Summary of Alternative Access Standards for Accessing Doctors

Plan Name Model Type Provider Type Maximum Approved Distance (Miles) Median Approved Distance (Miles) Number of Alternative Access Standards
Aetna Better Health of California Geographic Managed Care (GMC) Model Cardiology/Interventional Cardiology 58 34 36
Aetna Better Health of California Geographic Managed Care (GMC) Model Dermatology 58 33 33
Aetna Better Health of California Geographic Managed Care (GMC) Model Ear, Nose, and Throat (ENT) / Otolaryngology 58 36 40
Aetna Better Health of California Geographic Managed Care (GMC) Model Endocrinology 58 30 58
Aetna Better Health of California Geographic Managed Care (GMC) Model Gastroenterology 58 31 45
Aetna Better Health of California Geographic Managed Care (GMC) Model General Surgery 58 30 44
Aetna Better Health of California Geographic Managed Care (GMC) Model Hematology 55 29 62
Aetna Better Health of California Geographic Managed Care (GMC) Model Hospital 70 37 13
Aetna Better Health of California Geographic Managed Care (GMC) Model Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases 63 29 75
Aetna Better Health of California Geographic Managed Care (GMC) Model Nephrology 63 29 87
Aetna Better Health of California Geographic Managed Care (GMC) Model Neurology 56 30 38
Aetna Better Health of California Geographic Managed Care (GMC) Model Obstetrics and Gynecology 41 31 12
Aetna Better Health of California Geographic Managed Care (GMC) Model Obstetrics and Gynecology Primary Care Physician 48 28 24
Aetna Better Health of California Geographic Managed Care (GMC) Model Oncology 50 33 32
Aetna Better Health of California Geographic Managed Care (GMC) Model Ophthalmology 58 31 33
Aetna Better Health of California Geographic Managed Care (GMC) Model Orthopedic Surgery 90 30 50
Aetna Better Health of California Geographic Managed Care (GMC) Model Physical Medicine and Rehabilitation 56 29 78
Aetna Better Health of California Geographic Managed Care (GMC) Model Primary Care Physician 40 36 6
Aetna Better Health of California Geographic Managed Care (GMC) Model Psychiatry 54 30 40
Aetna Better Health of California Geographic Managed Care (GMC) Model Pulmonology 62 33 40
Alameda Alliance for Health Two Plan Model Dermatology 30 30 23
Alameda Alliance for Health Two Plan Model Endocrinology 30 30 15
Alameda Alliance for Health Two Plan Model General Surgery 30 30 1
Alameda Alliance for Health Two Plan Model Hematology 30 30 24
Alameda Alliance for Health Two Plan Model Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases 30 30 2
Alameda Alliance for Health Two Plan Model Nephrology 30 30 1
Alameda Alliance for Health Two Plan Model Neurology 30 30 1
Alameda Alliance for Health Two Plan Model Oncology 30 30 23
Alameda Alliance for Health Two Plan Model Ophthalmology 30 30 1
Alameda Alliance for Health Two Plan Model Orthopedic Surgery 30 30 1
Alameda Alliance for Health Two Plan Model Physical Medicine and Rehabilitation 30 30 52
Alameda Alliance for Health Two Plan Model Primary Care Physician 30 30 2
Alameda Alliance for Health Two Plan Model Psychiatry 30 30 2
Alameda Alliance for Health Two Plan Model Pulmonology 30 30 2
Anthem Blue Cross Partnership Plan Regional Model Cardiology/Interventional Cardiology 239 179 6
Anthem Blue Cross Partnership Plan Regional Model Dermatology 272 221 6
Anthem Blue Cross Partnership Plan Regional Model Ear, Nose, and Throat (ENT) / Otolaryngology 343 284 10
Anthem Blue Cross Partnership Plan Regional Model Endocrinology 313 311 6
Anthem Blue Cross Partnership Plan Regional Model Gastroenterology 83 82 6
Anthem Blue Cross Partnership Plan Regional Model General Surgery 123 86 6
Anthem Blue Cross Partnership Plan Regional Model Hematology 99 83 10
Anthem Blue Cross Partnership Plan Regional Model Hospital 81 30 14
Anthem Blue Cross Partnership Plan Regional Model Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases 324 94 24
