Join Our Network

We are delighted that you are considering joining the Alliance network of providers. If you would like to become a credentialed provider with the Alliance, the following requirements must be met:

• A Medi-Cal Provider Number, issued by the State, is required for participation in the Alliance Medi-Cal and Healthy Families programs.

• A completed Alliance application form and the submission of appropriate documentation as noted in the application must be received by the Alliance along with the appropriate signed Services Agreement.

• If you are a sole primary care physician, a site review resulting with an acceptable score is required before any members may be linked to your practice.

• Recommendation of the Peer Review and Credentialing Committee (PRCC) to the Santa Cruz – Monterey Managed Medical Care Commission.

The PRCC, comprised of local physicians in the community and Alliance staff, meets quarterly to review and recommend provider applications for participation in the Alliance Network.

To ensure consideration at a PRCC meeting, credentialing materials along with a signed Services Agreement must be received by the Provider Services Department a minimum of two weeks prior to an upcoming scheduled PRCC meeting. 2008 PRCC meetings are scheduled as follows:

March 12, 2008
June 11, 2008
Sept. 10, 2008
Dec. 10, 2008

Credentialing is finalized upon approval from the Commission as noted by the return of a countersigned Agreement and accompanying letter noting that you have been credentialed as an Alliance provider.

To receive a Services Agreement via U.S. mail, you may either contact our Provider Services Coordinator at 430-5540 to make arrangements or complete and submit electronically the Application and/or Contract Request Form.