Become a D-SNP Provider
The Alliance is proud to announce that our TotalCare (HMO D-SNP) will be effective Jan. 1, 2026! We invite our provider network to become Dual Eligible Special Needs Plan (D-SNP) providers and help us continue to provide accessible, quality health care guided by local innovation.
You can start the process to become an Alliance D-SNP participating provider right now! The Alliance Provider Relations team is available to meet with you in person, virtually or by phone. Reach out to the Alliance’s Provider Relations Department to begin contracting.
Join our network!
While providers can join our TotalCare (HMO-D-SNP) network throughout the year, we encourage you to enroll today! Please contact Provider Services at [email protected] or call 831-430-5504.
To get answers to frequently asked questions, please see our D-SNP FAQs page. If you have additional questions, please contact your Provider Relations Representative.
What is a D-SNP?
DHCS’ CalAIM program now requires all Local Health Plans of California to offer an exclusively aligned enrollment D-SNP by Jan. 1, 2026. A D-SNP is a type of Medicare Advantage plan specifically designed for individuals who are eligible for both Medicare and Medi-Cal.
Value to providers
D-SNPs can provide significant value to providers by:
- Assigning D-SNP members to Alliance care managers. This helps reduce staff administrative burden for providers.
- Helping manage the complex needs of dual-eligibles more effectively through care coordination.
- Providing a coordinated system that reduces the number of avoidable hospital readmissions that negatively impact revenue under traditional Fee-For-Service (FFS) Medicare.
- Working with only one insurance entity (the Alliance’s TotalCare plan), as opposed to working separately with Medicare and Medi-Cal.
- Addressing social determinants of health such as housing, food insecurity and transportation, improving patients’ well-being and reducing the overall burden of care.
D-SNPs also reduce out-of-pocket costs for dual-eligibles, which improves adherence to treatment plans and increases patient satisfaction. When patients are more engaged, their health is improved and costly interventions are reduced.
We are excited for our provider partners to participate in this significant new line of business!
Contact Provider Services
General | 831-430-5504 |
Claims Billing questions, claims status, general claims information |
831-430-5503 |
Authorizations General authorization information or questions |
831-430-5506 |
Authorization Status Checking the status of submitted authorizations |
831-430-5511 |
Pharmacy Authorizations, general pharmacy information or questions |
831-430-5507 |