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The document is a referral form for care management programs, outlining the process for healthcare providers to refer members for various health interventions and support services. It includes sections for provider and member information, referral reasons, and instructions for submission.

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Versions	Form popularity	Fillable & printable
2019	4.4 Satisfied (59 Votes)
2015	4.6 Satisfied (152 Votes)
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What is another name for Medi-Cal insurance?

Medi-Cal is Californias Medicaid health care program. This program pays for a variety of medical services for children and adults with limited income and resources.

How do I submit a claim to Alameda Alliance?

The average Alameda Alliance for Health salary ranges from approximately $83,930 per year for Outreach Coordinator to $275,788 per year for Chief Compliance Officer. Average Alameda Alliance for Health hourly pay ranges from approximately $23.45 per hour for Data Clerk to $56.42 per hour for Utility Worker.

Is Alliance the same as Medi-Cal?

Central California Alliance for Health (the Alliance) is a managed care health plan for people who have Medi-Cal.

Is Alameda Alliance the same as Medi-Cal?

Send professional and institutional claims for Alliance members assigned to Childrens First Medical Group (CFMG) to Childrens First Medical Group, P.O. Box 3359, Oakland, CA 94609. Send all other medical claims/provider disputes to Claims Department, Alameda Alliance for Health, PO Box 2460, Alameda, CA 94501-0460.