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 by the specified cutoff dates. The 2012 PRCC meetings are scheduled as follows:

PRCC Dates	PRCC Cutoff Dates
March 14, 2012	January 30, 2012
June 13, 2012	April 30, 2012
September 12, 2012	July 30, 2012
December 12, 2012	October 29, 2012

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.