Provider Digest | Issue 32

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Last chance to provide feedback + register now for 2024 CBI workshop

Last chance to take the Provider Satisfaction Survey!

Responses to the Provider Satisfaction Survey are due Sept. 15.

You should have received a survey request from our vendor, Press Ganey, via mail and/or phone. Your thoughtful feedback on this survey informs short-term and long-term initiatives at the Alliance.

For more details about the survey, reference our June Provider Digest article.

We appreciate your partnership in providing accessible, quality health care guided by local innovation!

Be on the lookout for the Provider Appointment Availability Survey

The Alliance administers the Provider Appointment Availability Survey (PAAS) annually to assess our network’s ability to provide care within timely access standards.

Some providers will receive a survey by email. If there is no response within 5 business days, providers will receive a survey call. Please encourage reception staff to participate in survey calls. You may receive survey requests from multiple health plans.

Timely access standards monitored through the PAAS include:

Urgent Care Appointments Wait Times
For services that do not require prior authorization 48 hours
For services that do require prior authorization 96 hours
Non-Urgent Care Appointments Wait Times
Primary care appointment (including first pre-natal visit and preventive visits) 10 business days
Mental health care appointment (with a non-physician provider) 10 business days
Non-urgent follow up appointment with a Mental health care (non-physician provider) or substance use disorder provider 10 business days from the prior appointment
Specialist/Specialty Care appointment (including Psychiatrists) 15 business days
Ancillary service appointment for the diagnosis or treatment of injury, illness, or other health condition 15 business days
Skilled Nursing Facility Services and Intermediate Care Facility Services (Santa Cruz County) Placement within 7 business days
Skilled Nursing Facility Services and Intermediate Care Facility Services (Monterey and Merced County) Placement within 14 calendar days

Telehealth appointments demonstrate the means to provide timely access and should be included in your responses.

Find more information at www.thealliance.health/for-providers/resources/timely-access-to-care.

Thank you for your participation! If you have questions, please contact Alliance Provider Relations at 800-700-3874, ext. 5504.

2024 CBI Workshop – Join us Oct. 4, 2023!

The Alliance will be hosting our annual Care-Based Incentive (CBI) workshop. The workshop will cover changes in the upcoming 2024 CBI Program as well as valuable tips and resources. We encourage office staff and providers to attend the event.

What will be discussed

  • CBI program overview.
  • Retired measures.
  • Modified measures.
  • Alliance resources.
  • Exploratory measures.
  • What’s new?

Who should attend

  • Primary care providers.
  • Office managers.
  • Front office staff.
  • Billing staff.
  • Medical assistants.

Details and registration

When: Wednesday, October 4, 2023 from noon to 1:30 p.m.

Where: Online via Microsoft Teams

To register, sign up online or contact a Provider Relations Representative at 800-700-3874, ext. 5504.