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Home > Alliance Medi-Cal Health Care

For Members

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Alliance Medi-Cal Health Care

About the Alliance

Central California Alliance for Health (the Alliance) is a managed care health plan for people who have Medi-Cal. Medi-Cal is California's Medicaid health care program that provides no-cost or low-cost health coverage to the people of California. When you have Medi-Cal, the Alliance works with the State of California to help you get the health care you need.

The Alliance provides health care to people who live in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties.

Quick Resources

  • Benefits Matrix 
  • Member Handbook
  • Provider Directory

Am I eligible for Medi-Cal?

Who is eligible?
How can I join?
Who is eligible?

The California Department of Health Care Services (DHCS) determines who is eligible for Medi-Cal. You can apply for Medi-Cal benefits regardless of sex, race, religion, color, national origin, sexual orientation, marital status, age, disability or veteran status. If you are eligible, you can get Medi-Cal if you continue to meet the eligibility requirements.

How can I join?

You can apply for Medi-Cal at any time of the year.

You may apply online at BenefitsCal or contact your local county office to apply by mail, phone, fax, email or in person:  to apply by mail, phone, fax, email or in person:

Mariposa County Health and Human Services Agency
Phone: 209-966-2000
800-549-6741

Merced County Department of Human Services
Phone: 209-385-3000

Monterey County Department of Social Services
Phone: 877-410-8823

San Benito County Health and Human Services Agency, Public Assistance
Phone: 831-636-4180

County of Santa Cruz Human Services Department
Phone: 888-421-8080

Alliance Medi-Cal Members

If you are new to the Alliance or are a member looking to better understand your health plan, this is the best place to start.

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Get Started

Learn more about your health plan, how to use your Member ID card, find a provider, learn more about your health plan and read through common member questions.

Get Care

Find information many Alliance members need, such as how to get:

  • The Nurse Advice Line (NAL) phone number.
  • Transportation services.
  • Primary and urgent care.
  • Prescriptions.

Member Services

Learn what our Member Services representatives can help you with. You can also learn how to access your health information, see member news, file complaints and more. 

Online Self-Service

Our Online Self-Service section will help you do things like:

  • Ask for a new primary care provider (PCP).
  • Replace your Member ID card.
  • Update your personal information or other health insurance.

Health and Wellness 

Learn about our rewards programs for getting routine care and find wellness resources in your area. 

News and Updates 

Get the latest updates on your health care, the Alliance and Medi-Cal so you never miss what matters.

Your Health Plan

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MSNewsletter_202306
  • Get Care

    As an Alliance member, you have access to the health care and support services described in Get Care.

  • Primary Care Provider (PCP)

    You will pick one doctor to see for all your health care needs. We call that doctor your Primary Care Provider or PCP. Use the Provider Directory to find a PCP.

  • Summary of Plan Benefits

    The Alliance covers most health care services provided by your PCP, doctors, hospitals and licensed health care providers in our network. There are some services that are covered by Medi-Cal but not through the Alliance.

    For a summary of plan benefits, read the Benefits Matrix. For full details, read the Member Handbook.

  • PCP Referral

    Your PCP will provide all your regular health care. If you need to see any other doctor, your PCP will send a request to the Alliance. This is called a PCP referral. A PCP referral is not needed for emergency care and family planning services.

  • Prior Authorization

    There are some services and medical equipment that must be approved by the Alliance before you can get them. This is called prior authorization. Your PCP or other doctor will send referral and prior authorization requests to the Alliance for approval.

Additional Medi-Cal Information

Asset Limits

Asset Elimination Information

More people can get coverage.

As of January 2024, assets no longer count toward your Medi-Cal eligibility. If your coverage was denied, delayed, reduced or stopped because of your assets, you can ask your local Medi-Cal office to review your case. Learn more on the DHCS website. You can also contact your local county Medi-Cal office if you have questions.

Community Health Worker Benefits

Services Included

The Alliance covers community health worker (CHW) services for members when their doctor recommends it to prevent disease, disability and other health conditions. CHW services have no service location limits.

Services may include:

  • Health education and training, including control and prevention of chronic or infectious diseases; behavioral, perinatal and oral health conditions and violence or injury prevention.
  • Health promotion and coaching, like goal setting and creating plans to address disease prevention and management.
  • Health navigation including information, training and support with health care and community resources.
  • Connecting a member to services that improve their health.
Prevention Services

Members can get CHW violence prevention services when they meet any of the following, as determined by a provider:

  • The member has been violently injured because of community violence.
  • The member is at significant risk of experiencing violent injury because of community violence.
  • The member has experienced chronic exposure to community violence.

CHW violence prevention services are specific to community violence (e.g., gang violence). Members can get CHW services for interpersonal/domestic violence through a qualified CHW. To qualify, CHWs must have lived experience that aligns with and provides a connection between the CHW and the person experiencing interpersonal/domestic violence.

If you think you may benefit from this service, contact your PCP or call Member Services at 1-800-700-3874 (TTY 1-800-735-2929).

Public Charge

Changes to Public Charge

In December 2022, the U.S. government made some changes to the public charge final rule. There are more protections for immigrants and their families to use public benefits without fearing it will affect their immigration status. There are also less barriers for low-income immigrants to get a green card.

Now, many public benefits no longer count for public charge, like health care and food. Medi-Cal/Medicaid does not count under the new public charge rule unless someone is:

  • In long-term institutionalized care.
  • In a skilled nursing home.

Every family is different. It is important to:

  • Know your rights.
  • Get the facts. Understand if the rule affects you.

For more information on public charge, visit our website at www.thealliance.health/health-plan/medi-cal/public-charge.

 

Contact us | Toll free: 800-700-3874

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