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Pending 2022 Annual Review

2021 Bridge Plan

2021 PNA Report (Tri-county)

2022 PNA Report (Tri-county)

90-Day Referral Completion – Exploratory Measure Tip Sheet

A to Z Glossary of Spanish & Hmong Terms

Sobre la Alianza

Adult Enhanced Care Management Provider Referral Form (age 21 and over)

Adverse Childhood Experiences (ACEs) Screening in Children and Adolescents Tip Sheet

All Plan Letters

Estándares de accesos alternativos de la Alianza

Alliance Care IHSS cuadro de beneficios

Manual para Miembros de IHSS de Alliance Care

Herramienta de Transparencia de Precios de Alliance Care para los IHSS

Alliance Care IHSS Resumen de beneficios y cobertura

Alliance Care el plan de salud para los Servicios de Ayuda a Domicilio (In-Home Supportive Services, IHSS; por sus siglas en inglés)

Alliance Holidays

Servicios de Asistencia con el Idioma de la Alianza

Allied Health Professional Credentialing Application

¿Soy elegible?

¿Soy elegible?

Ambulatory Care Sensitive Admissions Tip Sheet

Antidepressant Medication Management Tip Sheet

Application of Fluoride Varnish Tip Sheet

Aprobaciones para Recibir Cuidado

Asma

Asthma Education Benefit Description

Asthma Education is Available for Your Alliance Patients

Asthma Medication Ratio Tip Sheet

Asthma Self-Management Education Checklist

Authorization Status Request

Beacon Health Options Medi-Cal Provider FAQs

Beacon Health Options Screening Guidelines for Autism

Beneficios

Beneficios

Best Practices for Reducing Patient No-Shows Tip Sheet

Blood Lead Testing Flyer

Breast Cancer Screening Tip Sheet

Lactancia

Breastfeeding and Lactation Education Checklist

Apoyo para la Lactancia Materna y Beneficio de Extractor de Leche

Breastfeeding Support and Breast Pump Benefit Clinical Health Education Benefit

California Advance Health Care Directive Form

California Participating Practitioner Application

Capital Program

Manejo de Cuidado

Care-Based Incentive

Care-Based Incentive (CBI) Summary

Carelon Care Management Referral Form

Carelon Diagnostic Evaluation Form (Medi-Cal)

Carelon Primary Care Provider (PCP) Referral Form

Case Management Referral Form

CBI Technical Specifications

Central California Alliance for Health

Certification Regarding Debarment Suspension, Ineligibility and Voluntary Exclusion

Certification Regarding Lobbying – Exhibit D(F) Att 1 and 2

Cervical Cancer Screening Tip Sheet

Cambios a la Carga Pública

Los chequeos

Child and Adolescent Well-Care Visits Tip Sheet

Child and Adolescents BMI Assessment Tip Sheet

Chlamydia Screening in Women – Exploratory Measure Tip Sheet

Elija Doctor de Cuidado Primario

Condiciones Crónicas

CHW Recruitment Program

Recursos Clínicos

Colorectal Cancer Screening – Exploratory Measure Tip Sheet

Community Based Adult Services (CBAS) Inquiry Form

Eventos Comunitarios

Community Health Champions

Informes de Impacto a la Comunidad

Publicaciones Comunitarias

Recursos de la Comunidad

Apoyos Comunitarios

Community Supports (CS) Provider Information

Community Supports: Environmental Accessibility and Adaptability (EAA) Provider Referral Form

Community Supports: Housing Provider Referral Form

Community Supports: Meals Provider Referral Form

Community Supports: Personal Care and Home Maker Services and Respite Services for Caregivers Provider Referral

Complex Case Management and Care Coordination

Formulario De Solicitud De Comunicaciones Confidenciales

Consent for Sterilization or Hysterectomy Sample Form

Contáctenos

Controlling High Blood Pressure – Exploratory Measure Tip Sheet

Corrected Claim Submission Form

Información Sobre el COVID-19

Pruebas y Tratamiento del COVID-19

COVID-19 Vaccine Administration for Providers

Información Sobre la Vacuna contra el COVID-19

Información sobre las vacunas contra el COVID-19 para miembros de Medi-Cal

Información sobre las vacunas contra el COVID-19 para miembros de Medi-Cal Folletos

COVID-19 Vaccine Information Videos

COVID-19: Information for Providers

Credit Balance Report

¡Destruye el COVID!

