• Hla mus rau cov ntsiab lus tseem ceeb
Hla mus rau cov ntsiab lus
  • Nrhiav tus kws kho mob
  • Nurse Kab
  • Tus kws kho mob Portal
  • Tiv tauj peb
  • aA Cov cuab yeej siv tau yooj yim

    GreyscaleAAA

  • English
  • Spanish
Hmong
Hmong English Spanish Panjabi Vietnamese Arabic Chinese Portuguese Russian Tagalog Korean Persian
AllianceWhiteLogo
  • Rau cov tswv cuab
    • Pib pib
      • Daim npav ID
      • Nrhiav tus kws kho mob
        • Alliance Alternative Access Standards
      • Hais Txog Koj Txoj Kev Npaj Khomob
      • Cov lus nug nquag
    • Tau txais kev saib xyuas
      • Kev saib xyuas thawj zaug
        • Kev pom zoo rau Kev Kho Mob
      • Nurse Advice Line
      • Cov tshuaj
        • Medi-Cal Tshuaj Noj Siv Ntawv Yuav
        • Alliance Care IHSS Tshuaj Noj Siv Ntawv Yuav
        • Tshuaj thiab Koj Kev Noj Qab Haus Huv
      • Kev kho mob ceev
        • Kev Mus Saib Xyuas Ceev - Lub Nroog Mariposa
        • Kev Mus Saib Xyuas Ceev - Merced County
        • Kev Mus Saib Xyuas Ceev - Monterey County
        • Kev Mus Saib Xyuas Ceev - Lub Nroog San Benito
        • Kev Mus Saib Xyuas Ceev - Lub Nroog Santa Cruz
        • Yuav ua li cas tom qab chav xwm txheej ceev: Koj txoj kev npaj ua
      • Kev saib xyuas rau cov tswv cuab
      • Kev Noj Qab Haus Huv
      • Kev pab thauj mus los
      • Txhim kho Kev Tswj Xyuas Kev Kho Mob thiab Kev Pabcuam Zej Zog
      • Lwm Cov Kev Pabcuam
        • Kev Kho Hniav thiab Lub Zeem Muag
        • Kev Npaj Tsev Neeg
        • Khoom siv kho mob
        • Cov Kev Pabcuam Sab Nraud
    • Kev Pabcuam Tswvcuab
      • Nkag mus rau Koj Cov Ntaub Ntawv Kho Mob
      • Cov ntaub ntawv COVID-19
        • General COVID-19 Information
        • Kev kuaj thiab kho COVID-19
        • Cov ntaub ntawv tshuaj tiv thaiv COVID-19
      • Lus Assistance
      • Ua ntawv tsis txaus siab
      • California Children's Services
      • Koom nrog Pawg Kws Pab Tswv Yim
        • Pawg Neeg Pab Tswv Yim Pab Tswv Yim (MSAG)
          • Kev Pabcuam Tswvcuab Advisory Group Application
        • Pawg Neeg Pab Tswv Yim Rau Cov Menyuam Yaus (WCMFAC)
      • Xov xwm tus tswv cuab
      • Npaj kom muaj xwm txheej ceev
    • Online Self-Service
      • Hloov daim npav ID
      • Xaiv Thawj Tus Kws Kho Mob
      • Insurance Information
      • Hloov kho cov ntaub ntawv tiv tauj
        • Qhia tawm
        • Thov Tsis pub twg paub
        • Thov Tus Neeg Sawv Cev Tus Kheej
      • Daim ntawv thov nyiaj rov qab rau tus tswv cuab
      • Daim ntawv thov kev sib txuas lus tsis pub lwm tus paub
      • Nrhiav ib daim ntawv
    • Kev noj qab haus huv thiab kev noj qab haus huv
      • Txoj Kev Pab Cuam Txiaj Ntsig rau Kev Noj Qab Haus Huv
      • Kev Noj Qab Haus Huv Resources
  • Rau Cov Kev Pabcuam
    • Koom nrog peb Network
      • Yog vim li cas koom
      • Yuav koom li cas
      • Daim Ntawv Thov Kev Pabcuam Network
      • Ua tus muab kev pabcuam D-SNP
    • Tswj Kev Kho Mob
      • Kev Noj Qab Haus Huv
      • California Children's Services
      • Cov chaw kho mob
        • Kev Tswj Xyuas Kev Kho Mob
          • Complex Case Management thiab Care Coordination
          • Kev Tswj Kev Kho Mob thiab Kev Siv Tshuaj
          • Seniors thiab Disabilities
        • Nurse Advice Line
        • Kev xa mus thiab kev tso cai
        • Telehealth Services
      • Cultural and Linguistic Services
        • Daim ntawv thov tus neeg txhais lus ntsej muag ntsej muag
        • Tus Neeg Txhais Lus Kev Pabcuam Tus Muab Kev Pabcuam Ceev Qhia
        • Cov Kev Pab Txhais Lus Zoo Daim Ntawv Pov Thawj Zoo
        • A to Z Glossary of Spanish & Hmong Terms
      • Txhim kho Kev Tswj Xyuas Kev Kho Mob thiab Kev Pabcuam Zej Zog
        • Txhim Kho Kev Tswj Xyuas (ECM)
        • Kev Pabcuam Hauv Zej Zog (CS)
        • Kev xa mus rau ECM/CS
        • Kev cob qhia ECM/CS
        • ECM/CS FAQs
      • Kev Kawm Kev Noj Qab Haus Huv thiab Kev Tswj Xyuas Kab Mob
        • Cov Kev Kawm Kev Noj Qab Haus Huv
        • Kev Tswj Kab Mob
        • Kev Pabcuam Kev Noj Qab Haus Huv
      • Tsev muag tshuaj
        • Medi-Cal Pharmacy
        • Alliance Care IHSS Pharmacy
        • Tus kws kho mob-tswj tshuaj (rau Medi-Cal thiab IHSS)
        • Cov Tshuaj Rov Qab thiab Tshem Tawm
        • Cov ntaub ntawv tshuaj ntxiv
      • Kev saib xyuas zoo
        • Cov Kev Pab Cuam Tshuam
          • Care-Based Incentive
            • Care-Based Incentive Resources
              • Care-Based Incentive (CBI) Summary
              • CBI Technical Specifications
              • Antidepressant Tshuaj Management Tip Sheet
              • Kev txhaj tshuaj tiv thaiv: Cov neeg laus - Daim Ntawv Qhia Ntsuas Ntsuas
              • Kev txhaj tshuaj tiv thaiv: Daim Ntawv Qhia Cov Hluas
              • Programmatic Measure Benchmarks
              • Asthma Medication Ratio Tip Sheet
              • 90-Hnub Kev xa mus ua tiav - Daim Ntawv Qhia Txog Kev Tshawb Fawb
              • Antidepressant Tshuaj Management Tip Sheet
              • Daim Ntawv Thov Kev Kho Hniav Fluoride Varnish Tip Sheet
              • Kev txhaj tshuaj: Cov Me Nyuam (Combo 10) Daim Ntawv Qhia
              • Kev kuaj mob chlamydia hauv Cov Poj Niam Tip Sheet
              • Phau Ntawv Qhia Txog Kev Saib Xyuas Menyuam Yaus thiab Cov Hluas
              • Cervical Cancer Screening Tip Sheet
              • Daim Ntawv Qhia Txog Tus Me Nyuam thiab Cov Tub Ntxhais Hluas BMI
              • Daim ntawv qhia txog kev kuaj mob cancer mis
              • Kev Mus Saib Menyuam Zoo Nyob Hauv Thawj 15 Lub Hlis Ntawm Lub Neej Phau Ntawv Qhia
              • Kev siv dej cawv tsis zoo rau cov hluas thiab cov neeg laus daim ntawv qhia
              • Tuberculosis (TB) Risk Assessment – Exploratory Tip Sheet
              • Daim Ntawv Qhia Txog Kev Tiv Thaiv Thaum Muaj Xwm Ceev
              • Ua kom koj cov nqi them raws li tus nqi siv CPT Qeb II Coding Tip Sheet
              • Maternity Care: Prenatal Tip Sheet
              • Maternity Care: Postpartum Tip Sheet
              • Daim Ntawv Qhia Tag Nrho-Cause Readmissions Tip Sheet
              • Kev tshuaj ntsuam txhuas hauv cov ntawv qhia me nyuam
              • Daim Ntawv Qhia Txog Kev Noj Qab Haus Huv Pib Pib
              • Ntshav Qab Zib HbA1c Tswj Tsis Zoo> 9% Daim Ntawv Qhia
              • Kev tshuaj ntsuam xyuas kev loj hlob hauv thawj 3 Xyoo Daim Ntawv Qhia
              • Tswj Cov Ntshav Siab - Tshawb Nrhiav Cov Lus Qhia
              • Kev txhaj tshuaj: Cov Me Nyuam (Combo 10) Daim Ntawv Qhia
              • Cov kev coj ua zoo tshaj plaws los txo tus neeg mob tsis pom daim ntawv qhia
              • Ambulatory Care Sensitive Admissions Tip Sheet
              • Kev nyuaj siab Tool Kit
              • USPSTF Cov Lus Pom Zoo rau Kev Saib Xyuas Thaum Ntxov
              • Kev Tiv Thaiv Kev Tiv Thaiv Thaum Muaj Xwm Ceev Diagnoses Tip Sheet
              • Ntshav Lead Test Flyer
              • Adverse Childhood Experiences (ACEs) Kev Ntsuam Xyuas Hauv Cov Menyuam Yaus thiab Cov Hluas Cov Lus Qhia
              • Daim Ntawv Qhia Txog Kev Nyuaj Siab rau Cov Hluas thiab Cov Neeg Laus
          • Kev Sib Tham Cov Ntaub Ntawv
          • Kev ntsuas tshwj xeeb rau kev txhawb siab
        • Kev ntsuas kev noj qab haus huv
        • HEDIS
          • HEDIS Resources
            • HEDIS Code Set
            • HEDIS FAQ Guide
        • Kev txhaj tshuaj tiv thaiv
        • Tswvcuab Incentives
