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Resumen del proveedor | Número 79

DEIB training, immunization seminario web & billing update 

Take the 2025 Provider Appointment Availability Survey!

Take the Provider Appointment Availability Survey (PAAS) to help us assess our network’s ability to provide care within timely access standards.  

Our third-party vendor, Mazars, will be administering the survey beginning in October. Some providers will receive a survey by email. If there is no response within 5 business days, providers will receive a survey call. Please encourage reception staff to participate in survey calls. Es posible que reciba solicitudes de encuestas de varios planes de salud.  

Los estándares de acceso oportuno monitoreados a través del PAAS incluyen: 

Citas de atención urgente  Tiempos de espera 
Services that do not require prior authorization (PA)   48 hours  
Specialty services that require PA   96 hours  
Citas de atención que no son de urgencia  Tiempos de espera 
Non-Physician Mental Health Providers and Primary Care (including first prenatal andpreventive visits)   10 business days  
Specialist and Ancillary Appointments   15 business days  
Physical Therapy or Mammography appointment for the diagnosis or treatment ofinjury, illness or other health condition   15 business days  

Telehealth appointments demonstrate the means to provide timely access and should be included in your responses.   

Find more information on our website.  

¡Gracias por su participación! Si tiene preguntas, comuníquese con Relaciones con Proveedores de Alliance al 800-700-3874, ext. 5504. 

 

Register for new mandatory DEIB training    

The California Department of Health Care Services (DHCS) has introduced a new mandatory Diversity, Equity, Inclusion and Belonging (DEIB) training requirement for all Medi-Cal Managed Care network providers and their staff. All network providers and staff must complete the training by December 31, 2025.  

We have upcoming training sessions in October and December.   

This training is designed to strengthen cultural competency, improve sensitivity and advance health equity to better serve California’s diverse Medi-Cal population.  

Acerca de la formación DEIB 

  • Nuevos proveedores: New providers must complete the training within 90 días of their start date and again during re-credencialización o renovación de contrato. 
  • Contenido: The training includes best practices around cultural humility and sensitivity, region-specific member needs, health equity guidelines and strategies to reduce health disparities.  
  • Vigilancia: Each health plan’s Health Equity Officer will oversee the program, which aligns with NCQA Health Equity Accreditation standards.  

Details and Registration 

  • Oct. 30, 2025, 11:30 a.m. to 1 p.m.  
  • Dec. 3, 2025, 11:30 a.m. to 1 p.m.  

Please register to attend one of the sessions on nuestra página web.  

Save the date for our November immunization webinar!

Join us for an immunization webinar on Wednesday, Nov. 5, 2025, from noon to 1 p.m.   

Speaker from Partnership Health Plan of California Dr. Mohamed Jalloh Pharm.D. DCPS, will be hosting the webinar, along with our very own Interim Chief of Health Equity Dianna Myers, MD.   

Temas clave 

  • Misinformation and disinformation on vaccination.  
  • Tips on how to educate members on the importance of vaccination.  
  • Reframing the conversation with science-based content.  
  • Best practices.  
  • Barriers to immunization access.  

Detalles e inscripción 

Cuándo: miércoles Nov. 5, 2025, from noon to 1:00p.m.  

Dónde: En línea a través de Microsoft Teams 

Registro today by visiting our website o comuníquese con un representante de relaciones con proveedores al 800-700-3874, ext. 5504. 

The first clinic to register and attend will receive a complimentary lunch from the Alliance.

Revisar las actualizaciones de APL

The Department of Health Care Services (DHCS) has made updates to multiple All Plan Letters (APL). These changes are important to know, as they may impact how you provide services. To see the updated APLs, visit our website.