Skip to content Find a Doctor Nurse Line Provider Portal Contact Us EnglishHmongSpanish aA Accessibility ToolsGrayscaleAAA English Hmong Spanish Search Search For Members Get Started Member ID Card Find a Doctor Alliance Alternative Access Standards About Your Health Plan Frequently Asked Questions Mariposa and San Benito Get Care Primary Care Approvals for Care Nurse Advice Line Prescriptions Medications and Your Health Introducing Medi-Cal Rx Urgent Care Urgent Visit Access – Mariposa County Urgent Visit Access – Merced County Urgent Visit Access – Monterey County Urgent Visit Access – Santa Cruz County Behavioral Health Transportation Services Enhanced Care Management and Community Supports Other Services Dental and Vision Family Planning Medical Equipment Out-of-Area Services Member Services Access Your Health Information COVID-19 Information General COVID-19 Information COVID-19 Testing and Treatment COVID-19 Vaccine Information Language Assistance File a Grievance California Children’s Services Join an Advisory Group Member Services Advisory Group (MSAG) Member Services Advisory Group Application Whole Child Model Family Advisory Committee (WCMFAC) Member News Online Self-Service Replace ID Card Choose Primary Doctor Insurance Information Update Contact Information Information Release Privacy Request Request Personal Representative Member Reimbursement Claim Form Member Online Account Confidential Communications Request Form Find a Form Health and Wellness Health Rewards Program Wellness Resources For Providers Join Our Network Why Join How to Join Provider Application Request Provider Credentialing Applications and Policies Re-Credentialing New Provider Orientation Manage Care Behavioral Health California Children’s Services Clinical Resources Care Management Complex Case Management and Care Coordination Pain Management and Substance Use Resources Seniors and Disabilities Nurse Advice Line Referrals and Authorizations Telehealth Services Cultural and Linguistic Services Face-to-Face Interpreter Request Form Interpreter Services Provider Quick Reference Guide Interpreter Services Quality Assurance Form A to Z Glossary of Spanish & Hmong Terms Enhanced Care Management and Community Supports Enhanced Care Management (ECM) Community Supports (CS) ECM/CS Referrals ECM/CS Trainings ECM/CS FAQs Health Education and Disease Management Health Education Programs Breastfeeding Support and Breast Pump Benefit Disease Management Programs Health Resources Pharmacy Drug Recalls and Withdrawals Medi-Cal Rx Pharmacy Formulary Prescription Drug Prior Authorization Prior Authorization Criteria Prior Authorization Information Request for Injectable Drugs Synagis Statement of Medical Necessity Treatment Authorization Request (TAR) Medical Nutrition Therapy Benefit Quick Reference Guide Quality of Care Care-Based Incentive Care-Based Incentive Resources Care-Based Incentive (CBI) Summary CBI Technical Specifications Antidepressant Medication Management Tip Sheet Immunizations: Adult – Exploratory Measure Tip Sheet Immunizations: Adolescents Tip Sheet Programmatic Measure Benchmarks & Performance Improvement Asthma Medication Ratio Tip Sheet 90-Day Referral Completion – Exploratory Tip Sheet Antidepressant Medication Management Tip Sheet Application of Fluoride Varnish Tip Sheet Immunizations: Children (Combo 10) Tip Sheet Chlamydia Screening in Women – Exploratory Measure Tip Sheet Child and Adolescent Well-Care Visits Tip Sheet Cervical Cancer Screening Tip Sheet Child and Adolescents BMI Assessment Tip Sheet Breast Cancer Screening Tip Sheet Well-Child Visits in the First 15 Months of Life Tip Sheet Unhealthy Alcohol Use in Adolescents and Adults Tip Sheet Tuberculosis (TB) Risk Assessment – Exploratory Tip Sheet Preventable Emergency Visits Tip Sheet Maximizing Your Value-Based Payments using CPT Category II Coding Tip Sheet Maternity Care: Prenatal Tip Sheet Maternity Care: Postpartum Tip Sheet Plan All-Cause Readmissions Tip Sheet Lead Screening in Children Tip Sheet Initial Health Appointment Tip Sheet Diabetic HbA1c Poor Control >9% Tip Sheet Developmental Screening in the First 3 Years Tip Sheet Controlling High Blood Pressure – Exploratory Measure Tip Sheet Immunizations: Children (Combo 10) Tip Sheet Best Practices for Reducing Patient No-Shows Tip Sheet Ambulatory Care Sensitive Admissions Tip Sheet Depression Tool Kit USPSTF Recommendations for Primary Care Practice Preventable Emergency Care Visit Diagnosis Tip Sheet Blood Lead Testing Flyer Adverse Childhood Experiences (ACEs) Screening in Children and Adolescents Tip Sheet Depression Screening for Adolescents and Adults Tip Sheet What’s New Health Assessments HEDIS HEDIS Resources HEDIS Code Set HEDIS FAQ Guide Immunization Resources Member Incentives Site Reviews Facility Site Review Infection Control: Spore Testing Job Aid DHCS Facility Site Review (FSR) Checklist FSR Critical Elements: Interim Monitoring Form Medical Record Review DHCS Medical Record Review (MRR) Checklist Physical Accessibility Review Survey Resources COVID-19 Claims View/Submit a Claim Forms Provider Directory Update Form News Provider Directory Provider Manual All Plan Letters Timely Access to Care Webinars and Training Provider Events Calendar