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Provider Digest | Issue 79

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DEIB training, immunization webinar & billing update 

Take the 2025 Provider Appointment Availability Survey!

Take the Provider Appointment Availability Survey (PAAS) to help us assess our network’s ability to provide care within timely access standards.  

Our third-party vendor, Mazars, will be administering the survey beginning in October. 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 
Services that do not require prior authorization (PA)   48 hours  
Specialty services that require PA   96 hours  
Non-Urgent Care Appointments  Wait Times 
Non-Physician Mental Health Providers and Primary Care (including first prenatal andpreventive visits)   10 business days  
Specialist and Ancillary Appointments   15 business days  
Physical Therapy or Mammography appointment for the diagnosis or treatment ofinjury, illness or other health condition   15 business days  

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

Find more information on our website.  

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

 

Register for new mandatory DEIB training    

The California Department of Health Care Services (DHCS) has introduced a new mandatory Diversity, Equity, Inclusion and Belonging (DEIB) training requirement for all Medi-Cal Managed Care network providers and their staff. All network providers and staff must complete the training by December 31, 2025.  

We have upcoming training sessions in October and December.   

This training is designed to strengthen cultural competency, improve sensitivity and advance health equity to better serve California’s diverse Medi-Cal population.  

About the DEIB training 

  • New Providers: New providers must complete the training within 90 days of their start date and again during re-credentialing or contract renewal.  
  • Content: The training includes best practices around cultural humility and sensitivity, region-specific member needs, health equity guidelines and strategies to reduce health disparities.  
  • Oversight: Each health plan’s Health Equity Officer will oversee the program, which aligns with NCQA Health Equity Accreditation standards.  

Details and Registration 

  • Oct. 30, 2025, 11:30 a.m. to 1 p.m.  
  • Dec. 3, 2025, 11:30 a.m. to 1 p.m.  

Please register to attend one of the sessions on our website.  

Save the date for our November immunization webinar!

Join us for an immunization webinar on Wednesday, Nov. 5, 2025, from noon to 1 p.m.   

Speaker from Partnership Health Plan of California Dr. Mohamed Jalloh Pharm.D. DCPS, will be hosting the webinar, along with our very own Interim Chief of Health Equity Dianna Myers, MD.   

Key topics 

  • Misinformation and disinformation on vaccination.  
  • Tips on how to educate members on the importance of vaccination.  
  • Reframing the conversation with science-based content.  
  • Best practices.  
  • Barriers to immunization access.  

Details and registration 

When: Wednesday Nov. 5, 2025, from noon to 1:00p.m.  

Where: Online via Microsoft Teams.   

Register today by visiting our website or contact a Provider Relations Representative at 800-700-3874, ext. 5504.  

The first clinic to register and attend will receive a complimentary lunch from the Alliance.

Review APL updates

The Department of Health Care Services (DHCS) has made updates to multiple All Plan Letters (APL). These changes are important to know, as they may impact how you provide services. To see the updated APLs, visit our website.