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Join a network of providers dedicated to pursuing the Alliance vision of Healthy People, Healthy Communities. To become a provider in the Alliance network, you must go through a three-step credentialing process. If you have any questions, please call 831-430-5504 and a Provider Relations Representative will assist you.

Medi-Cal Certification and Enrollment

All providers contracted with the Alliance are required to complete the Department of Health Care Services (DHCS) Medi-Cal screening and enrollment process. To enroll as a Medi-Cal provider with DHCS, visit the Provider Enrollment Division page on the DHCS website.

DHCS provides a list of required documentation by provider type and a directory of Medi-Cal Ordering, Referring and Prescribing (ORP) providers.

You can also contact DHCS Provider Enrollment Division at [email protected] or 916-323-1945.

Become an Approved Alliance Provider

Application Request Form

Complete an online Provider Interest Form or call 831-430-5504 to notify our Provider Relations department of your interest.

Provider Relations will explain which credentialing application, forms and supplemental documents you must submit. They will also send you a Services Agreement to sign and return.

Site Review

If you are a Medi-Cal primary care physician, we will perform a site review that must result in an acceptable score before any members are linked to your practice.

Credentialing Approval

An Alliance medical director or the Peer Review and Credentialing Committee (PRCC) must approve your credentialing.

Once you are approved, we will send you an approval letter and countersigned Services Agreement. To get started working with the Alliance, view our Provider Orientation resources.

CCS Provider Paneling

If you want to become California Children’s Services (CCS) paneled, fill out the online application on the DHCS CCS provider paneling website.