        • Kev tshuaj xyuas qhov chaw
          • Chaw Saib Xyuas Chaw
            • Kev Tiv Thaiv Kab Mob: Spore Test Job Aid
            • DHCS Facility Site Review (FSR) Checklist
            • FSR Cov Ntsiab Tseem Ceeb: Daim Ntawv Saib Xyuas Ib Ntus
          • Kev tshuaj xyuas cov ntaub ntawv kho mob
            • DHCS Medical Record Review (MRR).
          • Kev Tshawb Fawb Txog Kev Siv Tau Hauv Lub Cev
    • Cov peev txheej
      • COVID 19
      • Kev thov
        • Saib / Xa Daim Ntawv Thov
      • Cov ntawv
        • Daim Ntawv Qhia Txog Tus Muab Kev Pabcuam Hloov Kho
      • Cov Kev Pabcuam Kev lees paub daim ntawv thov thiab cov cai
        • Rov ua ntaub ntawv pov thawj
      • Xov xwm
      • Tus neeg muab kev pab Directory
      • Phau ntawv muab kev pab
        • Txhua Daim Ntawv Npaj
      • Sijhawm mus saib xyuas
      • Webinars thiab Kev cob qhia
        • Tus Muab Kev Pabcuam Txheej Txheem Calendar
      • Kev npaj xwm txheej kub ntxhov
    • Tus kws kho mob Portal
      • Siv Cov Chaw Pabcuam Portal
        • Cov lus nug nquag
        • Tus neeg muab kev pabcuam Portal Tus Neeg Siv Qhia
        • Tus Muab Kev Pabcuam Portal Quick Reference
        • Daim Ntawv Thov Kev Pabcuam Portal Account
        • Cov txheej txheem Code Lookup Tool (PCL)
    • Ua tus Alliance tus kws kho mob coj tus cwj pwm!Pib txij Lub Xya Hli 1, 2025, Lub Koom Haum yuav coj kev pabcuam kev noj qab haus huv hauv tsev.
  • Rau Cov Zej Zog
    • Cov zej zog noj qab haus huv
      • Koj Qhov Kev Noj Qab Haus Huv Tseem Ceeb
      • Cov xwm txheej hauv zej zog
      • Kev Pabcuam Rau Cov Neeg Laus Hauv Zej Zog
      • Kev Pabcuam Kev Noj Qab Haus Huv Hauv Zej Zog
      • Cov peev txheej hauv zej zog
      • Kev Pabcuam Doula
      • Txhim kho Kev Tswj Xyuas Kev Kho Mob thiab Kev Pabcuam Zej Zog
    • Txoj Kev Nyiaj Txiag
      • Medi-Cal Cov Nyiaj Pab Muaj Peev Xwm
        • Nkag mus rau Kev Kho Mob
          • Txoj Haujlwm Peev
          • Data Sharing Support Program
          • Equity Learning for Health Professionals Program
          • Healthcare Technology Program
          • Cov Kev Pabcuam Kev Nrhiav Neeg Ua Haujlwm
            • CHW Recruitment Program
            • Doula Recruitment Program
            • MA Recruitment Program
            • Kev Pabcuam Kev Nrhiav Neeg Ua Haujlwm
        • Noj qab nyob zoo pib
          • Txoj Kev Mus Saib Xyuas Tsev
          • Kev Pabcuam Niam Txiv Kev Kawm thiab Txhawb Nqa
        • Cov zej zog noj qab haus huv
          • Community Health Champions
          • Cov koom tes rau Active Living Program
        • Yuav Thov Li Cas
        • Cov nyiaj pab rau kev ua haujlwm
      • Alliance Housing Fund
      • Lwm Cov Kev Pab Nyiaj Txiag
    • Cov ntawv tshaj tawm hauv zej zog
      • Daim ntawv ceeb toom cuam tshuam hauv zej zog
      • Lub Beat E- tsab ntawv xov xwm
    • Nyeem tsab ntawv ceeb toom cuam tshuam rau zej zog!Saib seb Alliance ua qhov txawv li cas!
  • Kev Npaj Kho Mob
    • Medi-Cal
    • Alliance Care IHSS
      • Alliance Care IHSS Nqe Transparency Tool
    • Daim npav ID cov tswv cuab digital tam sim no muaj!Hu rau Cov Chaw Pabcuam Tswvcuab ntawm 800-700-3874 (TTY: Dial 711) kom tau txais koj li.
  • Txog Peb
    • Hais txog Alliance
      • Ntawv tseeb
        • Medi-Cal Ceev Facts
      • Lub Hom Phiaj, Lub Zeem Muag thiab Qhov Tseem Ceeb
      • Lub tswv yim npaj 2022-2026
      • Kev coj noj coj ua
      • Cov rooj sib tham pej xeem
      • Cov ntaub ntawv tswj hwm
      • Kev ua haujlwm
      • Tiv tauj peb
    • Xov xwm
      • Xov xwm zej zog
      • Xov xwm tus tswv cuab
      • Xov xwm tus kws kho mob
      • Cov rooj sib tham thiab cov xwm txheej
      • Chav xov xwm
    •  
    • Koom nrog peb pab neeg ntawm Alliance!Tshawb xyuas cov haujlwm qhib tam sim no.
  • Rau cov tswv cuab
    • Pib pib
      • Daim npav ID
      • Nrhiav tus kws kho mob
        • Alliance Alternative Access Standards
      • Hais Txog Koj Txoj Kev Npaj Khomob
      • Cov lus nug nquag
    • Tau txais kev saib xyuas
      • Kev saib xyuas thawj zaug
        • Kev pom zoo rau Kev Kho Mob
      • Nurse Advice Line
      • Cov tshuaj
        • Medi-Cal Tshuaj Noj Siv Ntawv Yuav
        • Alliance Care IHSS Tshuaj Noj Siv Ntawv Yuav
        • Tshuaj thiab Koj Kev Noj Qab Haus Huv
      • Kev kho mob ceev
        • Kev Mus Saib Xyuas Ceev - Lub Nroog Mariposa
        • Kev Mus Saib Xyuas Ceev - Merced County
        • Kev Mus Saib Xyuas Ceev - Monterey County
        • Kev Mus Saib Xyuas Ceev - Lub Nroog San Benito
        • Kev Mus Saib Xyuas Ceev - Lub Nroog Santa Cruz
        • Yuav ua li cas tom qab chav xwm txheej ceev: Koj txoj kev npaj ua
      • Kev saib xyuas rau cov tswv cuab
      • Kev Noj Qab Haus Huv
      • Kev pab thauj mus los
      • Txhim kho Kev Tswj Xyuas Kev Kho Mob thiab Kev Pabcuam Zej Zog
      • Lwm Cov Kev Pabcuam
        • Kev Kho Hniav thiab Lub Zeem Muag
        • Kev Npaj Tsev Neeg
        • Khoom siv kho mob
        • Cov Kev Pabcuam Sab Nraud
    • Kev Pabcuam Tswvcuab
      • Nkag mus rau Koj Cov Ntaub Ntawv Kho Mob
      • Cov ntaub ntawv COVID-19
        • General COVID-19 Information
        • Kev kuaj thiab kho COVID-19
        • Cov ntaub ntawv tshuaj tiv thaiv COVID-19
      • Lus Assistance
      • Ua ntawv tsis txaus siab
      • California Children's Services
      • Koom nrog Pawg Kws Pab Tswv Yim
        • Pawg Neeg Pab Tswv Yim Pab Tswv Yim (MSAG)
          • Kev Pabcuam Tswvcuab Advisory Group Application
        • Pawg Neeg Pab Tswv Yim Rau Cov Menyuam Yaus (WCMFAC)
      • Xov xwm tus tswv cuab
      • Npaj kom muaj xwm txheej ceev
    • Online Self-Service
      • Hloov daim npav ID
      • Xaiv Thawj Tus Kws Kho Mob
      • Insurance Information
      • Hloov kho cov ntaub ntawv tiv tauj
        • Qhia tawm
        • Thov Tsis pub twg paub
        • Thov Tus Neeg Sawv Cev Tus Kheej
      • Daim ntawv thov nyiaj rov qab rau tus tswv cuab
      • Daim ntawv thov kev sib txuas lus tsis pub lwm tus paub
      • Nrhiav ib daim ntawv
    • Kev noj qab haus huv thiab kev noj qab haus huv
      • Txoj Kev Pab Cuam Txiaj Ntsig rau Kev Noj Qab Haus Huv
      • Kev Noj Qab Haus Huv Resources
  • Rau Cov Kev Pabcuam
    • Koom nrog peb Network
      • Yog vim li cas koom
      • Yuav koom li cas
      • Daim Ntawv Thov Kev Pabcuam Network
      • Ua tus muab kev pabcuam D-SNP
    • Tswj Kev Kho Mob
      • Kev Noj Qab Haus Huv
      • California Children's Services
      • Cov chaw kho mob
        • Kev Tswj Xyuas Kev Kho Mob
          • Complex Case Management thiab Care Coordination
          • Kev Tswj Kev Kho Mob thiab Kev Siv Tshuaj
          • Seniors thiab Disabilities
        • Nurse Advice Line
        • Kev xa mus thiab kev tso cai
        • Telehealth Services
      • Cultural and Linguistic Services
        • Daim ntawv thov tus neeg txhais lus ntsej muag ntsej muag
        • Tus Neeg Txhais Lus Kev Pabcuam Tus Muab Kev Pabcuam Ceev Qhia
        • Cov Kev Pab Txhais Lus Zoo Daim Ntawv Pov Thawj Zoo
        • A to Z Glossary of Spanish & Hmong Terms
      • Txhim kho Kev Tswj Xyuas Kev Kho Mob thiab Kev Pabcuam Zej Zog
        • Txhim Kho Kev Tswj Xyuas (ECM)
        • Kev Pabcuam Hauv Zej Zog (CS)
        • Kev xa mus rau ECM/CS
        • Kev cob qhia ECM/CS
        • ECM/CS FAQs
      • Kev Kawm Kev Noj Qab Haus Huv thiab Kev Tswj Xyuas Kab Mob
