Provider News Posts
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
We’d like to extend a warm welcome to over 200 new providers who joined the Alliance network from June through September!
Some claims missing documentation were inadvertently paid during a recent period. This issue has been corrected and the standard claim review process has resumed.
DEIB training, immunization webinar & billing update
Announcing TotalCare D-SNP
The issue causing rejections for Breast Cancer Screenings through the Data Submission Tool (DST) is now fixed.
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 |
