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Health Plans
Medi-Cal
Medi-Cal is California’s Medicaid health care program that provides no-cost or low-cost health insurance to Californians.
Alliance TotalCare (HMO D-SNP)
The Alliance’s TotalCare HMO D-SNP is a special type of Medicare Advantage plan that is available to individuals who are enrolled in BOTH Medi-Cal and Medicare Parts A and B and live in our service area.
Alliance Care IHSS
Alliance Care IHSS is a health plan for persons who provide in-home support services in Monterey County.
For TotalCare Members
Get Started
About Your Health Plan
Medicare and D-SNP Basics
Find a Provider
List of Covered Drugs
Member Materials
Summary of Benefits
Quick-start Plan Guide
Evidence of Coverage (Member Handbook)
Provider and Pharmacy Directory
Enrollment Form
Disenrollment Form
Authorization for Release of Protected Health Information Form
Grievances and Appeals Downloadable Form
How to Enroll in TotalCare
Member ID Card
Access Benefits
Primary Care
Approvals for Care
Dental and Vision
Prescription Drugs and Pharmacies
Medication Therapy Management Program
Opioid Information
Prescription Drug Transition Policy
Urgent Care and Emergency Services
Urgent Care Mariposa County
Urgent Care Merced County
Urgent Care Monterey County
Urgent Care San Benito County
Urgent Care Santa Cruz County
What to Do After the Emergency Room
Flexible Spending Card
Silver&Fit Fitness Program
Behavioral Health
Care Management and Coordination
Care Management
California Integrated Care Management (CICM)
Community Supports
Community-Based Adult Services
Transportation Services
Other Benefits and Services
Member Resources
Nurse Advice Line
Language Assistance Services
File a Grievance or Appeal
What to Do in a Disaster or Emergency
Wellness Support
Member News
Online Self-Service
Access Your Health Information
Order Materials or Replacement ID Card
Choose/Change Primary Care Provider
Update Contact Information
Member Reimbursement Claim Form
Appointment of Representative
Authorization to Disclose Health Information
Privacy Request
My Health
Member Online Account
Create
My Health
Member Online Account
Recover
My Health
Member Online Account
Using the TotalCare
My Health
Member Portal
TotalCare
My Health
Member Portal
Find a Form
For Medi-Cal Members
Get Started
Member ID Card
Find a Doctor
Alliance Alternative Access Standards
About Your Health Plan
Frequently Asked Questions
Get Care
Primary Care
Approvals for Care
Nurse Advice Line
Prescriptions
Medi-Cal Prescriptions
Alliance Care IHSS Prescriptions
Medications and Your Health
Urgent Care
Urgent Visit Access – Mariposa County
Urgent Visit Access – Merced County
Urgent Visit Access – Monterey County
Urgent Visit Access – San Benito County
Urgent Visit Access – Santa Cruz County
What to do after the emergency room: Your action plan
Care Management for Members
Behavioral Health
Transportation Services
Enhanced Care Management and Community Supports
Other Services
Community Health Worker Services
Dental and Vision
Family Planning
Medical Equipment
Out-of-Area Services
Telehealth
Member Services
Access Your Health Information
COVID-19 Information
General COVID-19 Information
COVID-19 Testing and Treatment
COVID-19 Vaccine Information
Language Assistance
File a Grievance
California Children’s Services
Join an Advisory Group
Member Services Advisory Group (MSAG)
Member Services Advisory Group Application
Whole Child Model Family Advisory Committee (WCMFAC)
Member News
Prepare for an Emergency
Online Self-Service
Replace ID Card
Choose Primary Doctor
Insurance Information
Update Contact Information
Information Release
Privacy Request
Request Personal Representative
Member Reimbursement Claim Form
Confidential Communications Request Form
My Health
Member Portal Login
Create Member Online Account
Recover Member Online Account
Using the Member Portal
My Health
Member Portal
Find a Form
Health and Wellness
Health Rewards Program
Wellness Resources
For Providers
Join Our Network
Why Join
How to Join
Become a TotalCare (HMO D-SNP) Provider
Manage Care
Behavioral Health
California Children’s Services
Clinical Resources
Care Management
Complex Case Management and Care Coordination
Pain Management and Substance Use Resources
Seniors and Disabilities
TotalCare Care Management and Coordination
Nurse Advice Line
Referrals and Authorizations
Telehealth Services
Clinical Practice Guidelines
Cultural and Linguistic Services
Interpreter Request Form
Smart Interpreter Request Form
Interpreter Services Provider Quick Reference Guide
Interpreter Services Quality Assurance Form
A to Z Glossary of Spanish & Hmong Terms
Enhanced Care Management and Community Supports
Enhanced Care Management (ECM)
Community Supports (CS)
ECM/CS Referrals
ECM/CS Trainings
ECM/CS FAQs
Health Education and Disease Management
Health Education Programs
Disease Management Programs
Health Resources
TotalCare Health and Wellness Programs
Pharmacy
Medi-Cal Pharmacy
TotalCare (HMO D-SNP) Pharmacy
Alliance Care IHSS Pharmacy
Physician-Administered Drugs (for Medi-Cal and IHSS)
