The Alliance contracts with California Home Medical Equipment (CHME) for authorization management and servicing for the majority of DME services to all members in all medical groups, except Kaiser.
CHME manages the following service categories:
- Find doctors and get appointments
- Breast pumps
- Home respiratory equipment
- Hospital beds
- Incontinence supplies
- Nutritional supplements and feeding supplies
- Wheelchairs, walkers, and canes
- Other home medical supply needs
Prior authorization (PA) requests for DMEs should be directed to CHME for processing.
For services excluded from CHME’s management, the Alliance contracts with a select group of providers. Providers should submit PA request directly to the Alliance UM Department for these excluded services for all members in all medical groups, except Kaiser. A list of services excluded from CHME and preferred alternate vendors can be available through the Alliance UM Department.
For the most up to date information or if you have questions, please call:
Alliance Utilization Management Department
Monday – Friday, 8 am – 5 pm
Phone Number: 1.510.747.4540 ext. 5
For a complete list of services that require authorizations, and the corresponding Alliance Utilization Management (UM) processor, please view the Alliance Referral and Prior Authorization (PA) Grid for Medical Benefits (for directly contracted providers only). The list will indicate the corresponding UM processor for each service at the procedure code level.