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Provider News Archive

2025

June

June 2025 - Provider Bulletin

Provider Digest | Issue 72

May

Provider Digest | Issue 71

Provider Digest | Issue 70

April

Attend webinar on how CalAIM supports children and families impacted by ACEs

Provider Digest | Issue 69

The Alliance brings behavioral health in-house July 1

March

Provider Digest | Issue 68

Review legislative updates  

New measures added to Data Submission Tool

Provider Digest | Issue 67

The Alliance collaborates with Sprinter Health

March 2025 - Provider Bulletin

February

Provider Digest | Issue 66

New Provider Manual, effective April 1, 2025, now available  

Physician administered drug changes effective March 1, 2025

Provider Digest | Issue 65

January

Provider Digest | Issue 64

Learn about the WCM expansion at provider office hours

Important update: temporary processing delays for claims

Provider Digest | Issue 63

Participate in the Alliance D-SNP network!

No cost Community Health Worker program available

2024

December

Provider Digest | Issue 62

December 2024 - Provider Bulletin

MY2023 HEDIS Awards Results

Dec. 6 WCM Expansion Webinar: Register now!

Provider Digest | Issue 61

November

December Quality Reports update

DST data discrepancies in Quality Reports – issue resolved

Medi-Cal Targeted Rate Increases  

Review All Plan Letter (APL) updates

Provider Digest | Issue 60

Attend these upcoming Adverse Childhood Experiences (ACEs) trainings

October

Upcoming Provider Portal outages

Provider Digest | Issue 59

Join us for the Chosen Family: Contraception for Transgender and Gender Diverse People webinar!

Provider Digest | Issue 58

Let us know whether your clinic provides gender-affirming services!

2024-2025 nirsevimab (Beyfortus®) authorization guidelines

2024-2025 palivizumab (Synagis®) authorization guidelines

Provider Digest | Issue 57

September

Provider Digest | Issue 56

Take the 2024 Provider Appointment Availability Survey!

Participate in the Alliance’s Data Sharing Incentive program

Provider Digest | Issue 55

August

Review physician-administered drug changes effective September 1

September 2024 - Provider Bulletin

Provider Digest | Issue 54

Provider Digest | Issue 53

July

Provider Digest | Issue 52

Provider Digest | Issue 51

Event cancelled: Child & Adolescent Vaccinations Lunch and Learn

June

Data Sharing Support funding available

Provider Digest | Issue 50

Sign up for Jiva training sessions ahead of implementation

Provider Digest | Issue 49

June 2024 - Provider Bulletin

May

Provider Digest | Issue 48

DHCS transitions CHDP portal systems, requires trainings for new programs

Prescribing opioids alongside antipsychotics: understanding the risks

Learn about new and ongoing grant funding opportunities!

April

Provider Digest | Issue 47

New Provider Manual, effective July 1, 2024, is now available

Provider Digest | Issue 46

Delay in asthma medication ratio for March quality report

Provider Digest | Issue 45

March

Important alert: Measles exposure confirmed in Merced County

Mariposa and San Benito counties now eligible for Alliance grants

Provider Digest | Issue 44

March 2024 - Provider Bulletin

Change Healthcare cybersecurity event and impact to provider payments

Provider Digest | Issue 43

February

How to meet Initial Health Appointment requirements

Change Healthcare and delayed provider payments

Provider Digest | Issue 42

Provider Digest | Issue 41

January

Provider Digest | Issue 40

Sign up for the Data Exchange Framework today!

Provider Digest | Issue 39

LTC code and claim form conversion

Concomitant use of opioids and CNS depressants

2023

December

DHCS audit of provider offices in early 2024

Full-scope Medi-Cal expands to ages 26-49

Provider Digest | Issue 38

December 2023 - Provider Bulletin

November

Guidance for RSV adult vaccines

Medi-Cal Rx update: all prior authorization requirements reinstated

Provider Digest | Issue 37

October

Important information about California Children’s Services for Alliance members

New Provider Manual effective January 1, 2024 is available

Provider Digest | Issue 36

2023-2024 Beyfortus authorization guidelines

Provider Digest | Issue 35

Community Health Worker program in Monterey County: Apply by Oct. 13!