Anthem Blue Cross Partnership Plan Regional Model Mental Health (non-psychiatry) Outpatient Services 83 83 3
Anthem Blue Cross Partnership Plan Regional Model Nephrology 124 86 6
Anthem Blue Cross Partnership Plan Regional Model Neurology 300 297 6
Anthem Blue Cross Partnership Plan Regional Model Obstetrics and Gynecology 164 86 3
Anthem Blue Cross Partnership Plan Regional Model Obstetrics and Gynecology Primary Care Physician 60 30 44
Anthem Blue Cross Partnership Plan Regional Model Oncology 299 297 6
Anthem Blue Cross Partnership Plan Regional Model Ophthalmology 81 79 4
Anthem Blue Cross Partnership Plan Regional Model Orthopedic Surgery 164 86 6
Anthem Blue Cross Partnership Plan Regional Model Pharmacy 45 29 10
Anthem Blue Cross Partnership Plan Regional Model Physical Medicine and Rehabilitation 327 74 9
Anthem Blue Cross Partnership Plan Regional Model Psychiatry 327 325 6
Anthem Blue Cross Partnership Plan Regional Model Pulmonology 327 268 10
Anthem Blue Cross Partnership Plan San Benito Model Hospital 15 15 1
Anthem Blue Cross Partnership Plan San Benito Model Obstetrics and Gynecology Primary Care Physician 15 15 1
Anthem Blue Cross Partnership Plan San Benito Model Pharmacy 15 15 1
Anthem Blue Cross Partnership Plan Two Plan Model Hospital 34 27 10
Anthem Blue Cross Partnership Plan Two Plan Model Obstetrics and Gynecology Primary Care Physician 46 31 21
Anthem Blue Cross Partnership Plan Two Plan Model Pharmacy 11 11 1
Anthem Blue Cross Partnership Plan Two Plan Model Physical Medicine and Rehabilitation 46 37 3
Blue Shield of California Promise Health Plan Geographic Managed Care (GMC) Model Cardiology/Interventional Cardiology 60 40 16
Blue Shield of California Promise Health Plan Geographic Managed Care (GMC) Model Dermatology 60 40 17
Blue Shield of California Promise Health Plan Geographic Managed Care (GMC) Model Ear, Nose, and Throat (ENT) / Otolaryngology 60 40 19
Blue Shield of California Promise Health Plan Geographic Managed Care (GMC) Model Endocrinology 60 40 23
Blue Shield of California Promise Health Plan Geographic Managed Care (GMC) Model Gastroenterology 60 45 18
Blue Shield of California Promise Health Plan Geographic Managed Care (GMC) Model General Surgery 60 40 20
Blue Shield of California Promise Health Plan Geographic Managed Care (GMC) Model Hematology 60 50 19
Blue Shield of California Promise Health Plan Geographic Managed Care (GMC) Model Hospital 85 85 1
Blue Shield of California Promise Health Plan Geographic Managed Care (GMC) Model Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases 60 40 41
Blue Shield of California Promise Health Plan Geographic Managed Care (GMC) Model Nephrology 60 40 41
Blue Shield of California Promise Health Plan Geographic Managed Care (GMC) Model Neurology 60 40 18
Blue Shield of California Promise Health Plan Geographic Managed Care (GMC) Model Obstetrics and Gynecology 50 40 6
Blue Shield of California Promise Health Plan Geographic Managed Care (GMC) Model Oncology 90 50 11
Blue Shield of California Promise Health Plan Geographic Managed Care (GMC) Model Ophthalmology 70 40 32
Blue Shield of California Promise Health Plan Geographic Managed Care (GMC) Model Orthopedic Surgery 60 40 21
Blue Shield of California Promise Health Plan Geographic Managed Care (GMC) Model Physical Medicine and Rehabilitation 60 40 42
Blue Shield of California Promise Health Plan Geographic Managed Care (GMC) Model Psychiatry 60 40 28
Blue Shield of California Promise Health Plan Geographic Managed Care (GMC) Model Pulmonology 60 40 38
CalViva Health Two Plan Model Cardiology/Interventional Cardiology 75 75 3
CalViva Health Two Plan Model Dermatology 80 80 3
CalViva Health Two Plan Model Ear, Nose, and Throat (ENT) / Otolaryngology 80 80 3
CalViva Health Two Plan Model Endocrinology 75 70 4
CalViva Health Two Plan Model Gastroenterology 75 75 3
CalViva Health Two Plan Model General Surgery 75 75 3
CalViva Health Two Plan Model Hematology 75 70 4
CalViva Health Two Plan Model Hospital 60 35 29
