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Educación de Salud y Manejo de Enfermedades

The Alliance is committed to improving access to affordable health care for our members. Health education functions as part of our care management services, which help members and their caregivers maintain and improve health and quality of life.

Alliance health education and disease management programs are managed by a multidisciplinary team of experienced health educators. Alliance health educators utilize motivational interviewing and trauma-informed care techniques to help members stay healthy and manage chronic disease.

Health program interventions follow evidence-based models/curriculums and/or a combination of best practices. Interventions can be done telephonically and via in-person workshops, virtual learning and member mailings.

Programa de Recompensas de Salud y Bienestar

Members can receive rewards for their participation in health education and disease management programs through the Alliance’s Health and Wellness Rewards Program. Only Alliance Medi-Cal members who do not have other health insurance are eligible to participate in the rewards program.

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Referring Members to Health Programs

Health Programs staff work with members to refer them to health education classes, provide them with health education materials and refer them to community resources and services that are culturally and linguistically appropriate for the Alliance’s diverse membership.

To refer an Alliance member to one of our programs, please complete the Health Education and Disease Management Programs referral form and fax it to 831-430-5852, attention: Health Programs. Do not include visit notes or lab results.

For more information on programs or the referral process, please call the Alliance Health Education Line at 800-700-3874, ext. 5580.

Eligibility

Medi-Cal eligibility is established monthly, and providers should confirm eligibility at the time of service. To confirm patient eligibility, call the Automated Eligibility Verification Line at 831-430-5501 (24 hours).

Please note that each referral is assessed for program eligibility and requirements.

Billing

For billing questions, call the Alliance Claims Department at 831-430-5503 or your Provider Services Representative at 831-430-5504.

Interpreter Services

The Alliance offers interpreter services for eligible Alliance members with limited English proficiency (LEP) or who are deaf or hard of hearing. All services are free of charge to providers and members.

Find more information, visit our Cultural and Linguistic Services provider page.

Become an Alliance-Approved Clinical Health Education Provider

If you are interested in becoming an Alliance-approved clinical health education (CHE) provider, please review the appropriate documents below for details on the application, reimbursement rates and approval process.

Complete the Clinical Health Education Benefits Provider Application.
Include copies of current medical license(s) and other documentation outlined in the appropriate category:
Submit this information via:
Mail:
ATTN: Health Programs Unit
Central California Alliance for Health
1600 Green Hills Road, Suite 101
Scotts Valley, CA 95066-4981
Correo electrónico:
[email protected]
Fax:
831-430-5852