Skip to main content
Skip to content
Find a Doctor
Nurse Line
Provider Portal
Contact Us
English
Hmong
Spanish
aA
Accessibility Tools
Grayscale
A
A
A
English
Hmong
Spanish
Search
Search
For Members
Get Started
Member ID Card
Find a Doctor
Alliance Alternative Access Standards
About Your Health Plan
Frequently Asked Questions
Mariposa and San Benito
Get Care
Primary Care
Approvals for Care
Nurse Advice Line
Prescriptions
Medications and Your Health
Introducing Medi-Cal Rx
Urgent Care
Urgent Visit Access – Mariposa County
Urgent Visit Access – Merced County
Urgent Visit Access – Monterey County
Urgent Visit Access – Santa Cruz County
Behavioral Health
Transportation Services
Enhanced Care Management and Community Supports
Other Services
Dental and Vision
Family Planning
Medical Equipment
Out-of-Area Services
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
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
Member Online Account
Confidential Communications Request Form
Find a Form
Health and Wellness
Health Rewards Program
Wellness Resources
For Providers
Join Our Network
Why Join
How to Join
Provider Application Request
Provider Credentialing Applications and Policies
Re-Credentialing
New Provider Orientation
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
Nurse Advice Line
Referrals and Authorizations
Telehealth Services
Cultural and Linguistic Services
Face-to-Face 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
Breastfeeding Support and Breast Pump Benefit
Disease Management Programs
Health Resources
Pharmacy
Medi-Cal Rx
Pharmacy Formulary
Prescription Drug Prior Authorization
Prior Authorization Criteria
Prior Authorization Information Request for Injectable Drugs
Synagis Statement of Medical Necessity
Treatment Authorization Request (TAR)
Medical Nutrition Therapy Benefit Quick Reference Guide
Quality of Care
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 & Performance Improvement
Asthma Medication Ratio Tip Sheet
90-Day Referral Completion – Exploratory Tip Sheet
Antidepressant Medication Management Tip Sheet
Application of Fluoride Varnish Tip Sheet
Immunizations: Children (Combo 10) Tip Sheet
Chlamydia Screening in Women – Exploratory Measure 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
Tuberculosis (TB) Risk Assessment – Exploratory 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 – Exploratory Measure 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 Care Visit Diagnosis 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
What’s New
Health Assessments
HEDIS
HEDIS Resources
HEDIS Code Set
HEDIS FAQ Guide
Immunization Resources
Member Incentives
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
Resources
COVID-19
Claims
View/Submit a Claim
Forms
Provider Directory Update Form
News
Provider Directory
Provider Manual
All Plan Letters
Timely Access to Care
Webinars and Training
Provider Events Calendar
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)
HEDIS
The annual Healthcare Effectiveness Data and Information Set (HEDIS) audit is underway.
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
Medi-Cal Capacity Grants
Access to Care
Equity Learning for Health Professionals Program
Healthcare Technology Program
Workforce Recruitment Programs
CHW 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
Community Publications
Community Impact Reports
The Beat
E-Newsletter
Protect loved ones from opioid overdoses with naloxone
Learn more about this life-saving medication today.
Health Plans
Medi-Cal
Alliance Care IHSS
Alliance Care IHSS Price Transparency Tool
Am I eligible for Medi-Cal?
Learn about Medi-Cal eligibility, benefits and how to apply.
About Us
About the Alliance
Fact Sheet
Mission, Vision and Values
Strategic Plan 2022-2026
Leadership
Public Meetings
Careers
Contact Us
News
Community News
Member News
Provider News
Meetings and Events
Newsroom
We are hiring!
Join our mission-driven team.
For Members
Get Started
Member ID Card
Find a Doctor
Alliance Alternative Access Standards
About Your Health Plan
Frequently Asked Questions
Mariposa and San Benito
Get Care
Primary Care
Approvals for Care
Nurse Advice Line
Prescriptions
Medications and Your Health
Introducing Medi-Cal Rx
Urgent Care
Urgent Visit Access – Mariposa County
Urgent Visit Access – Merced County
Urgent Visit Access – Monterey County
Urgent Visit Access – Santa Cruz County
Behavioral Health
Transportation Services
Enhanced Care Management and Community Supports
Other Services
Dental and Vision
Family Planning
Medical Equipment
Out-of-Area Services
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
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
Member Online Account
Confidential Communications Request Form
Find a Form
Health and Wellness
Health Rewards Program
Wellness Resources
For Providers
Join Our Network
Why Join
How to Join
Provider Application Request
Provider Credentialing Applications and Policies
Re-Credentialing
New Provider Orientation
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
Nurse Advice Line
Referrals and Authorizations
Telehealth Services
Cultural and Linguistic Services
Face-to-Face 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
Breastfeeding Support and Breast Pump Benefit
Disease Management Programs
Health Resources
Pharmacy
Medi-Cal Rx
Pharmacy Formulary
Prescription Drug Prior Authorization
Prior Authorization Criteria
Prior Authorization Information Request for Injectable Drugs
Synagis Statement of Medical Necessity
Treatment Authorization Request (TAR)
Medical Nutrition Therapy Benefit Quick Reference Guide
Quality of Care
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 & Performance Improvement
Asthma Medication Ratio Tip Sheet
90-Day Referral Completion – Exploratory Tip Sheet
Antidepressant Medication Management Tip Sheet
Application of Fluoride Varnish Tip Sheet
Immunizations: Children (Combo 10) Tip Sheet
Chlamydia Screening in Women – Exploratory Measure 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
Tuberculosis (TB) Risk Assessment – Exploratory 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 – Exploratory Measure 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 Care Visit Diagnosis 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
What’s New
Health Assessments
HEDIS
HEDIS Resources
HEDIS Code Set
HEDIS FAQ Guide
Immunization Resources
Member Incentives
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
Resources
COVID-19
Claims
View/Submit a Claim
Forms
Provider Directory Update Form
News
Provider Directory
Provider Manual
All Plan Letters
Timely Access to Care
Webinars and Training
Provider Events Calendar
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)
HEDIS
The annual Healthcare Effectiveness Data and Information Set (HEDIS) audit is underway.
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
Medi-Cal Capacity Grants
Access to Care
Equity Learning for Health Professionals Program
Healthcare Technology Program
Workforce Recruitment Programs
CHW 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
Community Publications
Community Impact Reports
The Beat
E-Newsletter
Protect loved ones from opioid overdoses with naloxone
Learn more about this life-saving medication today.
Health Plans
Medi-Cal
Alliance Care IHSS
Alliance Care IHSS Price Transparency Tool
Am I eligible for Medi-Cal?
Learn about Medi-Cal eligibility, benefits and how to apply.
About Us
About the Alliance
Fact Sheet
Mission, Vision and Values
Strategic Plan 2022-2026
Leadership
Public Meetings
Careers
Contact Us
News
Community News
Member News
Provider News
Meetings and Events
Newsroom
We are hiring!
Join our mission-driven team.
Home
>
Health Services Advisory Group
Health Services Advisory Group
2022 DHCS Encounter Data Validation Audit
January 19, 2022
2020 DHCS Encounter Data Audit
January 23, 2020
Contact us
| Toll free:
800-700-3874