Drug Recalls and Withdrawals
Additional Pharmacy Information
Quality of Care
Provider Incentives
Care-Based Incentive
Care-Based Incentive Resources
Care-Based Incentive (CBI) Summary
CBI Technical Specifications
Antidepressant Medication Management Tip Sheet
Immunizations: Adult – Exploratory Measure Tip Sheet
Immunizations: Adolescents Tip Sheet
Programmatic Measure Benchmarks
Asthma Medication Ratio Tip Sheet
90-Day Referral Completion – Exploratory Tip Sheet
Antidepressant Medication Management Tip Sheet
Application of Dental Fluoride Varnish Tip Sheet
Immunizations: Children (Combo 10) Tip Sheet
Chlamydia Screening Tip Sheet
Child and Adolescent Well-Care Visits Tip Sheet
Cervical Cancer Screening Tip Sheet
Child and Adolescents BMI Assessment Tip Sheet
Breast Cancer Screening Tip Sheet
Well-Child Visits in the First 15 Months of Life Tip Sheet
Unhealthy Alcohol Use in Adolescents and Adults Tip Sheet
Preventable Emergency Visits Tip Sheet
Maximizing Your Value-Based Payments using CPT Category II Coding Tip Sheet
Maternity Care: Prenatal Tip Sheet
Maternity Care: Postpartum Tip Sheet
Plan All-Cause Readmissions Tip Sheet
Lead Screening in Children Tip Sheet
Initial Health Appointment Tip Sheet
Diabetic HbA1c Poor Control >9% Tip Sheet
Developmental Screening in the First 3 Years Tip Sheet
Controlling High Blood Pressure Tip Sheet
Immunizations: Children (Combo 10) Tip Sheet
Best Practices for Reducing Patient No-Shows Tip Sheet
Ambulatory Care Sensitive Admissions Tip Sheet
Depression Tool Kit
USPSTF Recommendations for Primary Care Practice
Preventable Emergency Visits Diagnoses Tip Sheet
Blood Lead Testing Flyer
Adverse Childhood Experiences (ACEs) Screening in Children and Adolescents Tip Sheet
Depression Screening for Adolescents and Adults Tip Sheet
Data Sharing Incentive
Skilled Nursing Facility Workforce and Quality Incentive Program (WQIP)
Skilled Nursing Facility Workforce and Quality Incentive Program Provider FAQs
Health Assessments
HEDIS
HEDIS Resources
HEDIS Code Set
HEDIS FAQ Guide
Immunization Resources
Member Incentives
CAHPS – Member Experience
Site Reviews
Facility Site Review
Infection Control: Spore Testing Job Aid
DHCS Facility Site Review (FSR) Checklist
FSR Critical Elements: Interim Monitoring Form
Medical Record Review
DHCS Medical Record Review (MRR) Checklist
Physical Accessibility Review Survey
TotalCare Model of Care
TotalCare Medicare Advantage Star Ratings Program
Resources
Medi-Cal Redetermination Tool Kit
COVID-19
Claims
View/Submit a Claim
Forms
Provider Directory Update Form
Provider Credentialing Applications and Policies
Re-Credentialing
News
Provider Directory
Provider Manual
All Plan Letters
Timely Access to Care
Webinars and Training
Provider Events Calendar
Provider DEIB Training
Emergency Preparedness
Provider Portal
Using the Provider Portal
Frequently Asked Questions
Provider Portal User Guide
Provider Portal Quick Reference
Provider Portal Account Request Form
Procedure Code Lookup Tool (PCL)
Get support for the transition to TotalCare (HMO D-SNP)
Find resources to help transition eligible members from separate Medicare and Medi-Cal coverage to TotalCare.
For Communities
Healthy Communities
Your Health Matters
Community Events
Community-Based Adult Services
Community Health Worker Benefit
Community Resources
Doula Services Benefit
Enhanced Care Management and Community Supports
Funding Opportunities
Medi-Cal Capacity Grants
Access to Care
Capital Program
Data Sharing Support Program
Equity Learning for Health Professionals Program
Healthcare Technology Program
Workforce Recruitment Programs
CHW Recruitment Program
Doula Recruitment Program
MA Recruitment Program
Provider Recruitment Program
Healthy Beginnings
Home Visiting Program
Parent Education and Support Program
Healthy Communities
Community Health Champions
Partners for Active Living Program
How to Apply
Grants at Work
Alliance Housing Fund
Other Funding Opportunities
Community Publications
Community Impact Reports
Community Health Assessments and Community Health Improvement Plans
The Beat
E-Newsletter
See how we’re building healthier communities
Read the 2026 Community Impact Report to learn how the Alliance invested $44.9 million in 2025.
About Us
About the Alliance
Fact Sheet
Medi-Cal Fast Facts
Mission, Vision and Values
Strategic Plan 2022-2026
Leadership
Public Meetings
Regulatory Information
Careers
Contact Us
News
Community News
Medi-Cal Member News
Provider News
Meetings and Events
Newsroom
Compliance Information
Regulatory Information
Compliance Resources
FDR Compliance Resources
Developer Resources
Developer Application
Developer Questionnaire
Developer Portal
Transparency in Coverage (CMS 9915) Machine Readable Files
Community impact in action
See how the Alliance strengthened access to care, expanded the health care workforce and partnered with local organizations.
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EDI Claims
EDI Claims
Provider Digest | Issue 85
January 16, 2026
Contact us
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