        • Cov Kev Kawm Kev Noj Qab Haus Huv
        • Kev Tswj Kab Mob
        • Kev Pabcuam Kev Noj Qab Haus Huv
      • Tsev muag tshuaj
        • Medi-Cal Pharmacy
        • Alliance Care IHSS Pharmacy
        • Tus kws kho mob-tswj tshuaj (rau Medi-Cal thiab IHSS)
        • Cov Tshuaj Rov Qab thiab Tshem Tawm
        • Cov ntaub ntawv tshuaj ntxiv
      • Kev saib xyuas zoo
        • Cov Kev Pab Cuam Tshuam
          • Care-Based Incentive
            • Care-Based Incentive Resources
              • Care-Based Incentive (CBI) Summary
              • CBI Technical Specifications
              • Antidepressant Tshuaj Management Tip Sheet
              • Kev txhaj tshuaj tiv thaiv: Cov neeg laus - Daim Ntawv Qhia Ntsuas Ntsuas
              • Kev txhaj tshuaj tiv thaiv: Daim Ntawv Qhia Cov Hluas
              • Programmatic Measure Benchmarks
              • Asthma Medication Ratio Tip Sheet
              • 90-Hnub Kev xa mus ua tiav - Daim Ntawv Qhia Txog Kev Tshawb Fawb
              • Antidepressant Tshuaj Management Tip Sheet
              • Daim Ntawv Thov Kev Kho Hniav Fluoride Varnish Tip Sheet
              • Kev txhaj tshuaj: Cov Me Nyuam (Combo 10) Daim Ntawv Qhia
              • Kev kuaj mob chlamydia hauv Cov Poj Niam Tip Sheet
              • Phau Ntawv Qhia Txog Kev Saib Xyuas Menyuam Yaus thiab Cov Hluas
              • Cervical Cancer Screening Tip Sheet
              • Daim Ntawv Qhia Txog Tus Me Nyuam thiab Cov Tub Ntxhais Hluas BMI
              • Daim ntawv qhia txog kev kuaj mob cancer mis
              • Kev Mus Saib Menyuam Zoo Nyob Hauv Thawj 15 Lub Hlis Ntawm Lub Neej Phau Ntawv Qhia
              • Kev siv dej cawv tsis zoo rau cov hluas thiab cov neeg laus daim ntawv qhia
              • Tuberculosis (TB) Risk Assessment – Exploratory Tip Sheet
              • Daim Ntawv Qhia Txog Kev Tiv Thaiv Thaum Muaj Xwm Ceev
              • Ua kom koj cov nqi them raws li tus nqi siv CPT Qeb II Coding Tip Sheet
              • Maternity Care: Prenatal Tip Sheet
              • Maternity Care: Postpartum Tip Sheet
              • Daim Ntawv Qhia Tag Nrho-Cause Readmissions Tip Sheet
              • Kev tshuaj ntsuam txhuas hauv cov ntawv qhia me nyuam
              • Daim Ntawv Qhia Txog Kev Noj Qab Haus Huv Pib Pib
              • Ntshav Qab Zib HbA1c Tswj Tsis Zoo> 9% Daim Ntawv Qhia
              • Kev tshuaj ntsuam xyuas kev loj hlob hauv thawj 3 Xyoo Daim Ntawv Qhia
              • Tswj Cov Ntshav Siab - Tshawb Nrhiav Cov Lus Qhia
              • Kev txhaj tshuaj: Cov Me Nyuam (Combo 10) Daim Ntawv Qhia
              • Cov kev coj ua zoo tshaj plaws los txo tus neeg mob tsis pom daim ntawv qhia
              • Ambulatory Care Sensitive Admissions Tip Sheet
              • Kev nyuaj siab Tool Kit
              • USPSTF Cov Lus Pom Zoo rau Kev Saib Xyuas Thaum Ntxov
              • Kev Tiv Thaiv Kev Tiv Thaiv Thaum Muaj Xwm Ceev Diagnoses Tip Sheet
              • Ntshav Lead Test Flyer
              • Adverse Childhood Experiences (ACEs) Kev Ntsuam Xyuas Hauv Cov Menyuam Yaus thiab Cov Hluas Cov Lus Qhia
              • Daim Ntawv Qhia Txog Kev Nyuaj Siab rau Cov Hluas thiab Cov Neeg Laus
          • Kev Sib Tham Cov Ntaub Ntawv
          • Kev ntsuas tshwj xeeb rau kev txhawb siab
        • Kev ntsuas kev noj qab haus huv
        • HEDIS
          • HEDIS Resources
            • HEDIS Code Set
            • HEDIS FAQ Guide
        • Kev txhaj tshuaj tiv thaiv
        • Tswvcuab Incentives
        • Kev tshuaj xyuas qhov chaw
          • Chaw Saib Xyuas Chaw
            • Kev Tiv Thaiv Kab Mob: Spore Test Job Aid
            • DHCS Facility Site Review (FSR) Checklist
            • FSR Cov Ntsiab Tseem Ceeb: Daim Ntawv Saib Xyuas Ib Ntus
          • Kev tshuaj xyuas cov ntaub ntawv kho mob
            • DHCS Medical Record Review (MRR).
          • Kev Tshawb Fawb Txog Kev Siv Tau Hauv Lub Cev
    • Cov peev txheej
      • COVID 19
      • Kev thov
        • Saib / Xa Daim Ntawv Thov
      • Cov ntawv
        • Daim Ntawv Qhia Txog Tus Muab Kev Pabcuam Hloov Kho
      • Cov Kev Pabcuam Kev lees paub daim ntawv thov thiab cov cai
        • Rov ua ntaub ntawv pov thawj
      • Xov xwm
      • Tus neeg muab kev pab Directory
      • Phau ntawv muab kev pab
        • Txhua Daim Ntawv Npaj
      • Sijhawm mus saib xyuas
      • Webinars thiab Kev cob qhia
        • Tus Muab Kev Pabcuam Txheej Txheem Calendar
      • Kev npaj xwm txheej kub ntxhov
    • Tus kws kho mob Portal
      • Siv Cov Chaw Pabcuam Portal
        • Cov lus nug nquag
        • Tus neeg muab kev pabcuam Portal Tus Neeg Siv Qhia
        • Tus Muab Kev Pabcuam Portal Quick Reference
        • Daim Ntawv Thov Kev Pabcuam Portal Account
        • Cov txheej txheem Code Lookup Tool (PCL)
    • Ua tus Alliance tus kws kho mob coj tus cwj pwm!Pib txij Lub Xya Hli 1, 2025, Lub Koom Haum yuav coj kev pabcuam kev noj qab haus huv hauv tsev.
  • Rau Cov Zej Zog
    • Cov zej zog noj qab haus huv
      • Koj Qhov Kev Noj Qab Haus Huv Tseem Ceeb
      • Cov xwm txheej hauv zej zog
      • Kev Pabcuam Rau Cov Neeg Laus Hauv Zej Zog
      • Kev Pabcuam Kev Noj Qab Haus Huv Hauv Zej Zog
      • Cov peev txheej hauv zej zog
      • Kev Pabcuam Doula
      • Txhim kho Kev Tswj Xyuas Kev Kho Mob thiab Kev Pabcuam Zej Zog
    • Txoj Kev Nyiaj Txiag
      • Medi-Cal Cov Nyiaj Pab Muaj Peev Xwm
        • Nkag mus rau Kev Kho Mob
          • Txoj Haujlwm Peev
          • Data Sharing Support Program
          • Equity Learning for Health Professionals Program
          • Healthcare Technology Program
          • Cov Kev Pabcuam Kev Nrhiav Neeg Ua Haujlwm
            • CHW Recruitment Program
            • Doula Recruitment Program
            • MA Recruitment Program
            • Kev Pabcuam Kev Nrhiav Neeg Ua Haujlwm
        • Noj qab nyob zoo pib
          • Txoj Kev Mus Saib Xyuas Tsev
          • Kev Pabcuam Niam Txiv Kev Kawm thiab Txhawb Nqa
        • Cov zej zog noj qab haus huv
          • Community Health Champions
          • Cov koom tes rau Active Living Program
        • Yuav Thov Li Cas
        • Cov nyiaj pab rau kev ua haujlwm
      • Alliance Housing Fund
      • Lwm Cov Kev Pab Nyiaj Txiag
    • Cov ntawv tshaj tawm hauv zej zog
      • Daim ntawv ceeb toom cuam tshuam hauv zej zog
      • Lub Beat E- tsab ntawv xov xwm
    • Nyeem tsab ntawv ceeb toom cuam tshuam rau zej zog!Saib seb Alliance ua qhov txawv li cas!
  • Kev Npaj Kho Mob
    • Medi-Cal
    • Alliance Care IHSS
      • Alliance Care IHSS Nqe Transparency Tool
    • Daim npav ID cov tswv cuab digital tam sim no muaj!Hu rau Cov Chaw Pabcuam Tswvcuab ntawm 800-700-3874 (TTY: Dial 711) kom tau txais koj li.
  • Txog Peb
    • Hais txog Alliance
      • Ntawv tseeb
        • Medi-Cal Ceev Facts
      • Lub Hom Phiaj, Lub Zeem Muag thiab Qhov Tseem Ceeb
      • Lub tswv yim npaj 2022-2026
      • Kev coj noj coj ua
      • Cov rooj sib tham pej xeem
      • Cov ntaub ntawv tswj hwm
      • Kev ua haujlwm
      • Tiv tauj peb
    • Xov xwm
      • Xov xwm zej zog
      • Xov xwm tus tswv cuab
      • Xov xwm tus kws kho mob
      • Cov rooj sib tham thiab cov xwm txheej
      • Chav xov xwm
    •  
    • Koom nrog peb pab neeg ntawm Alliance!Tshawb xyuas cov haujlwm qhib tam sim no.
Web-Site-InteriorPage-ForProviders
Tsev > Rau Cov Kev Pabcuam > Muab Kev Pabcuam > Jiva FAQs: Nkag mus thiab tswj cov lus thov hauv Chaw Pabcuam Portal

