Register for our Nov. 4 TotalCare Overview Webinar
The Alliance is pleased to host a TotalCare Overview Webinar featuring special guest speaker Scott Crawford, Medicare Program Executive Director at the Alliance. Whether you’re an existing or potential TotalCare (HMO D-SNP) provider, this webinar is for you!
Join us to learn all about the Alliance’s TotalCare (HMO D-SNP) plan, including key features, benefits and resources. Gain practical insights, get answers to common staff and patient questions, and build confidence in supporting a better patient experience.
Key topics
- TotalCare 101 Introduction.
- Medicare Parts A-D.
- Dual-Eligible Special Needs Plan (D-SNP).
- Alliance resources to support members and practices.
Details and registration
- When: Wednesday, November 4, 2026, from noon to 1 p.m.
- Where: online via Microsoft Teams
Register online or contact a Provider Relations Representative at 800-700-3874, ext. 5504.
Change to Provider Dispute Resolution (PDR) submission process
Effective November 15, 2026, the Alliance will no longer accept Provider Dispute Resolutions (PDRs) submitted via email. The current PDR email address will be deactivated as of this date.
Providers should continue to submit PDRs via the Provider Inquiry Form using one of the following methods:
- Mail:
Central California Alliance for Health, ATTN: Provider Inquiries and Disputes
1600 Green Hills Road, Suite 101
Scotts Valley, CA 95066 - Fax: 831-430-5569
Please ensure all PDRs are submitted by mail or fax effective November 15. PDRs submitted via email after this date will no longer be accepted or processed. An online form for submitting Provider Dispute Resolutions is coming soon. Stay tuned for more updates when it is available.
Questions?
If you have questions regarding the PDR submission process, please contact the Claims Customer Service team at 831-430-5503.
We appreciate your attention to this change and your continued partnership with the Alliance.
Supporting behavioral health and social connection: A spotlight on older adults
Social connection is an important part of healthy aging, but nearly 1 in 4 older adults experience social isolation (CDC). While the upcoming holiday season is often associated with feelings of joy and celebration, it can be challenging for older adults who may be processing major life changes due to retirement, loss of loved ones, mobility limitations, chronic conditions, transportation barriers or living alone.
Learn about behavioral health services for Medi-Cal and TotalCare (HMO D-SNP) members, and what you can do to help connect older adults to the support they need.
What providers can do
Connect
Ask about members’ support systems and barriers to social connection, such as transportation or food insecurity. Consider connecting members to the appropriate adult and aging resources on our Community Resources page.
Screen
Use validated screening tools to screen annually or as needed for depression. Find more information in our Depression Screening for Adolescents and Adults Tip Sheet.
Screen for other behavioral health concerns as needed.
Refer
Connect members to appropriate services and follow up. Use the Behavioral Health Provider Referral Form or call Alliance Care Management at 800-700-3874, ext. 5512. TotalCare and Medi-Cal both cover services such as therapy and treatment of mental health and substance use disorders. (Members can learn about mental health benefits in their Evidence of Coverage (Member Handbook).
Social Prescribing
Consider connecting members to support such as senior centers, exercise or wellness programs, social groups, libraries, faith-based organizations, volunteering, and other activities that foster purpose and belonging.
Resources
- Reducing Social Isolation and Loneliness Among Older Adults Through Social Prescribing – Center for Health Care Strategies
- Feeling Lonely or Socially Isolated? (National Institute on Aging)
Complete the Medi-Cal Fee-for-Service Provider Participation Survey
Beginning January 1, 2027, Medi-Cal members identified by DHCS as having Unsatisfactory Immigration Status (UIS) will transition from Alliance managed care to State Medi-Cal Fee-for-Service (FFS). This is a federal policy change established by DHCS and was not initiated by the Alliance.
The transition does not end a member’s Medi-Cal eligibility but will change how affected members access and pay for services.
The Alliance is asking providers to complete a short survey about their participation in Medi-Cal FFS. Your response will help us understand provider availability and support continuity of care for affected members.
Please complete the survey as soon as possible, even if you do not plan to accept FFS members or are still evaluating participation.
To learn more about how to prepare for the FFS transition, visit our 2027 Medi-Cal Fee-For-Service Transition webpage.
