Provider News Posts
The Alliance is pleased to announce our Healthcare Effectiveness Data and Information Set (HEDIS) award winners for Measurement Year 2023 (MY2023).
The Alliance will be hosting a provider training webinar to support the upcoming DHCS CCS WCM program expansion into Mariposa and San Benito counties.
With the holiday season approaching and the end of the year nearing, we want to ensure that practices have ample time to schedule patient visits and close care gaps.
We recently identified that data submitted via the Data Submission Tool (DST) was missing in the August, September and October Quality Reports.
In the upcoming weeks, some providers might see changes to their claims because of DHCS targeted rate increases (TRI).
The Department of Health Care Services has made updates to multiple All Plan Letters (APL). These changes are important to know, as it may impact how you provide services.
Alliance providers are invited to attend these upcoming webinars hosted by ACEs Aware.
Beginning Friday, Nov. 1 through Saturday, Nov. 2 our Provider Portal will experience outages and be unavailable intermittently.
2024-2025 palivizumab (Synagis®) authorization guidelines
Let us know whether your clinic provides gender-affirming services!
2024-2025 nirsevimab (Beyfortus®) authorization guidelines
2024-2025 palivizumab (Synagis®) authorization guidelines
Watch for the Provider Appointment Availability Survey (PAAS), which will be coming to providers via email between September and November!
Your organization or practice may be eligible for the Alliance’s Data Sharing Incentive (DSI) program!
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 |