Cov peev txheej

Jiva FAQs: Nkag mus thiab tswj cov lus thov hauv Chaw Pabcuam Portal

Lub Alliance siv lub platform hu ua Jiva rau nkag mus thiab tswj kev tso cai thiab xa mus online. Qhov no suav nrog kev thov rau kev nyob hauv tus neeg mob, kev pab kho mob sab nraud, kev xa mus, tus kws kho mob muab tshuaj, Kev Tswj Xyuas Kev Kho Mob thiab Kev Txhawb Zej Zog (ECM/CS), kev thauj mus los thiab DME.

Cov ntaub ntawv qhia kev cob qhia hauv qab no muaj rau koj los tshuaj xyuas:

  • Ib-teev video qhia txog kev xa cov ntawv tso cai thiab xa mus
  • Jiva Provider Portal Training (Slides)
  • Cov yeeb yaj kiab luv luv los ntawm lub ncauj lus suav nrog kev xa tawm, hloov kho thiab ncua kev thov.
  • Job Aids los ntawm lub ntsiab lus:
    • Txuas Cov Chaw Haujlwm Pabcuam Haujlwm
    • Clear Memory List Job Aid
    • Service Request Code Types Job Aid
    • Ua kom tiav Cov Ntawv Pov Thawj Ua Haujlwm Pabcuam
    • Nkag mus rau New Request Job Aid
    • Extending Inpatient Stay Job Aid
    • Yuav ua li cas xa daim ntawv xa mus rau Txoj Haujlwm Pabcuam
    • Yuav xa Daim Ntawv Tso Cai Ua Haujlwm Li Cas
    • Yuav hloov lossis ntxiv li cas rau daim ntawv thov Job Aid
    • MRI Thov Kev Pab Ua Haujlwm
    • Luam Ntawv Tso Cai (Episode) Job Aid
    • Teb rau RFI Job Aid
    • Nrhiav Txoj Haujlwm Pabcuam
    • SNF/LTC Nkag Mus Rau Kev Thov Haujlwm Tshiab
    • Saib daim ntawv thov xa ua ntej Lub Xya Hli 15 Txoj Haujlwm Pabcuam
    • Saib Cov Ntawv Sau Ua Haujlwm Pabcuam

Cov lus teb rau cov lus nug uas nquag nug tau piav qhia hauv qab no. Yog xav tau kev pab ntxiv, thov mus saib cov ntaub ntawv tiv tauj rau lub tuam tsev muaj feem cuam tshuam. Yog tias koj xav teeb tsa kev cob qhia tus kheej rau koj qhov chaw, hu rau koj tus neeg sawv cev Kev Pabcuam.

Department Cov ntaub ntawv tiv tauj
Kev Tswj Xyuas Kev Siv (UM)
  • Xovtooj: 831-430-5506
  • Email: listauthcoordinators@ccahstage.wpengine.com.
Kev Thauj Mus Los Tsis Muaj Xwm Ceev (NEMT)
  • Xovtooj: 831-430-5640
  • Email: listnemtauthorizations@ccahstage.wpengine.com.
Txhim Kho Kev Tswj Xyuas/Kev Txhawb Zej Zog
  • Rau kev hloov pauv lossis cov lus nug txog kev tso cai tshwj xeeb, email: ecmauths@ccahstage.wpengine.com.
  • Rau qhov kev pab cuam, thov lossis cov lus nug hloov tshiab, email: listecmteam@ccahstage.wpengine.com.
Tus kws kho mob Portal
  • Email: portalhelp@ccahstage.wpengine.com.