Provider Portal Using the Provider Portal Frequently Asked Questions Provider Portal User Guide Provider Portal Quick Reference Provider Portal Account Request Form Procedure Code Lookup Tool (PCL) Access to Care grants for providers Learn more about our funding opportunities.For Communities Healthy Communities Your Health Matters Community Events Community-Based Adult Services Community Health Worker Benefit Community Resources Doula Services Benefit Enhanced Care Management and Community Supports Medi-Cal Capacity Grants Access to Care Equity Learning for Health Professionals Program Healthcare Technology Program Workforce Recruitment Programs CHW Recruitment Program MA Recruitment Program Provider Recruitment Program Healthy Beginnings Home Visiting Program Parent Education and Support Program Healthy Communities Community Health Champions Partners for Active Living Program How to Apply Grants at Work Community Publications Community Impact Reports The Beat E-Newsletter Protect loved ones from opioid overdoses with naloxoneLearn more about this life-saving medication today. Health Plans Medi-Cal Alliance Care IHSS Alliance Care IHSS Price Transparency Tool Get rewarded for keeping up with your health!Check out our rewards for all ages! About Us About the Alliance Fact Sheet Mission, Vision and Values Strategic Plan 2022-2026 Leadership Public Meetings Careers Contact Us News Community News Member News Provider News Meetings and Events Newsroom We are hiring!Join our mission-driven team. For Members Get Started Member ID Card Find a Doctor Alliance Alternative Access Standards About Your Health Plan Frequently Asked Questions Mariposa and San Benito Get Care Primary Care Approvals for Care Nurse Advice Line Prescriptions Medications and Your Health Introducing Medi-Cal Rx Urgent Care Urgent Visit Access – Mariposa County Urgent Visit Access – Merced County Urgent Visit Access – Monterey County Urgent Visit Access – Santa Cruz County Behavioral Health Transportation Services Enhanced Care Management and Community Supports Other Services Dental and Vision Family Planning Medical Equipment Out-of-Area Services Member Services Access Your Health Information COVID-19 Information General COVID-19 Information COVID-19 Testing and Treatment COVID-19 Vaccine Information Language Assistance File a Grievance California Children’s Services Join an Advisory Group Member Services Advisory Group (MSAG) Member Services Advisory Group Application Whole Child Model Family Advisory Committee (WCMFAC) Member News Online Self-Service Replace ID Card Choose Primary Doctor Insurance Information Update Contact Information Information Release Privacy Request Request Personal Representative Member Reimbursement Claim Form Member Online Account Confidential Communications Request Form Find a Form Health and Wellness Health Rewards Program Wellness Resources For Providers Join Our Network Why Join How to Join Provider Application Request Provider Credentialing Applications and Policies Re-Credentialing New Provider Orientation Manage Care Behavioral Health California Children’s Services Clinical Resources Care Management Complex Case Management and Care Coordination Pain Management and Substance Use Resources Seniors and Disabilities Nurse Advice Line Referrals and Authorizations Telehealth Services Cultural and Linguistic Services Face-to-Face Interpreter Request Form Interpreter Services Provider Quick Reference Guide Interpreter Services Quality Assurance Form A to Z Glossary of Spanish & Hmong Terms Enhanced Care Management and Community Supports Enhanced Care Management (ECM) Community Supports (CS) ECM/CS Referrals ECM/CS Trainings ECM/CS FAQs Health Education and Disease Management Health Education Programs Breastfeeding Support and Breast Pump Benefit Disease Management Programs Health Resources Pharmacy Drug Recalls and Withdrawals Medi-Cal Rx Pharmacy Formulary Prescription Drug Prior Authorization Prior Authorization Criteria Prior Authorization Information Request for Injectable Drugs Synagis Statement of Medical Necessity Treatment Authorization Request (TAR) Medical Nutrition Therapy Benefit Quick Reference Guide Quality of Care Care-Based Incentive Care-Based Incentive Resources Care-Based Incentive (CBI) Summary CBI Technical Specifications Antidepressant Medication Management Tip Sheet Immunizations: Adult – Exploratory Measure Tip Sheet Immunizations: Adolescents Tip Sheet Programmatic Measure Benchmarks & Performance Improvement Asthma Medication Ratio Tip Sheet 90-Day Referral Completion – Exploratory Tip Sheet Antidepressant Medication Management Tip Sheet Application of Fluoride Varnish Tip Sheet Immunizations: Children (Combo 10) Tip Sheet Chlamydia Screening in Women – Exploratory Measure Tip Sheet Child and Adolescent Well-Care Visits Tip Sheet Cervical Cancer Screening Tip Sheet Child and Adolescents BMI Assessment Tip Sheet Breast Cancer Screening Tip Sheet Well-Child Visits in the First 15 Months of Life Tip Sheet Unhealthy Alcohol Use in Adolescents and Adults Tip Sheet Tuberculosis (TB) Risk Assessment – Exploratory Tip Sheet Preventable Emergency Visits Tip Sheet Maximizing Your Value-Based Payments using CPT Category II Coding Tip Sheet Maternity Care: Prenatal Tip