Provider News Posts
Read our 2026 Community Impact Report
Helping members navigate changes to Medi-Cal
See what we’re texting members + APL updates
We are pleased to share that the Episode Abstract view will be reinstated with modifications to ensure continued regulatory compliance while supporting your operational needs.
Alliance recognized for outstanding performance The California Department of Health Care Services (DHCS) recognized the Alliance for exceeding standards set by the Measurement Year 2024 (MY24) Managed Care Accountability Set (MCAS). We achieved every measure in the four MCAS domains, including: Children’s Health. Reproductive Health & Cancer Prevention. Behavioral Health. Chronic Disease Management. MCAS is […]
2025 CBI data submission: what you need to know The deadline to submit your 2025 Care-Based Incentive (CBI) data is Feb. 28, 2026. The Data Submission Tool (DST) is available on the Alliance’s Provider Portal under “Data Submissions.” This tool allows providers to submit data from their electronic medical records and paper records for the CBI and Healthcare […]
Applications are open for the CHW certification program offered by Monterey County Works. This training program is offered at no cost!
Alliance celebrates 30 years This year, the Alliance celebrates 30 years serving our local communities. Thank you for making our work possible through a shared commitment to healthy people, healthy communities. We started serving Santa Cruz County in 1996. Over the years, we’ve expanded to include Mariposa, Merced, Monterey and San Benito counties. We now serve over 434,000 members with a network of over 14,000 contracted providers. In […]
Access to Member Centric View (MCV), Case Management (CM) episode will be listed with other types of episodes on the left side.
Effective Jan. 1, 2026, Medi-Cal Rx will update coverage for GLP-1 medications.
The Department of Health Care Services has made an update to APL Medi-Cal RX Pharmacy Benefits and Cell Gene Therapy Coverage.
Medi-Cal changes are coming — help members stay covered Starting in 2026, some Medi-Cal members may see updates to their health coverage. Most members will keep their current benefits and care, but others may experience changes to their coverage. The Alliance is working to make this transition as smooth as possible. Our goal is […]
Learn more about risk adjustment incentives
Keeping our communities covered.
What to know about Rx and DHCS updates
The Alliance is pleased to announce our Healthcare Effectiveness Data and Information Set (HEDIS) award winners for Measurement Year 2023 (MY2023).
Retroactive rate adjustments
See 2026 provider incentives
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 |