Cov Lus Nug

Nthuav tag nrho
Do I need a new Alliance Provider Portal login to access the Jiva platform?

No. It is a single sign-on (SSO) from the Provider Portal. When you are in the Provider Portal, select the Jiva link under Auths and Referrals to access the new platform.

How I request a login to Jiva?

To utilize this service, make sure your existing portal account has the Auth/Referral Search access. For new users, please visit the Provider Portal Account Request Form page, review the agreement and complete the form that is linked in the agreement. You will need to complete the form with some basic registration information. Your account will be created in 5-7 business days and you will be notified by email with login information.

Puas yog Jiva platform rau Alliance nkaus xwb, lossis yog State Medi-Cal thov xa rau Jiva thiab?

Qhov kev hloov pauv no tsuas yog siv rau Alliance thov.

What phone number can I call if I have any questions about submitting authorizations?

Koj yuav tsum hu rau Cov Kev Pabcuam lossis koj Tus Neeg Saib Xyuas Kev Pabcuam (PSR) ntawm 831-430-5504. Koj tseem tuaj yeem hu rau Portal Support ntawm 831-430-5518.

Is there a Procedure Code Lookup to determine if a CPT/HCPC needs a referral or authorization?

Yes, the Procedure Code Lookup is available in the Provider Portal. Select the Procedure Code Lookup tool under the Kev tso cai thiab xa mus section.

Kuv yuav mus rau ib tug tswv cuab daim ntawv qhia/cov ntaub ntawv li cas?

You must have the member’s Subscriber ID to search for them. Other fields such as member name and birthdate are optional. You may also choose My Requests on the dashboard (landing page). To enter the Member Overview (member chart or page), click on the member’s name (hyperlink).

Is there a way to allow for the auto populate option for provider contact information fields that don’t need changes?

Tsis yog lub sijhawm no. Nws yog kev txhim kho peb vam tias yuav ua rau yav tom ntej, tab sis tam sim no koj yuav tsum tau nkag mus rau nws manually.

Is there a report for a clinic to see which user has submitted an authorization or referral?

We do not have a report in Jiva. However, providers can search for requests by PCP or non-PCP cases to generate a list of requests associated with their facility.

Kuv puas yuav raug ncaws tawm rau qhov tsis ua haujlwm?

If you are idle (not actively entering an auth or referral), you will be logged out after 20 minutes.

Peb puas tuaj yeem tshawb xyuas kev tsim nyog los ntawm Jiva?

Tsis yog. Thov siv cov txheej txheem ib txwm ua hauv Portal los txheeb xyuas qhov tsim nyog.

Vim li cas kuv yuav tsis ua tiav thiab pom zoo thov hloov tshiab ntawm kuv lub dashboard?

Nco ntsoov rov kho koj lub dashboard kom pom cov hloov tshiab.

Yuav ua li cas yog tias muaj lub sijhawm sib txawv hauv kev pab them nqi?

If there is a gap in coverage or eligibility, the Alliance will not cover services. This means that the provider will have to bill the correct entity—possibly Fee-for-Service. Any claims submitted for services when the member is not eligible will be denied.

Kuv puas yuav tau txais kev ceeb toom ntawm fax rau kev pom zoo, voids, tsis kam lees, thiab lwm yam. txog kev tso cai?

Yes. Although you can view these on the Jiva platform, you will also receive faxes.

Can we request CM (Case Management) extensions through Jiva?

Providers can request extensions for any authorizations through Jiva. However, please note that outpatient services require a new authorization request for an extension.

Nrhiav

Raws li tus thawj coj / cov neeg ua haujlwm, kuv puas tuaj yeem pom txhua tus neeg ua haujlwm hauv chaw ua haujlwm nkag rau peb lub koomhaum / chaw ua haujlwm / chaw ua haujlwm?

You may search all requests associated with your facility and linked member. Search requests by member’s name will display all requests submitted by the user and associated facility for the member. You can search for a list of requests associated with your facility without entering any search criteria by clicking the Nrhiav button to display results below. You can also filter your results by choosing Saib Auths los ntawm Search Request screen. You can filter your search by Non-PCP, Provider Name thiab Submitted by.

Can I search all Alliance members or only members that have been approved for services by my agency/office/facility?

If your facility is a PCP, you can search and populate a list of linked members for your facility by going to Ntawv qhia zaub mov > My Members thiab Search as PCP Cases. If your facility is a specialist, you will need to choose New Request from the Menu and enter the Subscriber ID to see that member populate. You can click on the Member Name (blue hyperlink) to go to their record (Member Overview los yog Nurse's View). On the left of that screen, you will see the member's episodes (authorizations, referrals, requests). There are restrictions to open any pending request, but you can view the Episode Abstract in full detail.

Can I search for authorization requests that we have faxed?

In Jiva, you can search for and see requests (episodes) that have been entered in Jiva since July 15, 2024.

You will be able to see faxed requests in the member history after the business processes them, but it will not show on your dashboard. The dashboard only shows what you submitted through Jiva.

Kuv nrhiav ib tug tswv cuab thiab lawv tshwm sim ntau zaus. Qhov twg yog qhov tseeb ntxiv rau qhov kev thov tshiab?

You can add from any of the member links. You can also add a request from the Nurse View (Member Overview). You get to the Member Overview by clicking on the member’s name from any of the lines returned in your search.

Can I look up authorization using authorization numbers?

Yes. You can search by an authorization number for any authorization attached to your provider when submitting the request. Under Ntawv qhia zaub mov, go to Search Request and enter the authorization number to return a member by authorization number.

Kho kom raug, Hloov kho thiab tso tseg thov

Peb yuav kho lossis hloov li cas tom qab peb tau xa nws?

You can add notes, documents, diagnosis and providers to a pending request. You may add a note until the episode is closed (reviewed by the Alliance and approved, denied, voided, etc.). If you need to cancel or change a request after submitting it, use note type Tso tseg los yog Hloov with details of change/cancel. The nurse will get an alert that you have added a change or cancel request to the pending request.

After a decision has been made, you will need to create a new request through the portal or submit a Provider Change Request by fax (831-430-5851 for RX-PAD request and 831-430-5850 for all other requests). You can also reach out to follow up on a change at the following contacts:

  • Medical authorizations: call 831-430-5506 or email listauthcoordinators@ccahstage.wpengine.com. 
  • Transportation authorizations: fax 831-430-5850, call 831-430-5640 or email listnemtauths@ccahstage.wpengine.com.
  • Pharmacy: call 831-430-5507.
  • Txhim Kho Kev Tswj Xyuas / Zej Zog Txhawb kev tso cai: email ecmauths@ccahstage.wpengine.com.
If a patient decides to switch the servicing provider, can I use the change request option or should I send a new referral request?

You can only make changes to pending authorizations. If the authorization is processed/closed, please submit a new request.

How do I void or cancel authorizations?

Prior to submitting (when in draft status), you can click on the gear icon next to the pending submission episode and choose Edit episode. At the bottom of the screen, you can choose Rho tawm. After an episode (request) has been submitted and before a decision has been entered, you can open the episode and add a note with the note type Tso tseg and enter a note requesting the episode be voided. After a decision is made, you will have to call the Alliance UM line at 831-430-5506 or email listauthcoordinators@ccahstage.wpengine.com. 

Does an episode have to be expired in order to submit for an extension? When can I submit for an extension?

Feem ntau "extensions" yog thov kom pom zoo rau lub sijhawm ntev dua. Qhov no yuav tsum yog qhov kev thov tshiab. Qhov kev thov tshiab tuaj yeem xa tuaj 2-4 lub lis piam ua ntej qhov kev thov ua ntej tas sijhawm. Nco ntsoov kom meej meej tias koj tab tom thov kom pib tom qab qhov kev tso cai tam sim no tas sij hawm.

Yog tias kuv xa qhov kev hloov kho rau qhov kev thov, kuv yuav tau txais kev lees paub ntawm qhov kev kho kuv tau ua li cas?

Koj yuav tau txais kev ceeb toom los ntawm tib txoj kev uas koj tau xa daim ntawv thov. Txawm hais tias koj yuav tsis tau txais fax lees paub qhov kev hloov pauv uas koj tau thov los ntawm PCR daim ntawv hauv Jiva, koj yuav tuaj yeem pom cov kev hloov pauv uas koj thov ntawm qhov screen rov. Rau ib qho PCR ntawm fax, koj yuav tau txais kev pom zoo fax. Yog tias koj qhov kev thov raug xa email, koj yuav tau txais email lees paub.

