Provider News Posts
Starting July 1, 2025, the Alliance will bring behavioral health services in-house, taking over responsibility for contracting and credentialing all behavioral health providers.
Please see below for the legislative updates. These changes are important to know, as these may impact how you provide services.
Providers can now submit Lead Screening in Children and Post-Discharge Care measures through the Data Submission Tool (DST).
A partnership between Sprinter Health and the Alliance is bringing clinical services to the homes of over 1,900 members.
Investing in providers to close care gaps in Merced County
Please review the updated Provider Manual, effective April. 1, 2025, posted on the Alliance provider website.
The Alliance has implemented physician administered drug benefit changes.
The Alliance will be hosting provider office hours to help providers navigate the Whole Child Model (WCM) expansion into Mariposa and San Benito counties.
Due to a high volume of claims inventory, you may notice temporary delays in processing times.
We are excited for our providers to participate in our new line of business, TotalCare (HMO-D-SNP), which will go into effect Jan. 1, 2026!
No cost Community Health Worker program available
Expanding network access and advancing health equity
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 |
