Provider News Posts
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.
Trauma-informed schools and care settings offer a sanctuary of safety and support for young people. Learn about the opportunities and challenges for trauma-informed care.
Health literacy and culturally appropriate care
PATH collaborative planning meetings offer an opportunity to participate in local efforts to provide ECM/Community Supports services.
Review this article for 2023-2024 influenza season billing/coding updates.
DHCS is reinstating prior authorization requirements for new start enteral nutrition products for members ages 22 years and older.
HEDIS reports are now available! To get a copy of your site’s performance, please email [email protected] with the subject line “HEDIS Report.”
Clinicians are encouraged to collaborate with patients receiving opioids at a dose above 90 MME and, if appropriate, taper/discontinue opioids to improve the safety of their drug regimen.
EVV training is required for providers per DHCS APL 22-014.
Statin can be used in patients with diabetes for primary and secondary prevention of ASCVD events.
On June 23, 2023 the Transition Policy for 46 drug classes will be retired.
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 |
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