I often need to change a Housing Transitions and Navigation Services authorization when members leave our program. If I can't change an authorization after it's approved, then what can I do if it's a capitated service?

Providers can fax us for any kind of change request on closed (approved) episodes. ECM/CS providers (HTNS) can also email us.

Pending Submissions (Drafts)

Kuv tuaj yeem nrhiav tau kuv cov ntawv sau nyob qhov twg?

You can find your drafts on your dashboard. Click on the bar next to Pending Submissions in the top right widget.

Hais txog "Pending Decision" tab ntawm Jiva, cov ntawv ceeb toom no puas yuav pom rau tag nrho peb pab neeg, lossis lawv puas tuaj yeem muaj rau cov tib neeg uas tau thov kev tso cai?

Cov Pending Decision tab is personal to each user. Therefore, only the user who submitted the request will be able to view pending decisions on the requests they submitted from the Pending Decision icon.

Kev tso cai

Kuv puas tuaj yeem taug qab kev tso cai los ntawm cov hnub ua haujlwm dhau los?

Yes. Navigate to Nurse View (MCV, Member Overview) by clicking on the member’s name (blue hyperlink). On the left, there is a list of all episodes associated with the member (both open and closed) that have been entered since July 15, 2024.

Where can I find the TAR authorization number? For example, I already submitted an initial TAR, but I do not see it on my preview printout.

It is listed on the episode screen and the Episode Abstract (available to print as a PDF). Note that the authorization number in Jiva is not alphanumeric and only consists of numbers.

Once I see the episode I want, how can I print the actual authorization with all the information?

Click on the gear icon next to the episode and choose Episode Abstract. You can print from this view.

Can I print the denial letter with reasons for denial and appeals information?

Yes. If a denial letter was faxed to your facility, you can print it (but you won’t be able to print letters that were not sent to you).

Yog tias kuv tab tom nrhiav cov ntawv tso cai, kuv tuaj yeem nrhiav tau nyob qhov twg ntawm Jiva? Qee zaum peb tsis tau txais cov ntawv faxed.

From the Member Overview, nyem rau ntawm expand (X) icon next to the Correspondence widget to open a list of letters. When you find the letter you want to view, click on the gear icon and choose View PDF Letter.

You can also view the letter through the authorization itself. Click the gear icon next to the episode you would like to look at and select Open. Then, use the blue Workflow button in the top left of the screen to go to Correspondence. There will be a list of all letters specific to that authorization. Use the gear icon to print a PDF copy.

Are the authorization requests getting voided right away instead of prior notice of at least 48 hours?

It depends on the reason for it being voided. Incorrect submissions are automatic voids with no delay. Requests that are missing information will get an Incomplete Notice and will be voided if we don’t receive the information within 24 hours of requesting it.

Kuv yuav ua li cas thiaj tau txais kev tso cai rau cov me nyuam yug tshiab?

Newborns may be eligible under their own ID when Medi-Cal eligibility is granted through the Newborn Gateway program. Newborns enrolled under Newborn Gateway are covered under State FFS Medi-Cal for their month of birth. Eligibility for this program should be verified using the DHCS Provider Portal. For more information, please visit the DHCS Newborn Gateway nplooj.

Newborns who are not covered under their own ID through the Newborn Gateway program will follow the current newborn coverage, where newborns are covered under the mom's ID for the month of birth and up to the second month of birth. Outpatient and Inpatient Pre services would require a TAR form under the mom's ID, which must indicate “baby using mom's ID; baby name, DOB.” For an IP Post (admits), the face sheet, under the mom's ID, must indicate “baby using mom's ID; baby name, DOB.”

Lub Sijhawm Tig Rov Qab thiab Auto Pom Zoo

What is the expected turnaround time for approval?

For routine requests, the turnaround time is 5 days or less. Urgent requests have a 72-hour turnaround time. Post-service/retro requests have up to 30 calendar days. Certain requests are immediately approved based on criteria approval. Some requests may be delayed if more information is requested.

Cov kev pabcuam twg tau txais kev pom zoo?

Qhov no yog cov npe ntev thiab tuaj yeem hloov pauv. Cov feem ntau yog Cov Kev Xa Mus Hauv Zos (kev sab laj / ua raws) thiab ECM thov.

Txuas Cov Kev Pabcuam

Yog tias kuv xaiv PCP Kev xa mus rau hauv qab "Vim Li Cas Thov", qhov ntawd puas yuav ntxiv kuv lub koom haum ua tus neeg thov kev thov?

No. You will need to select your provider as the requesting provider when attaching providers. The PCP Referral option should only be used when the PCP’s office is submitting a Local Referral (consults/follow ups).

What if I cannot pull up a provider or name of practice? Can I search for providers by specialty?

You cannot search by specialty. You must search by facility or practice name. In the Provider Contact Information section, you will be asked to enter the servicing provider's name.

Kuv yuav sau cov ntaub ntawv hauv tsev kho mob qhov twg?

Thaum txuas cov kws kho mob, tshawb xyuas lub tsev kho mob ib yam li koj tau ua tus kws kho mob thiab xa mus ua tus kws kho mob.

Dab tsi yog qhov txawv ntawm ib leeg thiab ntau yam thaum txuas tus neeg muab kev pabcuam?

Ib qho txuas tsuas yog txuas rau ib tus neeg muab kev pabcuam. Koj yuav tsum rov qhib qhov kev tshuaj ntsuam xyuas ntxiv rau tus kws kho mob thib ob. Qhov kev xyaum zoo tshaj plaws yog ib txwm siv ntau qhov txuas.

Is there any way I can link NPI numbers?

If you are attaching a provider, you can use NPI #, provider # or facility name. However, you can only search by the facility or practice level (billing) NPI.

If I am sending a patient to a facility with multiple providers and I don’t know who they will be scheduled with, what should I indicate in the provider’s name area?

The “treating practitioner” refers to either the referring practitioner or the servicing practitioner. If you don’t know the servicing practitioner, you can enter the specific name of the referring practitioner instead, or you can enter “not yet known” or “n/a” for provider’s name in the provider contact section if the request is not from a clinician.

Yuav ua li cas yog tias kuv qhov chaw nyob / tus neeg muab kev pabcuam tsis tau teev tseg rau txuas?

You need to enter the practice or facility name. You cannot search by individual provider. You can add the specific provider and location in the dedicated required field. The exception is if providers have/own their own practice, you can search for them when attaching providers.

Who do I contact if our practice isn't listed?

Hu rau koj Tus Neeg Muab Kev Pabcuam Tus Neeg Sawv Cev (PSR).

It looks like I can select multiple servicing providers. Does this mean I can utilize the same authorization number for different specialties?

You should only be selecting one requesting and one servicing provider. The Multiple Attach option is so that you can select a requesting and a servicing provider.

Cov neeg muab kev pabcuam thiab cov neeg thov kev pabcuam puas tuaj yeem zoo ib yam?

Yog lawm, tab sis koj yuav tau ntaus "ntau txuas" ob zaug thiab nco ntsoov sau ib qho kev thov thiab ib qho ua kev pabcuam.

Xa Cov Lus Thov

Qhov txawv ntawm Inpatient thiab Outpatient yog dab tsi?

Tus neeg mob hauv tsev kho mob txhais tau hais tias tus tswv cuab nyob hauv ib lub tsev kho mob xws li tsev kho mob, chaw tu neeg mob, kev saib xyuas mus sij hawm ntev, thiab lwm yam. Txhua yam yog tus neeg mob sab nraud—kev sab laj/ua raws li, cov txheej txheem, x-ray, ECM/CS, PAD, thiab lwm yam.

Vim li cas kuv thiaj li yuav tsum nkag mus rau hom code thaum thov?

Cov Hom Code is required due to Jiva configurations that cannot be changed. The common code types include HCPC, CPT los yog CUS (for Custom). HCPC codes are alphanumeric, starting with a letter followed by numbers, such as G0181 for Home Health. CPT codes are fully numeric codes, such as 33016 for heart surgery. If it is a CUS code type, you will need to enter the first few letters of the code to get dropdown choices. Custom codes include Acupuncture (ACUVISITS); Dental Anesthesia (DENTALANESTHI); MRI; Kev xa mus (CON to bring up choice of Consultor Consult with Follow-up Visit; FOL to bring up Follow-Up Visit only); Palliative Care (PLTVCR); ECM (ECM01, ECM02) thiab CS (CS01 – CS08).