CalViva Health Two Plan Model Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases 75 70 6
CalViva Health Two Plan Model Nephrology 90 78 6
CalViva Health Two Plan Model Neurology 75 70 3
CalViva Health Two Plan Model Obstetrics and Gynecology Primary Care Physician 50 30 7
CalViva Health Two Plan Model Oncology 75 73 4
CalViva Health Two Plan Model Ophthalmology 80 60 13
CalViva Health Two Plan Model Orthopedic Surgery 80 80 3
CalViva Health Two Plan Model Pharmacy 35 35 4
CalViva Health Two Plan Model Physical Medicine and Rehabilitation 80 73 4
CalViva Health Two Plan Model Primary Care Physician 35 35 4
CalViva Health Two Plan Model Psychiatry 75 75 1
CalViva Health Two Plan Model Pulmonology 75 75 3
California Health & Wellness Imperial Model Endocrinology 155 93 34
California Health & Wellness Imperial Model Hospital 70 45 7
California Health & Wellness Imperial Model Nephrology 160 100 18
California Health & Wellness Imperial Model Obstetrics and Gynecology Primary Care Physician 85 50 9
California Health & Wellness Imperial Model Pharmacy 35 33 2
California Health & Wellness Imperial Model Physical Medicine and Rehabilitation 160 83 34
California Health & Wellness Imperial Model Primary Care Physician 75 43 10
California Health & Wellness Regional Model Cardiology/Interventional Cardiology 115 95 12
California Health & Wellness Regional Model Dermatology 365 130 28
California Health & Wellness Regional Model Ear, Nose, and Throat (ENT) / Otolaryngology 200 155 34
California Health & Wellness Regional Model Endocrinology 225 102 65
California Health & Wellness Regional Model Gastroenterology 150 100 30
California Health & Wellness Regional Model General Surgery 115 98 12
California Health & Wellness Regional Model Hematology 200 150 27
California Health & Wellness Regional Model Hospital 120 35 32
California Health & Wellness Regional Model Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases 140 80 112
California Health & Wellness Regional Model Nephrology 230 75 109
California Health & Wellness Regional Model Neurology 215 110 25
California Health & Wellness Regional Model Obstetrics and Gynecology Primary Care Physician 230 45 141
California Health & Wellness Regional Model Oncology 170 125 23
California Health & Wellness Regional Model Orthopedic Surgery 150 110 14
California Health & Wellness Regional Model Pharmacy 90 30 26
California Health & Wellness Regional Model Physical Medicine and Rehabilitation 220 133 34
California Health & Wellness Regional Model Primary Care Physician 85 35 67
California Health & Wellness Regional Model Psychiatry 170 105 12
California Health & Wellness Regional Model Pulmonology 180 130 36
CenCal Health County Organized Health System (COHS) Model Cardiology/Interventional Cardiology 155 105 32
CenCal Health County Organized Health System (COHS) Model Endocrinology 155 110 32
CenCal Health County Organized Health System (COHS) Model Hospital 75 63 2
CenCal Health County Organized Health System (COHS) Model Pharmacy 80 80 1
Central California Alliance for Health County Organized Health System (COHS) Model Cardiology/Interventional Cardiology 102 82 5
Central California Alliance for Health County Organized Health System (COHS) Model Dermatology 121 83 34
Central California Alliance for Health County Organized Health System (COHS) Model Ear, Nose, and Throat (ENT) / Otolaryngology 161 127 67
Central California Alliance for Health County Organized Health System (COHS) Model Endocrinology 113 90 23
Central California Alliance for Health County Organized Health System (COHS) Model Gastroenterology 99 81 13
Central California Alliance for Health County Organized Health System (COHS) Model General Surgery 114 93 18
Central California Alliance for Health County Organized Health System (COHS) Model Hematology 119 82 34
Central California Alliance for Health County Organized Health System (COHS) Model Hospital 70 40 17
