Central California Alliance For Health

 

Timely Access to Care Standards

The Alliance is required to monitor timely access to care as mandated by Title 28 CCR Section 1300.67.2.2 and as specified by our contracts with the Department of Health Care Services and the Department of Managed Health Care.


The Alliance monitors the following timely access standards for primary and specialty care services.


Urgent Care Appointments Wait Times
Services that do not require prior authorization 24 hours
Services that do require prior authorization 96 hours
Non-Urgent Care Appointments Wait Times
Primary care appointment (including first pre-natal visit and preventive visits) 10 business days
Mental Health care appointment (with a non-physician provider) 10 business days
Specialist/specialty care appointment (including Psychiatrists) 15 business days
Ancillary service appointment for the diagnosis or treatment of injury, illness, or other health condition 15 business days
Skilled Nursing Facility Services and Intermediate Care Facility Services (Santa Cruz County) Placement within 7 business days
Skilled Nursing Facility Services and Intermediate Care Facility Services (Monterey and Merced Counties) Placement within 14 calendar days
Telephone Wait Time Standard Wait Times
Maximum wait time for telephone triage or screening services 30 Minutes (during business hours)

The Alliance Provider Services department staff is here to support our providers in meeting access standards. Our staff can answer questions and provide on-site education on guidelines related to timely access to care. To request more information or to schedule a meeting, please contact an Alliance Provider Services Representative at (800) 700-3874, ext. 5504.












 


Members | Miembros | Cov Tswvcuab | Providers | Community | About Us | 2018 Central California Alliance for Health®