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  • Alameda Care Management Programs Referral Form 2015

Get Alameda Care Management Programs Referral Form 2015-2025

Print clearly in blue or black ink 2) Fax or mail original form to the address above Note: The member will be notified directly if they are selected for one of the programs A. REFERRING PROVIDER INFORMATION REQUEST DATE: SUBMITTED BY: CONTACT PHONE #: FACILITY/CLINIC: FAX: REFERRAL SOURCE: â–¡ Hospital â–¡ PCP â–¡ Specialty Provider â–¡ Community Partner B. MEMBER INFORMATION MEMBER NAME: DOB: ADDRESS & CITY: AGE: SEX: ZIP: MEMBER PHONE # (HOME OR CELL): C. REFERRAL INFORMATION REFE.

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While you cannot enroll in Kaiser directly through Alameda Alliance, there may be pathways available if you have Medi-Cal benefits. It's always wise to explore your healthcare choices and confirm acceptance based on your specific plan. Complete the Alameda Care Management Programs Referral Form to help clarify your options and connect with appropriate services.

Yes, you can visit Kaiser with Medi-Cal, but availability may depend on the specific Kaiser location and services. It’s essential to check their offerings and network status related to Medi-Cal. The Alameda Care Management Programs Referral Form can assist you in understanding your options and connecting you with the right resources for your healthcare needs.

Kaiser Permanente does not directly accept Alameda Alliance as a plan. However, if you are enrolled in Medi-Cal via Alameda Alliance, you might have access to certain Kaiser services. Utilizing the Alameda Care Management Programs Referral Form can guide you through the process of finding suitable care, ensuring you understand all your options and benefits.

Another name for Medi-Cal insurance is California's Medicaid program. This program offers various health services to eligible individuals and families. It provides valuable support, including doctor visits, hospital care, and preventive services. By understanding Medi-Cal’s offerings, users can make informed decisions and easily use resources like the Alameda Care Management Programs Referral Form.

Alameda Alliance is a Medi-Cal managed care health plan. It serves low-income individuals and families, ensuring they get the necessary health services. By joining Alameda Alliance, members gain access to a wide range of medical care options, all designed to meet their unique needs. If individuals require assistance, utilizing the Alameda Care Management Programs Referral Form can simplify the process.

1-800-491-9099 Alameda County Behavioral Health Care Services' (ACBHCS) ACCESS Program is the system wide point of contact for information, screening and referrals for mental health and substance use services and treatment for Alameda County residents.

If you have questions, call 1-800-464-4000 (TTY 711). We are here 24 hours a day, 7 days a week (except closed holidays).

To apply for Medi-Cal by mail, you can send your Medi-Cal application to an Alameda County Social Services Agency office. To request a Medi-Cal application to mail in and Instructions booklet, please call (510) 272-3663 or 1-800-698-1118 (toll free).

You can also call the Alliance Provider Services Department at 1.510. 747.4510.

1 to 23 of 23Department/ServicePhone NumberPhone NumberMedi-Cal Information - SSA(800) 698-1118(510) 577-3547Program Integrity Division - SSA(510) 383-8777(510) 577-1900Program Intregrity Division - SSA(510) 383-8777(888) 999-477210 more rows

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232