Central California Alliance for Health County Organized Health System (COHS) Model Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases 116 79 32
Central California Alliance for Health County Organized Health System (COHS) Model Nephrology 116 79 32
Central California Alliance for Health County Organized Health System (COHS) Model Neurology 102 84 10
Central California Alliance for Health County Organized Health System (COHS) Model Oncology 111 86 27
Central California Alliance for Health County Organized Health System (COHS) Model Ophthalmology 157 91 68
Central California Alliance for Health County Organized Health System (COHS) Model Orthopedic Surgery 138 120 38
Central California Alliance for Health County Organized Health System (COHS) Model Pharmacy 40 39 2
Central California Alliance for Health County Organized Health System (COHS) Model Physical Medicine and Rehabilitation 184 100 66
Central California Alliance for Health County Organized Health System (COHS) Model Primary Care Physician 75 63 10
Central California Alliance for Health County Organized Health System (COHS) Model Pulmonology 116 79 40
Community Health Group Geographic Managed Care (GMC) Model Cardiology/Interventional Cardiology 89 77 8
Community Health Group Geographic Managed Care (GMC) Model Dermatology 73 59 10
Community Health Group Geographic Managed Care (GMC) Model Ear, Nose, and Throat (ENT) / Otolaryngology 83 58 16
Community Health Group Geographic Managed Care (GMC) Model Endocrinology 79 68 21
Community Health Group Geographic Managed Care (GMC) Model Gastroenterology 72 58 16
Community Health Group Geographic Managed Care (GMC) Model General Surgery 77 66 16
Community Health Group Geographic Managed Care (GMC) Model Hematology 98 58 17
Community Health Group Geographic Managed Care (GMC) Model Hospital 64 50 8
Community Health Group Geographic Managed Care (GMC) Model Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases 84 56 22
Community Health Group Geographic Managed Care (GMC) Model Nephrology 91 63 17
Community Health Group Geographic Managed Care (GMC) Model Neurology 72 60 17
Community Health Group Geographic Managed Care (GMC) Model Obstetrics and Gynecology 53 48 2
Community Health Group Geographic Managed Care (GMC) Model Oncology 72 59 17
Community Health Group Geographic Managed Care (GMC) Model Ophthalmology 68 46 11
Community Health Group Geographic Managed Care (GMC) Model Orthopedic Surgery 73 58 17
Community Health Group Geographic Managed Care (GMC) Model Physical Medicine and Rehabilitation 75 60 15
Community Health Group Geographic Managed Care (GMC) Model Psychiatry 74 58 15
Community Health Group Geographic Managed Care (GMC) Model Pulmonology 95 68 17
Health Net Community Solutions, Inc. Geographic Managed Care (GMC) Model Cardiology/Interventional Cardiology 65 30 70
Health Net Community Solutions, Inc. Geographic Managed Care (GMC) Model Dermatology 70 30 106
Health Net Community Solutions, Inc. Geographic Managed Care (GMC) Model Ear, Nose, and Throat (ENT) / Otolaryngology 60 25 103
Health Net Community Solutions, Inc. Geographic Managed Care (GMC) Model Endocrinology 70 30 106
Health Net Community Solutions, Inc. Geographic Managed Care (GMC) Model Gastroenterology 60 35 51
Health Net Community Solutions, Inc. Geographic Managed Care (GMC) Model General Surgery 70 30 123
Health Net Community Solutions, Inc. Geographic Managed Care (GMC) Model Hematology 70 30 123
Health Net Community Solutions, Inc. Geographic Managed Care (GMC) Model Hospital 80 38 18
Health Net Community Solutions, Inc. Geographic Managed Care (GMC) Model Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases 65 45 298
Health Net Community Solutions, Inc. Geographic Managed Care (GMC) Model Mental Health (non-psychiatry) Outpatient Services 29 28 2
Health Net Community Solutions, Inc. Geographic Managed Care (GMC) Model Nephrology 135 75 185
Health Net Community Solutions, Inc. Geographic Managed Care (GMC) Model Neurology 65 30 58
Health Net Community Solutions, Inc. Geographic Managed Care (GMC) Model Oncology 70 30 131
