We are here for you. We strive to provide our provider partners with the highest levels of customer service. Every year the Alliance conducts our Provider Satisfaction Survey to help us learn more about what is working and where we can improve to serve you better. For more information regarding this update, please click here.

The Alliance is pleased to offer two (2) webinars on the Skilled Nursing Facility Workforce and Quality Incentive Program (SNF WQIP). SNF WQIP is a directed payment program where Medi-Cal Managed Care Plans (MCPs), like the Alliance, make payments to eligible providers. To learn more and register, please click here.

California State Senate Bill (SB) 923, known as the Transgender, Gender Diverse or Intersex (TGI) Inclusive Care Act, mandates health plans such as the Alliance to include specific provider directory requirements. For more information regarding this update, please click here.

Alameda Alliance for Health (Alliance) is committed to supporting all providers in meeting the diverse needs of Alliance members and advancing health equity for our members. For more information regarding this important update, please click here.

We are sharing an important announcement for Enhanced Care Management (ECM) and Community Support (CS) providers.
Effective Tuesday, July 1, 2025, all ECM and CS providers must comply with the Department of Health Care Services’ (DHCS) Closed-Loop Referral requirements. For more information regarding this update, please click here.

The Alliance has developed a Diversity, Equity, and Inclusion (DEI) Training Program for providers in accordance with the California Department of Healthcare Services (DHCS) All Plan Letter 24-016 titled Diversity, Equity, and Inclusion Training Program Requirements (previously APL 23-025). The DEI training will be evaluated annually and offered to our provider network each year. For more information regarding this update, please click here.

Billing reminders for LTC Facilities, including Subacute, Custodial, and Intermediate Care Facilities for Individuals with Developmental Disabilities (ICF-DD) Care Providers. For more information regarding this reminder, please click here.

Alameda Alliance for Health (Alliance) is dedicated to working with our providers to ensure our members’ linguistic needs are met. It is important that our members can talk with our providers effectively in the language of their choice. For more information regarding this update, please click here.

This communication provides an update on Utilization Management (UM) Medications physician-administered drugs (PAD) codes that require prior authorization for in-network providers. For more information regarding this update, please click here.

We created a new Applied Behavior Analysis (ABA) Treatment Plan Form for behavioral health providers that now is available in our Alliance Provider Portal. We are excited to work with you directly and offer important training information in using the new form. For more information regarding this update, please click here.

This update affects claims with the date(s) of service starting Monday, February 17, 2025, and onward for the code-specific list of Circumcision, Dialysis, and Genetic Testing codes that require prior authorization. For more information regarding this update, please click here.

We are making technical updates to improve the function of our claims payment system. These updates will improve the accuracy and efficiency of our provider payments. For more information regarding this update, please click here.

At Alameda Alliance for Health (Alliance), we value our dedicated provider partner community. We have an important notice to share with you. As part of the California Department of Health Care Services (DHCS) medical audit of the Alliance, DHCS will also conduct random outreach phone calls to interview Alliance contracted providers about the Initial Health Appointment (IHA) process. Outreach phone calls from DHCS to providers in our network will take place between Tuesday, January 7, 2025, through Monday, March 3, 2025. Impacted Alliance providers may include anyone who can administer an IHA, such as primary care, OB/GYN, and behavioral health providers. For more information regarding this update, please click here.

At Alameda Alliance for Health (Alliance), we value our dedicated provider partner community. We are sharing an important reminder with you. The California Department of Health Care Services (DHCS) requires managed care plans to implement new Enhanced Care Management (ECM) standardizations, effective Wednesday, January 1, 2025. For more information regarding this update, please click here.

At Alameda Alliance for Health (Alliance), we appreciate our dedicated provider partner community and strive to deliver the highest levels of service and satisfaction.
We have an important update we want to share with you about Acupuncture, Allergy, Blood Plasma, Electroencephalogram (EEG), and Sleep Study codes that require prior authorization. This update affects claims with a service date starting Monday, February 3, 2025, and onward for the code-specific list of Acupuncture, Allergy, Blood Plasma, EEG, and Sleep Study service procedures. For more information regarding this update, please click here.