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Provider Digest | Issue 70

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Important webinars, upcoming Provider Satisfaction Survey + key updates you should know

The Alliance brings behavioral health in-house July 1

Starting July 1, 2025, the Alliance will bring behavioral health services in-house, taking over responsibility for contracting and credentialing all behavioral health providers.

The Alliance will be hosting a Behavioral Health webinar on May 21, 2025. Our in-house Behavioral Health Manager and Behavioral Health Medical Director will be available to answer questions about this upcoming transition from Carelon. Register for the event!

If you are a behavioral health provider and would like to continue seeing Alliance members after July 1, 2025, please email us at [email protected] or call us at 831-430-5504.
Do you know of a behavioral health provider who might be interested in contracting with the Alliance? Learn how to refer them today!

Take the Alliance Provider Satisfaction Survey!

As one of our valued providers, we want to hear your feedback! The 2025 Provider Satisfaction Survey, which will be coming to you starting in July via email and mail, helps us gather your insights and suggestions.

Press Ganey will be sending out the survey between July and September. 

The survey measures overall provider satisfaction with the Alliance, as well as satisfaction in areas such as:

  • Claims payment and processing.
  • Health care services.
  • Coordination of care.
  • Health plan call center staff.
  • Provider relations.
  • Access to urgent and routine care.
  • Cultural and Linguistic Services.
  • Community care coordination.
  • The Provider Portal.

Key findings and trends are closely tracked to inform short-term and long-term initiatives.

Thank you in advance to all provider offices taking the time to participate in the survey. We appreciate your candid feedback and for partnering with us to provide accessible, quality health care guided by local innovation!

Oral Health & Fluoride Varnish Application in the Medical Setting webinar recording available

If you missed our Oral Health and Floride Varnish Application in the Medical Setting webinar in April, you can now watch the recorded training on our website.

This course meets the qualifications for one contact hour of continuing education credit for nurses as required by the California Board of Registered Nursing, Provider # CPE 1006.

Key topics include:

  • Importance and safety of fluoride varnish application.
  • Local example of how to apply fluoride varnish.
  • Best practices.
  • Coding/billing/payment.

Review All Plan Letter (APL) updates

The Department of Health Care Services has made updates to multiple All Plan Letters (APL). These changes are important to know, as they may impact how you provide services.

For more information about the updated APLs and others, you can visit our All Plan Letters web page. You can also find related Alliance policies and procedures in the Alliance Provider Manual.

New Provider Manual, effective July 1, 2025, now available

Please review the updated Provider Manual, effective July 1, 2025, posted on the Alliance provider website.

A list of new and retired policies can be found on the Alliance website.