Servicios Culturales y Lingüísticos

Servicios Dentales y de la Vista

Depression Tool Kit

Developer Application

Developer Questionnaire

Developer Resources

Developmental Screening in the First 3 Years Tip Sheet

DHCS Facility Site Review (FSR) Checklist

DHCS Medical Record Review (MRR) Checklist

DHCS Vaccine Recommendations During COVID-19

Diabetes Eye Exam Services Resource List – English

Diabetes Eye Exam Services Resource List – Hmong

Diabetes Eye Exam Services Resource List – Spanish

Diabetes Self-Management Education Benefit Description

Diabetes/Prediabetes

Diabetic HbA1c Poor Control >9% Tip Sheet

Disease Management Programs

Doula Provider Application

Durable Medical Equipment Provider Application

EDI Claims Enrollment Form

EDI Claims Enrollment Form Instructions

EDI Claims Enrollment Form Online

EDI Companion Guide – 270/271 Information

EDI Companion Guide – 276/277 Information

EDI Companion Guide – 837/835 Trading Partner Information

EDI Companion Guide – Transaction Instruction

Manejo Mejorado del Cuidado (ECM)

Enhanced Care Management (ECM) and Community Supports Provider Information

Enhanced Care Management (ECM) and Community Supports Provider Referrals

Enhanced Care Management (ECM) and Community Supports Trainings

Enhanced Care Management (ECM) Provider Information

Enhanced Care Management and Community Supports for Members

Equity Learning for Health Professionals Program

Face-to-Face Interpreter Request Form

Facility Site Review

Hoja de Datos

Planificación Familiar

Para las Comunidades

Para Miembros

Para Proveedores

FSR and MRR Update Attestation

FSR Critical Elements: Interim Monitoring Form

Información General Sobre el COVID-19

Obtenga atención

Glosario de Términos

Grants at Work

Formulario de Quejas/Apelacíon

Grievance Form In-Home Supportive Services (IHSS)

Formulario de Quejas/Apelacíon para el Programa Medi-Cal

Salud y Bienestar

Educación de Salud y Manejo de Enfermedades

Health Education Programs

Planes de Salud

Health Programs Referral Form

Health Resources

Programa de Recompensas de Salud

Healthcare Technology Program

Healthy Breathing for Life Asthma Management Program

Comunidades Saludables

Mamás Saludables, Bebés Sanos

Comienzo Saludable

Peso Sano de Por Vida

HEDIS Code Set

HEDIS FAQ Guide

HEDIS Resources

Home Visiting Program

How to Apply

Cómo inscribirse

Cómo inscribirse

Cómo inscribirse

Immunization Resources

Calendarios de Inmunizaciones y Vacunas

Immunizations: Adolescents Tip Sheet

Immunizations: Adult – Exploratory Measure Tip Sheet

Immunizations: Children (Combo 10) Tip Sheet

Infection Control: Spore Testing Job Aid

Divulgación de Información

Initial Health Assessment

Initial Health Assessment Tip Sheet

Instrucciones sobre cómo descargar un formulario

Información del Seguro

International Board Certified Lactation Consultants and Breast Pump Vendor List

Interpreter Services Provider Quick Reference Guide

Interpreter Services Quality Assurance Form

Presentando Medi-Cal Rx

job

Unirse a Nuestra Red

Lead Screening in Children – Exploratory Measure Tip Sheet

Liderazgo

Linguistic Competence Provider Incentive

Linguistic Competence Provider Incentive Attestation

Locum Tenens Notification Form

Long Term Care Treatment Authorization Request

MA Recruitment Program

Manejo de Cuidado

Control de Enfermedades

Maternity Care: Postpartum Tip Sheet

Maternity Care: Prenatal Tip Sheet

Maximizing Routine Immunization During the COVID-19 Pandemic

Maximizing Your Value-Based Payments using CPT Category II Coding Tip Sheet

Medi-Cal

Cuadro de beneficios cubiertos

Manual para Miembros de Medi-Cal

Medi-Cal Provider-Preventable Conditions Reporting Portal

Medi-Cal Rx

Medical Clearance for General Anesthesia or IV Sedation for Dental Procedures

Equipo Médico

Medical Nutrition Therapy Benefit Quick Reference Guide

Medical Record Review

Medication Management Agreement (MMA)