Health Net Community Solutions, Inc. Geographic Managed Care (GMC) Model Ophthalmology 150 120 40
Health Net Community Solutions, Inc. Geographic Managed Care (GMC) Model Orthopedic Surgery 65 30 85
Health Net Community Solutions, Inc. Geographic Managed Care (GMC) Model Physical Medicine and Rehabilitation 60 40 242
Health Net Community Solutions, Inc. Geographic Managed Care (GMC) Model Primary Care Physician 55 40 14
Health Net Community Solutions, Inc. Geographic Managed Care (GMC) Model Psychiatry 55 36 24
Health Net Community Solutions, Inc. Geographic Managed Care (GMC) Model Pulmonology 70 40 66
Health Net Community Solutions, Inc. Two Plan Model Cardiology/Interventional Cardiology 75 30 9
Health Net Community Solutions, Inc. Two Plan Model Dermatology 135 30 339
Health Net Community Solutions, Inc. Two Plan Model Ear, Nose, and Throat (ENT) / Otolaryngology 75 25 234
Health Net Community Solutions, Inc. Two Plan Model Endocrinology 80 30 199
Health Net Community Solutions, Inc. Two Plan Model Gastroenterology 90 50 61
Health Net Community Solutions, Inc. Two Plan Model General Surgery 140 70 93
Health Net Community Solutions, Inc. Two Plan Model Hematology 160 35 300
Health Net Community Solutions, Inc. Two Plan Model Hospital 60 35 31
Health Net Community Solutions, Inc. Two Plan Model Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases 165 30 254
Health Net Community Solutions, Inc. Two Plan Model Mental Health (non-psychiatry) Outpatient Services 64 64 1
Health Net Community Solutions, Inc. Two Plan Model Nephrology 160 25 244
Health Net Community Solutions, Inc. Two Plan Model Neurology 115 35 81
Health Net Community Solutions, Inc. Two Plan Model Obstetrics and Gynecology 65 33 4
Health Net Community Solutions, Inc. Two Plan Model Obstetrics and Gynecology Primary Care Physician 45 33 10
Health Net Community Solutions, Inc. Two Plan Model Oncology 160 30 279
Health Net Community Solutions, Inc. Two Plan Model Ophthalmology 245 70 89
Health Net Community Solutions, Inc. Two Plan Model Orthopedic Surgery 115 40 152
Health Net Community Solutions, Inc. Two Plan Model Pharmacy 40 38 4
Health Net Community Solutions, Inc. Two Plan Model Physical Medicine and Rehabilitation 105 30 312
Health Net Community Solutions, Inc. Two Plan Model Primary Care Physician 70 35 12
Health Net Community Solutions, Inc. Two Plan Model Psychiatry 71 28 10
Health Net Community Solutions, Inc. Two Plan Model Pulmonology 150 35 106
Health Plan of San Joaquin Two Plan Model Hospital 30 20 3
Health Plan of San Mateo County Organized Health System (COHS) Model Endocrinology 32 32 1
Inland Empire Health Plan Two Plan Model Cardiology/Interventional Cardiology 70 65 6
Inland Empire Health Plan Two Plan Model Dermatology 115 88 12
Inland Empire Health Plan Two Plan Model Ear, Nose, and Throat (ENT) / Otolaryngology 115 75 14
Inland Empire Health Plan Two Plan Model Endocrinology 120 70 40
Inland Empire Health Plan Two Plan Model Gastroenterology 115 88 12
Inland Empire Health Plan Two Plan Model General Surgery 70 70 4
Inland Empire Health Plan Two Plan Model Hematology 140 85 23
Inland Empire Health Plan Two Plan Model Hospital 70 30 21
Inland Empire Health Plan Two Plan Model Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases 120 65 25
Inland Empire Health Plan Two Plan Model Nephrology 115 70 10
Inland Empire Health Plan Two Plan Model Neurology 85 70 10
Inland Empire Health Plan Two Plan Model Obstetrics and Gynecology 135 70 3
Inland Empire Health Plan Two Plan Model Obstetrics and Gynecology Primary Care Physician 140 45 116
Inland Empire Health Plan Two Plan Model Oncology 140 85 23
Inland Empire Health Plan Two Plan Model Ophthalmology 100 88 12
Inland Empire Health Plan Two Plan Model Orthopedic Surgery 75 70 6
Inland Empire Health Plan Two Plan Model Pharmacy 70 25 18
Inland Empire Health Plan Two Plan Model Physical Medicine and Rehabilitation 115 75 14