Change in reimbursement for DME codes billed with a UPN

September

Provider Digest | Issue 34

2023-2024 palivizumab (Synagis) authorization guidelines

Get support applying for DHCS Equity and Practice Transformation grants

Spread the word: Merced Community Health Fair + flu clinic happens Oct. 8

Provider Digest | Issue 33

Provider training series on Adverse Childhood Experiences

Key fall dates for enteral nutrition PAs under Medi-Cal Rx

Physician-administered drug changes effective October 1, 2023

August

Provider Digest | Issue 32

Sept. 7 training: Supporting Schools and Care Settings to Be Trauma-Informed

September 2023 - Provider Bulletin

Participate in ECM/CS planning: PATH Collaborative planning meetings

Provider Digest | Issue 31

2023-2024 Influenza Season Billing/Coding Updates

Provider Digest | Issue 30

Medi-Cal Rx prior authorization requirements reinstated for enteral nutrition products

July

HEDIS results are now available

Provider Digest | Issue 29

Provider Digest | Issue 28

Tapering recommendations for patients on high opioid doses

DHCS Electronic Visit Verification (EVV) Training

June

Statin use recommendations per new ADA guidelines 2023 in patients with diabetes

Provider Digest | Issue 27

Medi-Cal Rx transition policy retirement for beneficiaries 22+ years old

Provider Digest | Issue 26

June 2023 - Provider Bulletin

May

Provider Digest | Issue 25

Deprescribing of benzodiazepines in older adults

DSA Signatory Grants available

ACEs Aware Webinar #5: Prepare Your Team and Clinic Operations

Provider Digest | Issue 24

Apply by May 19: Care-Based Quality Improvement Program

As of May 19, Medi-Cal Rx PA requirements will be reinstated for 22 additional drug classes

New Provider Manual effective July 1, 2023 is available

April

Provider Digest | Issue 23

Provider Digest | Issue 22

As of April 21, Medi-Cal Rx PA requirements will be reinstated for 17 additional drug classes

Provider Digest | Issue 21

March

New Provider Manual effective April 1, 2023 is available

New Medi-Cal Capacity Grant Program Funding Opportunities

All CBI payments to be made through ECHO Health, Inc.

Provider Digest | Issue 20

Starting March 24 Medi-Cal Rx PA requirements reinstated for NCPDP Reject CODE 75

Medications to avoid in elderly patients due to adverse drug events

March 2023 - Provider Bulletin

ACEs Aware Webinar #3: Determine Who and How You Will Screen

Provider Digest | Issue 19

February

As of Feb. 24, Medi-Cal Rx PA requirements reinstated for 46 Standard Therapeutic Classes

