July 15 transition to Jiva, grants deadlines, Provider Portal updates + HEDIS reports
July 15: Care management, auths and referrals transition to Jiva
Care management, authorizations and referrals are transitioning to our new Jiva platform. The new link to enter authorizations and referrals through the existing Alliance Provider Portal will go live on Monday, July 15, 2024.
We understand the importance of continuity in your workflow and patient care. We will be available to assist you throughout the transition process and address any questions or concerns you may have.
Attend an upcoming info session
Mark your calendar! We have two upcoming informational sessions. Attend either one to learn more about the Jiva platform.
These training sessions will include how to:
- Enter authorizations and referrals, including ECM/CS, DME, diagnostic, pharmacy and inpatient stays.
- Locate and review your submissions (including decisions) and submissions associated with your practice.
- Review episode abstracts entered on any member by any user.
- Respond to requests for further information.
- Upload additional documentation and note “types” needed for new requests as well as follow up/change requests.
Watch quick trainings by topic
There are quick pre-recorded trainings available on key functions within the new Jiva platform, including how to:
- Search for a member.
- Submit an outpatient or inpatient request.
- Modify a submitted or saved request.
To see the full list of videos available, go to our Webinars and Training page and select “Jiva” from the dropdown.
Grants updates: upcoming deadlines + CHW trainings
Alliance Grant Program next deadline July 16
The Alliance’s Medi-Cal Capacity Grant Program (MCGP) invests in health care and community organizations serving Medi-Cal members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties.
The next application deadline is July 16, 2024 for all funding opportunities. One more Workforce Recruitment grant cycle will be available with a deadline of Oct. 15, 2024. Starting in 2025, all grant programs will have three application cycles per year, beginning Jan. 21, 2025.
Visit the Alliance’s MCGP webpage for more information about our funding priorities, current opportunities and how to apply.
Community Health Worker programs open for enrollment
Community Health Workers (CHWs) help Medi-Cal members access resources and navigate health care and social services. The Alliance supports CHWs who deliver and bill for Medi-Cal CHW benefit services by funding local CHW training programs.
Alliance contracted providers can enroll CHW employees at no cost or low cost in the following programs.
UC Merced Extension
- Online program starts July 29.
- Two courses totaling 80 hours.
- Fall and Winter sessions available (Spanish option in Winter).
Enroll online now or sign up for future training emails. Questions? Email [email protected].
Monterey County Works
- Classes run Sept. 19-March 1.
- Online and in-person components. Internship included.
- Accepting applications through Aug. 30.
Two additional program cohorts will be offered over the next two years.
Questions? Contact Orlando Elizondo at the Monterey County Workforce Development Board at 831-245-3521.
HEDIS reports are now available for Alliance Providers!
The 2023 Healthcare Effectiveness Data Information Set (HEDIS) results are in and ready for Alliance providers to review. View your site’s performance to see how you compare against national and state benchmarks. Evaluating your performance against benchmarks can help you to identify gaps in care that might otherwise go unnoticed.
To get a copy of your site’s HEDIS results, please email [email protected] with the subject line “HEDIS Report”, noting the clinic that you represent. Reports will only be sent to email accounts with a registered domain (no gmail, yahoo, etc.).
Provider Portal updates help clinics with member outreach
Based on provider requests, the Alliance has made enhancements to the Provider Portal to assist clinics in their population health outreach/projects.
We have made the following enhancements to the Provider Portal:
- Spoken and written language preference. We have added members’ primary and secondary spoken and written languages to all Provider Portal reports. We hope this addition will streamline communication and identify our members’ language needs.
- Race and ethnicity identification. Provider Portal reports are being updated to include member race and ethnicity. This data may vary from your clinic’s electronic health records. We recommend verifying this information when you see patients at your clinic.
- Alternative contact information. To help keep member contact information current and comprehensive, all Provider Portal reports now include cell phone numbers and email addresses as alternative modes of contact. Please confirm this information with members at each visit, as this information often changes and changes may not be reflected in our system.
- New Linked Members Not Seen by PCP is now available on our Provider Portal. This report can be found under the Linked Member List reports. It helps clinics identify members who have not been seen by their PCP in the last 12 months. It also details whether the member was seen by another provider, including specialists, urgent care, emergency department or a facility that the member is not linked to.
Thank you for helping us provide quality care to our members!