Inland Empire Health Plan Two Plan Model Primary Care Physician 70 25 48
Inland Empire Health Plan Two Plan Model Psychiatry 105 70 10
Inland Empire Health Plan Two Plan Model Pulmonology 85 65 11
Kern Family Health Care Two Plan Model Dermatology 95 95 2
Kern Family Health Care Two Plan Model Ear, Nose, and Throat (ENT) / Otolaryngology 90 90 12
Kern Family Health Care Two Plan Model Endocrinology 85 85 2
Kern Family Health Care Two Plan Model Hematology 95 90 4
Kern Family Health Care Two Plan Model Hospital 65 45 11
Kern Family Health Care Two Plan Model Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases 90 90 10
Kern Family Health Care Two Plan Model Nephrology 85 85 4
Kern Family Health Care Two Plan Model Neurology 85 85 4
Kern Family Health Care Two Plan Model Obstetrics and Gynecology Primary Care Physician 65 55 19
Kern Family Health Care Two Plan Model Ophthalmology 95 90 10
Kern Family Health Care Two Plan Model Pharmacy 65 65 1
Kern Family Health Care Two Plan Model Physical Medicine and Rehabilitation 95 90 14
Kern Family Health Care Two Plan Model Pulmonology 85 85 2
L.A. Care Health Plan Two Plan Model Cardiology/Interventional Cardiology 23 21 8
L.A. Care Health Plan Two Plan Model Dermatology 23 21 8
L.A. Care Health Plan Two Plan Model Ear, Nose, and Throat (ENT) / Otolaryngology 24 18 6
L.A. Care Health Plan Two Plan Model Endocrinology 30 21 13
L.A. Care Health Plan Two Plan Model Gastroenterology 30 26 10
L.A. Care Health Plan Two Plan Model General Surgery 33 31 4
L.A. Care Health Plan Two Plan Model Hematology 33 28 13
L.A. Care Health Plan Two Plan Model Hospital 23 19 7
L.A. Care Health Plan Two Plan Model Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases 37 21 9
L.A. Care Health Plan Two Plan Model Nephrology 30 28 4
L.A. Care Health Plan Two Plan Model Neurology 21 20 3
L.A. Care Health Plan Two Plan Model Obstetrics and Gynecology 42 42 1
L.A. Care Health Plan Two Plan Model Obstetrics and Gynecology Primary Care Physician 42 37 9
L.A. Care Health Plan Two Plan Model Oncology 37 29 8
L.A. Care Health Plan Two Plan Model Ophthalmology 21 20 5
L.A. Care Health Plan Two Plan Model Orthopedic Surgery 22 22 4
L.A. Care Health Plan Two Plan Model Pharmacy 20 20 1
L.A. Care Health Plan Two Plan Model Physical Medicine and Rehabilitation 22 20 9
L.A. Care Health Plan Two Plan Model Primary Care Physician 17 17 1
L.A. Care Health Plan Two Plan Model Psychiatry 25 24 4
L.A. Care Health Plan Two Plan Model Pulmonology 42 33 13
Molina Healthcare of California Partner Plan, Inc. Geographic Managed Care (GMC) Model Cardiology/Interventional Cardiology 48 41 8
Molina Healthcare of California Partner Plan, Inc. Geographic Managed Care (GMC) Model Dermatology 49 42 8
Molina Healthcare of California Partner Plan, Inc. Geographic Managed Care (GMC) Model Ear, Nose, and Throat (ENT) / Otolaryngology 49 43 12
Molina Healthcare of California Partner Plan, Inc. Geographic Managed Care (GMC) Model Endocrinology 62 46 20
Molina Healthcare of California Partner Plan, Inc. Geographic Managed Care (GMC) Model Gastroenterology 62 43 16
Molina Healthcare of California Partner Plan, Inc. Geographic Managed Care (GMC) Model General Surgery 71 41 14
Molina Healthcare of California Partner Plan, Inc. Geographic Managed Care (GMC) Model Hematology 56 41 20
Molina Healthcare of California Partner Plan, Inc. Geographic Managed Care (GMC) Model Hospital 63 46 10
Molina Healthcare of California Partner Plan, Inc. Geographic Managed Care (GMC) Model Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases 62 45 20
Molina Healthcare of California Partner Plan, Inc. Geographic Managed Care (GMC) Model Nephrology 62 46 16
Molina Healthcare of California Partner Plan, Inc. Geographic Managed Care (GMC) Model Neurology 62 45 18
Molina Healthcare of California Partner Plan, Inc. Geographic Managed Care (GMC) Model Obstetrics and Gynecology 62 43 9
Molina Healthcare of California Partner Plan, Inc. Geographic Managed Care (GMC) Model Obstetrics and Gynecology Primary Care Physician 67 43 38
