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Welcome to TotalCare! Medi-Cal and Medicare benefits, all in one plan
The Alliance is proud to announce the launch of our TotalCare (HMO D-SNP), effective Jan. 1, 2026!
With TotalCare, members can get Medi-Cal and Medicare benefits, all in one plan, making it easy for members to get the care they need through low or no-cost benefits. Dual-eligible members can enroll in TotalCare from Oct. 15 через Dec. 7, 2025.
Highlights of the TotalCare plan
$0 copays for:
- PCP and specialist doctor visits, routine checkups, behavioral health care, сelect generic and brand name prescription drugs.
- Hospital care, including ER and urgent care visits, emergency ambulance rides, inpatient and outpatient care and more.
Дополнительные преимущества:
- Additional vision care coverage, including one no-cost annual exam and $350 for glasses or contacts every two years.
- &more Smart Benefits card,* a flexible spending card with a $100 allowance per quarter for OTC products.
- The Silver&Fit® программа, which includes digital workout plans, a home fitness kit and access to a large network of fitness centers.
- Worldwide ER/urgent care coverage, with up to $50K per year.
A dedicated care coordinator who assists members with:
- Understanding health plan benefits.
- Finding in-network providers.
- Scheduling health screenings.
- Obtaining authorizations.
- Arranging transitional care.
- Accessing Long-Term Services and Supports (LTSS).
- Arranging transportation to and from medical appointments.
Посетите наш сайт to learn more about how Medicare works and what a D-SNP is.
Providers can join our TotalCare network anytime! To get started, contact Provider Services at присоединяйтесь к нам@thealliance.health or call 831-430-5504. If you’re a current Alliance contracted provider, please contact your Provider Relations Representative.
*&more Benefits Prepaid Mastercard® is issued by Avidia Bank, pursuant to a license from Mastercard Incorporated. Use of this card is subject to the terms and conditions of the Cardholder Agreement.
Alliance appoints new CMO, Dr. Mike Wang
We are excited to announce the appointment of our new Chief Medical Officer, Mike Wang, MD!
Dr. Wang joined the Alliance as a medical director in December 2023. He has been proud to work closely with hospital partners and the Alliance’s Information Technology Services team to collect and share real-time clinical data for patients who are seen in the emergency department (ED) and inpatient settings.
Prior to joining the Alliance, Dr. Wang was the first product manager at Commure and served as a director of clinical informatics at Truveta.
Dr. Wang received his BA from Harvard University and was a software developer at athenahealth before going to medical school. He completed his MD at Loyola University Chicago Stritch School of Medicine and an internal medicine residency with Alameda Health System. Additionally, Dr. Wang was a clinical informatics fellow at UCSF and on faculty at the university, where he continues to practice as a hospitalist.
Dr. Wang’s research interests lie at the intersection of clinical excellence, informatics and health equity. His focuses have included studies on how social determinants of health are populated in electronic health records (EHRs), how machine learning models can be practically deployed in clinical settings, and how passively collected data in EHRs can be used to understand and improve care delivery.
Please join us in welcoming Dr. Wang to his new role at the Alliance!
Two ways to complete mandatory DEIB training
As shared in the Sept. 24 Digest, DHCS now requires providers to complete a mandatory diversity, equity, inclusion and belonging (DEIB) training.
Providers must complete the training by Dec. 31, 2025. New providers must complete the training within 90 дней даты их начала и снова во время re-credentialing or contract renewal.
To meet this requirement, the Alliance offers a 90-minute training that you can complete in one of the following formats:
- Attend one of two live sessions held online via Microsoft Teams.
- Complete an online training at your own pace.
Compliance requirement
This training fulfills the requirements outlined in АПЛ 24-016 (supersedes APL 23-025).
Training objectives
By completing this training, providers and staff will be able to:
- Build a foundational understanding of health equity and recognize disparities in health outcomes.
- Understand the impact of structural racism, cultural identity and unconscious bias on care delivery.
- Strengthen communication and relationships through member-centered, culturally sensitive practices.
- Promote equity by using inclusive communication strategies and addressing barriers such as language, culture and health literacy.
Sign up for the training today!
Live training sessions (online)
Self-paced online training
- Advancing Justice in Health – Provider Medical Staff
- Advancing Justice in Health – Provider Support Staff
To begin this training, enter your first name, last name and email address exactly as it appears in your office records. This information is used solely for training, tracking and reporting purposes.
Once submitted, the training launches in a new window. Please complete the full training to receive credit.
Critical incident reporting requirements
To protect member safety and ensure compliance with Department of Health Care Services (DHCS), it’s important that Community-Based Adult Services (CBAS) and Long-Term Care (LTC) facilities report Critical Incidents (CIs) to the Alliance and proper authorities.
DHCS requires the Alliance to collect and track CI reports from all CBAS and LTC facilities for D-SNP and Medi-Cal members. This data is submitted to DHCS on a quarterly basis. Please note that reporting CIs for Alliance members to DHCS does not remove the reporting requirement of CIs to the proper authorities.
Examples of CIs
- Epidemic outbreaks.
- Poisonings.
- Fires.
- Major accidents.
- Death from unnatural causes or other catastrophes.
- Unusual occurrences threatening member welfare, safety or health.
- Suspected or alleged abuse, neglect, exploitation or mistreatment.
Reporting requirements
Notify the Alliance as soon as possible after becoming aware of a CI.
Please use the appropriate incident when reporting to authorities (e.g., CDA 4009 with instructions or SOC 341) and submit a copy to the Alliance by either:
- Факс: 831-430-5688.
- Электронная почта: [email protected].
CBAS and LTC facilities must also report CI concerns to:
- The local law enforcement agency.
- The LTC Ombudsman.
- The local health officer.
- The district office.
Reference materials
For detailed definitions and reporting expectations, please refer to:
- AFL 21-26: Mandated Reporting Requirements of Potential Abuse, Neglect, Exploitation, or Mistreatment of Elders or Dependent Adults.
- AFL 24-09: Assembly Bill (AB) 1417 – Elder and Dependent Adult Abuse Mandated Reporting.
- CCR Title 22, §72541: Unusual Occurrences.
- 42 CFR 441.302(a)(6)(i)(A): Critical Incidents.
- 42 CFR 438.66: State Monitoring Requirements.
If you have questions, please contact the Alliance LTSS team by email at [email protected] or by phone at 831-430-5650.
Don’t miss our November Immunization Webinar!
Join us on Wednesday, Nov. 5, 2025, from noon to 1 p.m.
Hear from Dr. Mohamed Jalloh, Pharm.D. DCPS of Partnership Health Plan of California and Dianna Myers, MD., our Interim Chief of Health Equity, as they share key updates and best practices in immunization.
Register today on our website or call 800-700-3874, ext. 5504.
