Acceso Oportuno al Cuidado
The Alliance is required to monitor timely access to care as mandated by Title 28 CCR Section 1300.67.2.2 and as specified by our contracts with the Department of Health Care Services (DHCS) and the Department of Managed Health Care (DMHC).
Alliance-specific guidelines and procedures for monitoring timely access to care are included in the Alliance Provider Manual. They are outlined in:
- Alliance Policy 401-1509 – Timely Access to Care.
- Alliance Policy 300-8030 – Monitoring Network Compliance with Accessibility Standards.
To monitor member access to care, the Alliance conducts the Provider Appointment and Availability Survey (PAAS) annually.
Alliance Provider Relations staff are here to support our providers in meeting timely access standards. Our staff can answer questions, provide information on Alliance incentive programs and deliver on-site consultation on timely access guidelines.
For more information, call your Provider Relations Representative at 800-700-3874, ext. 5504.
Contact Provider Services
Billing questions, claims status, general claims information
General authorization information or questions
Checking the status of submitted authorizations
Authorizations, general pharmacy information or questions