Peb puas tuaj yeem xa daim ntawv ntsej muag rau Jiva?

Yog lawm.

Thaum thov OP cov kev pabcuam, vim li cas lub interface ua rau kuv hloov qhov laj thawj rau Tus Kws Kho Mob lossis PCP?

PCP Referral los yog Specialist to Specialist Referral choices are only for requests for referrals (Office Visits), not for OP Services. If you have selected the Reason for Request OP Services and the Service Type Kev xa mus when entering the specific service, then you will get an error because the selections are contradictory.

If I am submitting a request, am I allowed to use my phone and fax number? Is the provider contact information not linked, or would it populate?

You have to manually enter your phone and fax number. You can use your own information if that is the correct information for us to contact.

Can we enter physician administered drug requests online?

Yog lawm. Los ntawm Add Request dropdown, xaiv Tus neeg mob sab nraud. Tom qab ntawd, nyob rau hauv Qhov laj thawj rau Kev Thov dropdown, xaiv OP Pharmacy. Xaiv RX-Tus kws kho mob muab tshuaj nyob rau hauv Service Type dropdown thiab nkag mus rau qhov kev pab cuam code raws li niaj zaus. Txuas ntxiv mus rau lwm yam tshuaj los ntawm Medi-Cal Rx.

Peb xa DME thov li cas?

When entering new requests for DME from the Add Request dropdown, choose Tus neeg mob sab nraud. Tom qab ntawd, nyob rau hauv Qhov laj thawj rau Kev Thov dropdown, xaiv OP Services. In the Service Type dropdown, choose the appropriate DME selection (DME-Equipment, DME-Medical Supplies, DME-Orthotics, DME-Prosthetics). The code type and the service codes remain the same. DME codes are almost always HCPC codes.

Will we use this process for submitting CalAIM services such as ECM/CS?

Yog lawm. Thaum nkag mus rau kev thov tshiab rau ECM / CS cov kev pabcuam los ntawm Add Request dropdown, xaiv Tus neeg mob sab nraud. Tom qab ntawd, nyob rau hauv Qhov laj thawj rau Kev Thov dropdown, xaiv ECM los yog ECM CS. In the Service Type dropdown, choose Txhim Kho Kev Tswj Xyuas (ECM) los yog Kev txhawb zej zog. The code type is CUS (rau Kev Cai) thiab cov lej pabcuam tseem nyob ECM01 thiab ECM02 for ECM and CS01 – CS08 for CS. For the Medically Tailored Meals community support, use the code type HCPC and the codes S5170 los yog S9977 thiab S9740.

Peb muab cov lej CPT nyob qhov twg?

Hauv Kev Pabcuam / Tshwj Xeeb / Kev Thov Tshuaj.

Do we enter the name of the drug or J code?

J codes are HCPC codes. You enter them in the same place but change the Code Type to HCPC.

Where should I add the reason for the authorization?

When completing the request, there is a dropdown to answer Yog vim li cas thov. Or, you can add details in the notes at the bottom of the page.

Yog tias xav tau ntau qhov kev kuaj mob, peb puas sau tag nrho lossis tsuas yog thawj?

Nws yog qhov yuav tsum tau muaj tsawg kawg yog ib qho kev kuaj mob. Koj tuaj yeem sau ntau npaum li koj xav tau.

Kuv puas tuaj yeem xa ntau dua ib daim ntawv thaum xa daim ntawv thov thiab puas muaj qhov yuav tsum tau ua / txwv?

You can only attach one document when submitting a new request. However, additional documents can be added immediately after submitting the request. Click on the Episode Type (IP or OP) to return to the episode screen. On the right side, click Ntxiv Cov Ntaub Ntawv and you may add additional documents. There is no size limitation when attaching documents.

Kuv puas tuaj yeem xa cov ntaub ntawv, yog tias xav tau, rau kev tso cai xa los ntawm lwm tus kws pab kho mob / tus neeg ua haujlwm hauv chaw ua haujlwm?

Yes, as long as the Alliance has not yet closed (made our determination on) the authorization and if the request was linked to your providers when the request was entered. From the Search Request screen, choose Tus naj npawb and enter the authorization number. Open the episode using the gear (action) icon and Choose Ntxiv Cov Ntaub Ntawv los ntawm cov ntaub ntawv seem ntawm sab xis ntawm qhov screen.

Yuav ua li cas peb ntxiv ntau tshaj ib qho kev hloov kho?

Enter the first modifier in the service request screen in the Hloov kho field and add other modifiers in the notes section.

How can I specify if an MRI is with or without contrast?

The Alliance does not need to know this. Use the CUS custom MRI codes to select a range of codes so that contrast can be used or not used as needed per the provider.

Raws li PCP sim kom tau txais kev tso cai rau MRI, kuv puas siv "OP Services" lossis kuv puas tuaj yeem siv "PCP xa mus?"

Siv Outpatient Request, Reason = OP Services, Service Type = Diagnostic, Service Code Type = CUS, Code = type in MRI and choose from dropdown list. Only use PCP Referral for office visit requests (consults and follow ups) coming from the PCP.

Will pathology HCPCs/CPT codes need a referral or an authorization request?

If consults/follow-ups/office visits are for pathology only, then it’s a referral. If it’s actual procedures with CPT/HCPC codes, then it’s an authorization request and should use the Reason for Request OP Services.

Kuv yuav ua li cas thov rau RAF retro (Post Service)?

Thaum nkag mus rau qhov kev thov, thawj lo lus nug yog ib qho kev poob qis uas suav nrog kev pabcuam tom qab ua kev xaiv.

Are retro authorization requests being automatically approved (if they are in network)? I have come across some that say they can take up to 30 days for review.

If it is a request type that gets auto-approved, then it should be auto-approved regardless of being a retro request.

Are there any restrictions for how far back a retro authorization can be requested?

Tsis yog, tab sis ib xyoos yog tus qauv. Yog tias laus dua ib xyoos, nws xav tau kev txiav txim siab vim li cas nws thiaj li lig. Txwv tsis pub, nws yuav raug tsis lees paub rau ntau tshaj ib xyoos txij li cov kev pabcuam tau muab.

Why do retro authorizations need utilization review?

Txhua qhov kev thov retro xav tau cov ntaub ntawv muaj feem cuam tshuam, uas yog tib tus qauv raws li kev thov ua ntej. Peb xav tau cov ntaub ntawv los txiav txim seb lawv puas tau txais kev kho mob.

Kuv yuav thov mus ntsib chiropractic li cas ib kauj ruam?

Reason = OP Services, Service Type = Rehab Therapies, Code Type = CPT, Code (enter CPT code). All other steps should be identical to any other request.

Kuv nyuam qhuav xa ib daim ntawv thov thiab nws hais tias "Tau" rau saum. Puas yog qhov nws yuav tsum hais tom qab koj xa?

Once the request is submitted and a decision is made (approved or denied), the status will change to closed. In this case, your request met “auto-approval” requirements and was immediately approved and therefore closed.

Kev xa mus

Thaum nkag mus rau kev xa mus rau ob qho kev sab laj thiab kev taug qab, kuv puas yuav tsum tau nkag mus rau qhov sib cais?

Tsis yog. Thaum nkag mus rau kev xa mus, hom code yog CUS (rau kev cai). Tom qab ntaus ntawv CON, you will have the option to choose Consultation Visit los yog Consultation with Follow-up Visits. Typing in FOL yuav tso cai rau koj xaiv cov kev mus ntsib tom qab nkaus xwb.

Can we fax in referrals?

Lub Alliance nyiam kom txhua tus neeg muab kev pabcuam siv Portal yog tias lawv nkag mus rau nws. Thaum peb lees txais faxes, muaj kev ncua ntev dua hauv kev ua lawv thiab nws txwv tsis pub peb tsis tuaj yeem ua haujlwm txhua yam txheej txheem. Koj yuav tsum hu rau tus kws kho mob kom pom leej twg tuaj yeem pom lawv ua ntej xa daim ntawv thov xa mus.

Yav dhau los, daim ntawv thov xa mus tsuas yog ua raws. Tam sim no, kuv puas tau ntaus hauv txhua CPT code?

You choose a Hom Code (this is new) and it will be CPT, HCPC los yog CUS (for custom) depending on the type of service request. If the option was just “follow-up” before, then use the CUS code FOLLOWUP.

Puas yog ntxiv "CUS" rau kev xa mus rau chaw ua haujlwm mus ntsib cov kev pabcuam hauv chaw kuaj mob? Feem ntau, cov no yog ntxiv rau qhov chaw ua haujlwm mus ntsib. Yuav ua li cas cov no raug xa mus rau kev xa mus?