COVID-19 Therapeutics Warmline and treatment webinars

Update to Medi-Cal lab rates

Provider Digest | Issue 18

Thursday training for Adverse Childhood Experiences (ACEs) screening

Rescheduled: Feb. 15 CBI and Provider Portal feedback session is now March 1

Provider Digest | Issue 17

January

Provider Satisfaction Survey results are in

Provider Digest | Issue 16

Jan. 20 Medi-Cal Rx PA requirements reinstated for 39 drug classes

Provider Digest | Issue 15

Adverse Childhood Experiences (ACEs) training

Alliance telephonic interpreter services remain available

CPT/HCPCS updates for Q4 2022

Important changes to prenatal testing authorizations

2022

December

Immunization registry requirement effective January 1

Understanding the risk of concurrent opioids and antipsychotics utilization

Provider Digest | Issue 14

Anesthesia pricing corrected

The Provider Portal gets a makeover

Best practices during RSV, flu and COVID-19 season

December 2022 - Provider Bulletin

November

Provider Portal maintenance 12/2-12/5

Provider Digest | Issue 13

Provider Digest | Issue 12

October

Adjustments to reimbursement rates for radiology services

Provider Digest | Issue 11

45-day notice of change: hair removal prior authorization requirements

Important reminder regarding balance billing

Provider Digest | Issue 10

September

Help billing services understand Prop 56 payments

New Provider Manual Effective October 1, 2022 is Available

Provider Digest | Issue 9

Update to Medi-Cal lab rates

Physician-administered drug changes effective September 1, 2022

Drug regimen safety: concurrent use of opioids and benzodiazepines

Provider Digest | Issue 8

September 2022 - Provider Bulletin

August

Provider Digest | Issue 7

Sept. 8 Virtual Immunization Training

Provider Digest | Issue 6

Alliance 2023 Care-Based Incentive Workshop Webinar

Transitioning Medi-Cal pharmacy benefits to Medi-Cal Rx

Directed payments for family planning services update

Monkeypox testing, prevention and treatment

Provider Digest | Issue 5

New Law Requiring Screening for Hepatitis B and Hepatitis C

July

How to access Pacific Interpreter Services

Provider Digest | Issue 4

Initial Health Assessment (IHA) Coding Updates

Infant formula information for families

Provider Digest | Issue 3

June

Provider Digest | Issue 2

Developmental Screening and Autism Spectrum Screening

June 2022 - Provider Bulletin

Indigenous Interpreter Services Update

Provider Digest | Issue 1

Helping families navigate the infant formula shortage

May

Provider Newsletter | Issue 33

April

Provider Newsletter | Issue 32

Provider Newsletter | Issue 31

March

Provider Newsletter | Issue 30

Grant opportunity: Preventing & Responding to ACE-Associated Health Conditions & Toxic Stress in Clinics through Community Engagement (PRACTICE)

Provider Newsletter | Issue 29

Are you using coding modifier 25?

February

Provider Newsletter | Issue 28

Webinar - ACEs Screening: Promoting Resilience for All

January

Provider Newsletter | Issue 27

Medi-Cal Rates Implementation Update

Flu Code Updates

Medi-Cal Rx: CoverMyMeds Prior Authorization Request Submission

2022 DHCS Encounter Data Validation Audit

Provider Newsletter | Issue 26

2021

December

Provider Newsletter | Issue 25

November

Provider Newsletter | Issue 24

October

Provider Newsletter | Issue 23

Provider Newsletter | Issue 22

Initial Health Assessment (IHA) update from the Department of Healthcare Services (DHCS)

Additional and Booster COVID-19 Vaccine Doses

Provider Newsletter | Issue 21

Provider eNews | October 7, 2021

Announcing the Procedure Code Lookup Tool

September

Best Practices for Continuing Care in Inherited Opioid Patients

CalVax Provider COVID Vax Grants for up to $55K -- application deadline 10/15

Provider Newsletter | Issue 20

Provider Newsletter | Issue 19

DHCS Aid Code Recategorization

Radiology Reimbursement Rate Adjustment

Temporary Increased COVID-19 Durable Medical Equipment (DME) Oxygen and Respiratory Rates

Alliance Provider Updates

August

2021-2022 Influenza Season Billing/Coding Updates

Provider Newsletter | Issue 18

July

Alliance Provider Updates

Provider Newsletter | Issue 17

June

Support Act Opioid Safety Edits

Alliance Provider Updates

Contact Information per Health & Safety Codes 1262.8 and 1317.4a

May

Improving Healthcare Outcomes by Addressing Access and Equity through the lens of Maternal Child Health

Alliance Provider Updates

COVID-19 Provider Newsletter | Issue 16

New Practice Guidelines Released for the Administration of Buprenorphine for Treating Opioid Use Disorder

