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 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 Medi-Cal primary care physician, a site review resulting with an acceptable score is required before any members may be linked to your practice.
• Credentialing approval by an Alliance Medical Director or the Peer Review and Credentialing Committee (PRCC).
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. Alliance Medical Directors also approve files that meet established credentialing criteria with no identified issues that would require PRCC review.
To ensure consideration at a PRCC meeting, completed credentialing materials along with a signed Services Agreement must be received by the Provider Services Department by the specified cutoff dates. The 2016 PRCC meetings are scheduled as follows:
|PRCC Dates||Application Deadline|
|March 8, 2017||February 1, 2017|
|June 14, 2017||May 3, 2017|
|September 13, 2017||August 2, 2017|
|December 13, 2017||November 1, 2017|
Credentialing is finalized upon approval from the PRCC or an Alliance Medical Director 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.