Molina Healthcare of California Partner Plan, Inc. Geographic Managed Care (GMC) Model Oncology 62 46 20
Molina Healthcare of California Partner Plan, Inc. Geographic Managed Care (GMC) Model Ophthalmology 53 45 8
Molina Healthcare of California Partner Plan, Inc. Geographic Managed Care (GMC) Model Orthopedic Surgery 62 44 16
Molina Healthcare of California Partner Plan, Inc. Geographic Managed Care (GMC) Model Physical Medicine and Rehabilitation 56 43 14
Molina Healthcare of California Partner Plan, Inc. Geographic Managed Care (GMC) Model Psychiatry 62 45 18
Molina Healthcare of California Partner Plan, Inc. Geographic Managed Care (GMC) Model Pulmonology 64 45 22
Molina Healthcare of California Partner Plan, Inc. Imperial Model Hospital 72 68 5
Molina Healthcare of California Partner Plan, Inc. Imperial Model Obstetrics and Gynecology Primary Care Physician 72 67 5
Molina Healthcare of California Partner Plan, Inc. Imperial Model Pharmacy 71 55 3
Molina Healthcare of California Partner Plan, Inc. Imperial Model Primary Care Physician 70 56 6
Molina Healthcare of California Partner Plan, Inc. Two Plan Model Hospital 45 45 1
Partnership HealthPlan of California County Organized Health System (COHS) Model Hematology 165 165 50
Partnership HealthPlan of California County Organized Health System (COHS) Model Hospital 45 30 67
Partnership HealthPlan of California County Organized Health System (COHS) Model Oncology 120 90 50
Partnership HealthPlan of California County Organized Health System (COHS) Model Ophthalmology 120 90 44
Partnership HealthPlan of California County Organized Health System (COHS) Model Physical Medicine and Rehabilitation 120 90 100
Partnership HealthPlan of California County Organized Health System (COHS) Model Primary Care Physician 45 30 26
Santa Clara Family Health Plan Two Plan Model Gastroenterology 45 45 6
Santa Clara Family Health Plan Two Plan Model Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases 50 50 7
Santa Clara Family Health Plan Two Plan Model Neurology 45 45 6
Santa Clara Family Health Plan Two Plan Model Physical Medicine and Rehabilitation 50 45 6
United Healthcare Geographic Managed Care (GMC) Model Cardiology/Interventional Cardiology 63 44 18
United Healthcare Geographic Managed Care (GMC) Model Dermatology 62 45 10
United Healthcare Geographic Managed Care (GMC) Model Ear, Nose, and Throat (ENT) / Otolaryngology 66 49 19
United Healthcare Geographic Managed Care (GMC) Model Endocrinology 53 44 18
United Healthcare Geographic Managed Care (GMC) Model Gastroenterology 70 49 16
United Healthcare Geographic Managed Care (GMC) Model General Surgery 84 47 17
United Healthcare Geographic Managed Care (GMC) Model Hematology 55 46 18
United Healthcare Geographic Managed Care (GMC) Model Hospital 61 42 9
United Healthcare Geographic Managed Care (GMC) Model Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases 60 45 18
United Healthcare Geographic Managed Care (GMC) Model Mental Health (non-psychiatry) Outpatient Services 40 40 5
United Healthcare Geographic Managed Care (GMC) Model Nephrology 52 44 16
United Healthcare Geographic Managed Care (GMC) Model Neurology 61 47 19
United Healthcare Geographic Managed Care (GMC) Model Obstetrics and Gynecology 48 45 7
United Healthcare Geographic Managed Care (GMC) Model Obstetrics and Gynecology Primary Care Physician 63 45 10
United Healthcare Geographic Managed Care (GMC) Model Oncology 55 46 18
United Healthcare Geographic Managed Care (GMC) Model Ophthalmology 62 41 13
United Healthcare Geographic Managed Care (GMC) Model Orthopedic Surgery 53 42 18
United Healthcare Geographic Managed Care (GMC) Model Physical Medicine and Rehabilitation 70 44 17
United Healthcare Geographic Managed Care (GMC) Model Primary Care Physician 47 42 6
United Healthcare Geographic Managed Care (GMC) Model Psychiatry 50 44 4
United Healthcare Geographic Managed Care (GMC) Model Pulmonology 60 43 20