Provider News Posts
As the COVID-19 pandemic continues to affect our communities, maintaining well-child visits and childhood immunizations during this period is important.
The Alliance is committed to delivering culturally and linguistically appropriate health care services to our diverse membership, especially during this time.
The Department of Health Care Services (DHCS) and the Department of Managed Health Care (DMHC) have issued new guidance regarding the provision of telehealth services during the COVID-19 pandemic.
The Alliance is allowing flexibility for providers to deliver virtual and telehealth visits as medically indicated for covered services.
Medi-Cal, California’s health care program for low-income individuals and families, will extend full coverage to tens of thousands of additional young adults statewide effective January 1, 2020, another step toward building a California for All.
The Health Services Advisory Group (HSAG) will be conducting their annual Department of Health Care Services (DHCS) encounter data (claims) audit starting in February 2020.
The Alliance is required to submit encounter data to the Department of Health Care Services (DHCS).
In order to comply with Department of Health Care Services (DHCS) requirements, inpatient claims must only bill for services dated within the statement date.
The annual Healthcare Effectiveness Data and Information Set (HEDIS®) project is underway!
Department of Health Care Services (DHCS) has informed the Alliance of new incentives available as a result of the California Healthcare, Research and Prevention Tobacco Tax Act of 2016 (Prop 56).
Medi-Cal routinely adjusts reimbursement rates and recently issued an adjustment to rates for Radiology services.
The Department of Health Care Services (DHCS) will conduct a routine medical audit of the Alliance in November.
The Department of Health Care Services (DHCS) recently notified the Alliance of new measures that the plan is required to report for 2020.
The Alliance is seeing a significant increase in women diagnosed with sexually transmitted infections (STIs) in all three counties, with chlamydia being one of the most common STIs diagnosed in young women
DHCS has announced a Value-Based Payment program that will provide incentive payments to qualifying providers for meeting specific measures aimed at improving care for certain high-cost or high-need populations.
In order to ensure the provision of timely services in urgent or emergent situations, the Alliance offers referrals for certain conditions directly from the Emergency Department without referral from a PCP.
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 |
Provider Resources
Member Resources
GRIEVANCE FORM
Member Handbook
Health Rewards Program
Continuity of Care Policy
The Alliance
© 2025 Central California Alliance for Health | Website Feedback