The Alliance is proud to support technology that helps members access medically necessary services when and where they need them. Telehealth services can be provided by Alliance-contracted primary care providers, physician assistants (PAs) and nurse practitioners (NPs) with linked Alliance Medi-Cal members. Supervising primary care providers are required to oversee all telehealth cases submitted by PAs or NPs.
All participating providers must agree to follow Medi-Cal guidelines and utilize telehealth services exclusively for Alliance Medi-Cal members without other health care coverage. For eligibility information and participation requirements, see Section 6 of the Alliance Provider Manual.
Alliance Telehealth Options
We offer two telehealth options for providers to utilize: eConsult and TeleSpecialty Care.
eConsult services improve access to and quality of health services provided in rural and other medically underserved areas. Services allow primary care providers (PCPs) to consult online with specialists.
Services are provided through a user friendly, secure, HIPPA compliant platform. A PCP presents a brief scenario regarding an Alliance member’s symptom management or diagnosis. The PCP can add supporting test results, medical records and images. An eConsult specialist responds to the PCP request through the platform to provide guidance, reassurance about the care plan and next steps, usually within a few hours.
TeleSpecialty Care enables PCPs to coordinate video consultations between specialists and patients from the provider’s office.
The Alliance’s TeleSpecialty Care (TSC) program uses video conferencing to provide members with high-quality specialty visits in their PCP’s office. TSC reduces the burden of travel and enhances member integration into their Patient-Centered Medical Home (PCMH).
The Alliance contracts with a vendor who provides these services via video conference at the PCP’s office. The PCP bills the Alliance for Medi-Cal compensable transmission and facility services, and the Alliance pays the TSC provider directly.
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