Sheet Maternity Care: Postpartum Tip Sheet Plan All-Cause Readmissions Tip Sheet Lead Screening in Children Tip Sheet Initial Health Appointment Tip Sheet Diabetic HbA1c Poor Control >9% Tip Sheet Developmental Screening in the First 3 Years Tip Sheet Controlling High Blood Pressure – Exploratory Measure Tip Sheet Immunizations: Children (Combo 10) Tip Sheet Best Practices for Reducing Patient No-Shows Tip Sheet Ambulatory Care Sensitive Admissions Tip Sheet Depression Tool Kit USPSTF Recommendations for Primary Care Practice Preventable Emergency Care Visit Diagnosis Tip Sheet Blood Lead Testing Flyer Adverse Childhood Experiences (ACEs) Screening in Children and Adolescents Tip Sheet Depression Screening for Adolescents and Adults Tip Sheet What’s New Health Assessments HEDIS HEDIS Resources HEDIS Code Set HEDIS FAQ Guide Immunization Resources Member Incentives Site Reviews Facility Site Review Infection Control: Spore Testing Job Aid DHCS Facility Site Review (FSR) Checklist FSR Critical Elements: Interim Monitoring Form Medical Record Review DHCS Medical Record Review (MRR) Checklist Physical Accessibility Review Survey Resources COVID-19 Claims View/Submit a Claim Forms Provider Directory Update Form News Provider Directory Provider Manual All Plan Letters Timely Access to Care Webinars and Training Provider Events Calendar Provider Portal Using the Provider Portal Frequently Asked Questions Provider Portal User Guide Provider Portal Quick Reference Provider Portal Account Request Form Procedure Code Lookup Tool (PCL) Access to Care grants for providers Learn more about our funding opportunities.For Communities Healthy Communities Your Health Matters Community Events Community-Based Adult Services Community Health Worker Benefit Community Resources Doula Services Benefit Enhanced Care Management and Community Supports Medi-Cal Capacity Grants Access to Care Equity Learning for Health Professionals Program Healthcare Technology Program Workforce Recruitment Programs CHW Recruitment Program MA Recruitment Program Provider Recruitment Program Healthy Beginnings Home Visiting Program Parent Education and Support Program Healthy Communities Community Health Champions Partners for Active Living Program How to Apply Grants at Work Community Publications Community Impact Reports The Beat E-Newsletter Protect loved ones from opioid overdoses with naloxoneLearn more about this life-saving medication today. Health Plans Medi-Cal Alliance Care IHSS Alliance Care IHSS Price Transparency Tool Get rewarded for keeping up with your health!Check out our rewards for all ages! About Us About the Alliance Fact Sheet Mission, Vision and Values Strategic Plan 2022-2026 Leadership Public Meetings Careers Contact Us News Community News Member News Provider News Meetings and Events Newsroom We are hiring!Join our mission-driven team. Home > Developer Application Developer Resources Developer Application Form Developer Portal Developer Application Form Step 1 of 3 33% What’s the legal name for the developer requesting an API connection?(Required) What type of legal entity is the requestor?(Required)(e.g. corporation, partnership, LLC, sole proprietor) Under the laws of what jurisdiction is the entity organized? Registrant’s First Name(Required) Registrant’s Last Name(Required) Registrant’s Job Title(Required) Registrant’s Phone(Required)Registrant’s Email(Required) Developer InformationClone Information Copy Registrant’s Information Primary Technical Contact/Developer’s First Name(Required) Primary Technical Contact/Developer’s Last Name(Required) Primary Technical Contact/Developer’s Job Title(Required) Primary Technical Contact/Developer’s Phone(Required)Primary Technical Contact/Developer’s Email(Required) What is a physical address for the entity?(Required)(Not a P.O. box, please use home address for a sole proprietor) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code What is the URL for the entity’s corporate website?(Required) About the Application(As applicable)What is the name of the application?(Required) What’s the legal name for the owner of the application, according to its terms of service and privacy policy?(Required) What is the application’s homepage URL?(Required) What is the application’s iOS store link? What is the application’s Android link? What is the application’s Legal Terms of Service URL? What is the Callback URL of the application?(Required) What is the application’s Privacy Policy URL? Your privacy policy adheres to requirements of CARIN, ONC's Model Privacy Notice (MPN)(Required)For reference: Model Privacy Notice (MPN) Yes No Information Attestation(Required) I hereby confirm and owe that the information provided herein, is accurate, correct and complete. I am attesting on behalf of my organization in capacity of third-party or vendor who I represent and I am associated with. I stand accountable for the information and the documents submitted with regards to their authenticity and validity. The Alliance shall not be responsible or accountable for any of the information provided herein. I understand and agree that a false statement may disqualify me for the opportunity and the benefits presented herein. 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