Medicare, commercial, and dual-eligible populations.

Medi-Cal Managed Care

Furthermore

More on CHG

  • One of San Diego County's contracted Medi-Cal managed care plans under the GMC model.
  • Locally headquartered, non-profit organization with deep community ties.
  • Bilingual (English/Spanish) member services and provider materials.
  • Long-standing partnerships with San Diego FQHCs and community providers.
  • Single-county, single-line-of-business focus on Medi-Cal members.
Official site
www.chgsd.com
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