Updated Fax Numbers for Beacon Health Options

Upcoming 2021 Care-Based Incentive (CBI) Spring Refresher Webinar

April

Alliance Provider Updates

COVID-19 Provider Newsletter | Issue 15

Alliance Provider Updates

COVID-19 Provider Newsletter | Issue 14

March

CME Opportunity: Optimizing E-Consults

Update to Medi-Cal Lab Rates

January

Alliance Provider Updates

COVID-19 Provider Newsletter | Issue 13

2020

December

Streamlining Authorization Processes

Pfizer-BioNTech COVID-19 Vaccine: Standing Orders for Administering Vaccine to Persons 16 Years of Age and Older

Pre-Vaccination Form for Pfizer-BioNTech COVID-19 Vaccine

Alliance Provider Updates

COVID-19 Provider Newsletter | Issue 12

November

COVID-19 Provider Newsletter | Issue 11

Documentation Requirements for Billing Telephonic Initial Health Assessment (IHA) Visits

Reminder: Annual Provider Appointment Availability Survey

New Feature added to California Immunization Registry (CAIR)

October

Update to Controlling High Blood Pressure Measure for Care Delivered in 2020

Public Health Emergency Renewal

Reminder: Annual Provider Appointment Availability Survey

Alliance Well-Child Visit Member Letter and Robocall Campaign

September

New Provider Immunization Resources Web Page

COVID-19 Provider Newsletter | Issue 10

Upcoming 2021 Care-Based Incentive (CBI) Workshop Webinar

Alliance Provider Payments and Change Healthcare/ECHO Health Inc.

Synagis® (Palivizumab) 2020-2021 Authorization Guidelines

August

Important Updates to Claims

Update: Accessing Alliance Language Assistance Services During COVID-19

COVID-19 Provider Newsletter | Issue 9

2020/2021 Influenza Season Billing/Coding Updates

HEDIS Measurement Year 2019 Provider Performance Report

July

Suicide Prevention Guidance from DHCS

COVID-19 Provider Newsletter | Issue 8

June

COVID-19 Provider Newsletter | Issue 7

COVID-19 Provider Newsletter | Issue 6

May

COVID-19 Provider Newsletter | Issue 5

COVID-19 Provider Newsletter | Issue 4

April

COVID-19 Provider Newsletter | Issue 3

COVID-19 Provider Newsletter | Issue 2

Well-Child Visits During COVID-19 Pandemic

COVID-19 Provider Newsletter | Issue 1

March

Updates to Accessing Alliance Language Assistance Services During COVID-19

For the Alliance Provider Network: Guidance on Telehealth Services

Updates to Alliance Provider Support During COVID-19 Pandemic

February

Full-Scope Medi-Cal for Young Adults

January

2020 DHCS Encounter Data Audit

Billing Requirements for Physician Administered Drugs

Billing Requirements for Hospital Inpatient Services: Statement Dates

2020 HEDIS Season is Here!

2019

December

New Prop 56 Incentives Available

Update to Radiology Rates: Adjustments from Medi-Cal

October

Upcoming DHCS Audit – Provider Site Visits

Childhood Immunization Status (CIS) Measure Shift

Sexually Transmitted Infections (STIs)

August

Department of Health Care Services (DHCS) is Initiating a Value-Based Payment Program

July

Emergency Department Referrals for Ophthalmology Services

June

Protecting Infants from Pertussis

HEDIS 2020 New Measures Update

May

Depression Screening and Follow-Up (DSF) Toolkit and Tip Sheet

DHCS Timely Access Surveys

April

CDC Alert: Measles Outbreak

Reminder: Outpatient Physician Administered Drugs

Alliance Formulary Update

March

Upload Diabetic Retinal Exams via the Data Submission Tool

2018-2019 Influenza Season Billing/Coding Updates

HEDIS 2018 Provider Performance Feedback Report

Upper Billing Limits Update

Urgent Visit Access Program

February

Data Submission Tool now Accepting IHAs

Provider Portal Enhancements

January

Announcing Two Member Immunization Incentives for 2019

Revised Provider Dispute Process

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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