Member Grievance Form – IHSS

Member Grievance Form – Medi-Cal

Tarjeta de identificación del miembro

Incentivos para los Miembros

Noticias sobre los Miembros

Member Notice Letters

Cuenta en línea del Miembro

Formulario de Reclamo de Reembolso para Miembros

Servicios para Miembros

Aplicación de Grupo Asesor de Servicios a los Miembros

Misión, Visión y Valores

New Non-PCP Training

New PCP Training

New Provider Attestation Form

New Provider ECM/Community Supports Training Sign Off Form

Orientación para Nuevos Proveedores

Noticias

Non-Physician Medical Practitioner Application

Política de No Discriminación

Aviso de Prácticas de Privacidad

Línea de Consejos de Enfermeras

Online Provider Directory Tutorial

Autoservicio en línea

Pedir Tarjeta de Identificación, Manual para Miembros y Directorio de Proveedores

Organizational Provider Application

Other Health Coverage (OHC) Referral Form

Otros Servicios

Our Test Page

Outpatient Clinical Laboratory Provider Application

Pain Management and Substance Use Resources

Parent Education and Support Program

Partners for Active Living Program

Partners for Healthy Food Access Program

Pass Through/Supplemental Payments FAQ

Patient Complaint/Grievance Tracking Log

Pharmacy Forms

Pharmacy Services

Physical Accessibility Review Survey

Physician Certification Statement of Medical Necessity for NEMT

Physician Orders for Life-Sustaining Treatment (POLST)

Plan All-Cause Readmissions Tip Sheet

Primas

Medicinas Recetadas y Beneficios de Farmacia

Preventable Emergency Care Visit Diagnosis Tip Sheet

Preventable Emergency Visits Tip Sheet

Prevention and Self-Management Programs

Cuidado primario

Prior Authorization Criteria

Prior Authorization Information Request for Injectable Drugs

Solicitud de privacidad

Procedure Reimbursement Rate Request

Programmatic Measure Benchmarks & Performance Improvement

Provider Change Request (PCR)

Provider Compliance Concern Report

Provider Credentialing Applications and Policies

Provider Directory Information Attestation Form

Provider Event Submission

Provider Events Calendar

Provider Identified Overpayment Form

Provider Information Change Form

Provider Inquiry Form

Manual del Proveedor

Provider Network Interest Form

Noticias Sobre los Proveedores

Provider News Archives

Provider News Posts

Portal del Proveedor

Provider Portal Account Request Form – Step 2

Provider Recruitment Program

Provider Resources

Reuniones Públicas

Dejar el Tabaco

Re-Credentialing

Información Reglamentaria

Remittance Advice Explain Codes

Remittance Advice Guide

Request for Member Reassignment Form

Request for Provider Information

Solicitud de un representante personal

Screening for Depression and Follow-Up Plan Tip Sheet

Seniors and Disabilities

Social Media Code of Conduct

Farmacia SortPak

Manténgase un paso adelante del COVID-19

Mantenerse Sanos

Staying Healthy Assessment

Plan Estratégico de 2022 a 2026

Synagis Statement of Medical Necessity

Telesalud

Tobacco Cessation Benefit Description

Transparency in Coverage (CMS 9915) Machine Readable Files

Transportation Provider Application

Transportation Services Request Form

Treatment Authorization Request (TAR)

Tuberculosis (TB) Risk Assessment – Exploratory Measure Tip Sheet

Unhealthy Alcohol Screening and Behavioral Counseling