Provider News Posts
A call for action: Let’s push further for healthy communities
This is a follow-up to provide additional guidance for RSV vaccination in adults, and related details for authorization and billing.
As of November 10, 2023, the Medi-Cal Rx Transition Policy has been retired for all pharmacy benefits for members 22 years of age and older.
We are sharing some information about California Children’s Services and the differences between the county models.
The manual, as well as a list of new and retired policies, can be found on our Provider Manual page.
Nirsevimab (Beyfortus) is a long-acting monoclonal antibody that prevents severe disease from respiratory syncytial virus (RSV) in infants.
A Community Health Worker (CHW) training program is available for Monterey County. There is no tuition cost for CHW training candidates who are employed by Alliance contracted providers.
Effective December 1, 2023, there will be some changes in reimbursement for durable medical equipment (DME) codes billed with a Universal Product Number (UPN).
Respiratory syncytial virus (RSV) can cause a variety of respiratory illnesses in infants and young children. It most commonly causes a cold-like illness, but can also cause lower respiratory infections like bronchiolitis and pneumonia.
EPT is a one-time, primary care provider practice transformation program to advance health equity and reduce COVID-19-driven care disparities.
Please join us in encouraging patients to attend the Merced Community Health Fair. Flu vaccines will be available at no cost for attendees!
Join ACEs Aware for these live virtual trainings in September and October. Trainings cover various aspects of Adverse Childhood Experiences and Continuing Education Credits are available.
On September 22, 2023, prior authorization (PA) requirements for members 22 years of age and older will be reinstated for new start enteral nutrition orders.
Effective October 1, 2023, the Alliance will be implementing changes to the physician-administered drug benefit.
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 |