It depends on the specific lab services needed. If the lab request does not require authorization and only requires a referral, then the CUS code for the referral will encompass those services. If the specific lab services require authorization, then the CUS referral will not encompass that lab. In this case, providers should submit a separate authorization from the referral using the Reason for Request OP Services and the Service Type Diagnostic, then whichever code is relevant to the labs being requested.

Peb puas tuaj yeem xa ob qhov kev thov rau cov chaw sib txawv tib lub sijhawm rau tib yam tshwj xeeb?

This is not preferred, as it can create duplicative services or delay care. You can if necessary, but there's a high likelihood that we will deny one of them or delay the review because we must ask why there are two.

Yog tias tus PCP tab tom ua ntawv tso cai ua ntej rau kev xa mus, qhov ntawd puas yuav nyob hauv tus neeg mob sab nraud?

Yes. Choose Outpatient Request. Under Reason for Request, choose PCP Referral (for request from PCP), Specialist-to-Specialist Referral (for request from specialist) or OON Referral (for a referral to an out of network specialist). In Service Type, choose Kev xa mus. For Service Code Type, choose CUS. In Service Code field, type in CON and choose either Consultative Visit los yog Consultative and follow-up visits.

What kind of request should I enter if I am a specialist submitting an authorization for continuing care?

This is an Outpatient Request. Under Reason for Request, choose Specialist-to-Specialist Referral. The Service Type is Kev xa mus and the Code Type is CUS. In the Code field, type FOL and choose follow-up visits. In Notes, choose the note type Web Note and enter a note requesting continuing care.

Is radiology covered under the referral?

Radiology office visits and radiology procedures that do not require authorization are covered under the referral, but radiology procedures that require authorization are not. Procedures and diagnostic tests are entered under OP Services, not referrals.

Puas yog cov kws tshaj lij lossis PCPs tsim RAF rau kev saib xyuas txuas ntxiv?

The PCP should submit the initial request. The specialist should submit a request for ongoing visits using the Specialist-to-Specialist option under Reason for Request.

Kuv lub chaw ua haujlwm yog tus kws kho mob tseem ceeb. Kuv puas yuav tsum siv "OP Services" lossis kuv tuaj yeem siv "PCP xa mus?"

To request a referral, use PCP Referral (consults/follow up visits). Any other types of services are OP Services. If you are requesting an authorization for an OP service, choose OP Services.

I am a specialist requesting an RAF from a PCP. Do I have to include CPT codes?

No. Choose Code Type CUS. Under Code, type in CON and choose the appropriate Consult code.

Can a specialty office request a retro RAF from the portal instead of faxing a request to the PCP?

Yes, a specialty office can request a retro RAF through Jiva.

Yog tias tus kws kho mob tshwj xeeb xav tau xa tus neeg mob mus rau UCSF lossis Stanford, peb puas tuaj yeem tsim RAF peb tus kheej lossis tiv tauj tus neeg mob tus PCP?

You can submit a referral choosing Specialist-to-Specialist from the Reason for Request dropdown.

As an orthopedics office, we send many patients to PT and to other specialists without sending patients to their PCP. Do we put our clinic or the PCP as the requesting provider?

You can submit the referral. If you are submitting a request, always attach your provider as the requesting provider. You should never select a different provider as the requesting provider. The servicing provider can be you or another provider.

Tsev muag tshuaj

Kuv yuav nkag mus rau qhov kev thov rau cov tshuaj kho mob sab nraud (Infusions) DH li cas?

From the Add Request dropdown, choose Tus neeg mob sab nraud. Then, in the Reason for Request dropdown, choose OP Pharmacy. Choose RX-Tus kws kho mob muab tshuaj in the Service Type dropdown and enter the service code as usual. Continue to enter other medication through Medi-Cal Rx. 

Kuv yuav nkag mus rau qhov kev thov rau kev txhaj tshuaj tiv thaiv kab mob li cas?

Create an Outpatient Request. Under Reason for Request, select OP Services. Under Service Type, choose Procedure. For Code Type, select HCPC and enter the HCPC code.

Yog tias kuv tau txais kev pabcuam thov rau ntau yam tshuaj chemo, kuv yuav nkag mus rau J codes qhov twg?

Under the Service/Specialty Drug Request section, choose Service Code Type HCPC and enter the J code in the Code field. After entering dates and request numbers, click on the blue ADD button. You may repeat the process with additional J codes.

ECM/CS

What is the requested number for ECM? Would we change the end date? When our authorizations were auto approved, they were valid for a year.

For ECM, the requested number is 12. The start date and end date are today. If you choose ECM02, the end date will self-correct to 12 months on the authorization.

Kuv yuav ua li cas thiaj tsim tau ib daim ntawv thov rau ECM qhov kev pab cuam: cov neeg laus cov neeg siv khoom siab, cov tub ntxhais hluas cov neeg siv siab, cov neeg laus / menyuam SMI / SUD thiab tsis muaj tsev nyob?

Xaiv Post-Service in the first dropdown option and select the appropriate Population of Focus in the Population of Focus question. Note that a request is only Post-Service if all services have been completed at the time of the authorization request. If you are asking for a past start date of service but still have future service to provide, this is still considered Pre-Service.

Are ECM authorizations for post service auto approved? Are we able to save the authorization document as a PDF or to print?

ECM authorizations are auto approved, and you can print the Episode Abstract.

Does ECM require a pre-authorization?

ECM01 does not require authorization and ECM02 is auto approved.

Hu rau Chaw Pabcuam

General 831-430-5504
Kev thov
Cov lus nug txog kev them nqi, cov xwm txheej thov, cov ntaub ntawv thov kev thov dav dav
831-430-5503
Kev tso cai
Cov ntaub ntawv tso cai dav dav lossis cov lus nug
831-430-5506
Tso cai xwm txheej
Tshawb xyuas cov xwm txheej ntawm cov ntawv tso cai xa tuaj
831-430-5511
Tsev muag tshuaj
Cov ntawv tso cai, cov ntaub ntawv hauv khw muag tshuaj lossis cov lus nug
831-430-5507

Muab Kev Pabcuam

  • Tus kws kho mob Portal

Xov Xwm Tshaj Tawm Tshiab

Tus Muab Kev Digest | Nqe 68

Tus Muab Kev Digest | Nqe 68

Peb Hlis 24, 2025
Saib xyuas cov kev cai lij choj tshiab

Saib xyuas cov kev cai lij choj tshiab

Peb Hlis 20, 2025
Kev ntsuas tshiab ntxiv rau Cov Ntaub Ntawv Xa Khoom

Kev ntsuas tshiab ntxiv rau Cov Ntaub Ntawv Xa Khoom

Peb Hlis 17, 2025
Tus Muab Kev Digest | Nqe 67

Tus Muab Kev Digest | Nqe 67

Peb Hlis 12, 2025
Lub Alliance koom tes nrog Sprinter Health

Lub Alliance koom tes nrog Sprinter Health

Peb Hlis 7, 2025

Tiv tauj peb | Hu dawb: 800-700-3874

Khawm - Mus rau nplooj ntawv saum toj kawg nkaus
Central California Alliance for Health Logo

Tau txais kev pab

Nurse Advice Line
Lus Assistance
Cov lus nug nquag

Kev Pabcuam Tswvcuab

COV NTAUB NTAWV TSIS TXAUS SIAB
Phau Ntawv Tswvcuab
Txoj Kev Pab Cuam Txiaj Ntsig rau Kev Noj Qab Haus Huv
Txuas ntxiv ntawm Txoj Cai Saib Xyuas

Lub Alliance

Kev ua haujlwm
Tiv tauj peb
Kev txhawj xeeb txog kev ua raws cai

Cov cuab yeej siv tau yooj yim

AAA

Cov neeg noj qab haus huv. Cov zej zog noj qab haus huv.
  • Glossary of Terms
  • Txoj Cai Tswjfwm Ntiag Tug
  • Cov Cai thiab Cov Cai
  • Daim Ntawv Ceeb Toom Tsis Muaj Cai
  • Daim Ntawv Ceeb Toom Txog Kev Tiv Thaiv Tus Kheej
  • Cov ntaub ntawv tswj hwm
  • Daim ntawv qhia chaw
Txuas rau LinkedIn
Txuas rau Facebook

© 2025 Central California Alliance for Health | Lub Website Feedback