Provider Medi-Cal Redetermination Tool Kit
The Alliance is preparing members for Medi-Cal changes coming in January 2026. While most will remain eligible, some may see changes and many have questions about how immigration status affects coverage. Providers can play a key role in helping members stay informed and covered.
Here are resources to help members maintain their coverage and support new members in their enrollment process.
Providers can refer members who need help renewing Medi-Cal to county offices and local Alliance community partner agencies. These organizations offer renewal assistance at no cost. View resources for helping members renew their Medi-Cal.
Outreach Tools
We offer enrollment and redetermination flyers and videos that providers can share with members.
The Department of Health Care Services (DHCS) also provides a variety of outreach materials to help members understand, use and keep their coverage. Many of these materials are available for print distribution.
You can check members’ upcoming redetermination dates up to 45 days in advance through the Provider Portal. See our instructions for details.
Under Health Navigation, a Community Health Workers (CHWs) can help a member maintain enrollment in government programs that are related to improving their health, if such navigation services are provided pursuant to a plan of care.
The Alliance reimburses contracted and credentialed CHWs for qualifying services that meet DHCS requirements. Learn more on our website.
Application Support
Providers and Community-Based Organizations (CBOs) can register for a BenefitsCal account to:
- Help members create, submit and track applications.
- Create campaigns to share digital marketing materials (QR code and unique links).
Questions?
If you have any questions about how you can support members through the redetermination or enrollment process, please contact your Provider Services Representative.
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 |
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