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Provider Alternative Access Standards

  • In some areas of Los Angeles County, PHC California does not have required network provider types that are within time and distance standards set by the State of California.  This is the time it takes to get from your home and the distance you must travel to get to the provider types listed in the table below.  If PHC California cannot ensure these provider types are within the standards listed in the table below, we must tell you what the Medi-Cal-approved alternative access standard is.

    Provider TypeTime and Distance Standard from Any Member’s Residence*
    Primary Care30 minutes and 10 miles
    Specialty Care30 minutes and 15 miles
    OB/Gyn Specialty Care30 minutes and 15 miles
    Hospitals30 minutes and 15 miles
    Pharmacy30 minutes and 10 miles
    Mental Health
    Outpatient Services
    30 minutes and 15 miles

    * Time and distance standards for Los Angeles County.

    If your zip code and provider type are listed below, PHC California must help you find an appointment.  You have a right to call Member Services at 1-800-263-0067 to get help with finding an appointment to a closer specialist.  Member Services is open from 8:00 am to 8:00 pm, Monday through Friday.  If PHC California cannot find you an appointment with a closer specialist, PHC California will arrange transportation to see the specialist.

    Zip CodeApproved Provider TypeApproved Max TimeApproved Max Distance Required Time and Distance*
    93534Cardiology/interventional cardiology1 hr 25 min75 miles30 min and 15 miles
    93535Cardiology/interventional cardiology1 hr 45 min86 miles30 min and 15 miles
    93550Cardiology/interventional cardiology1 hr 35 min86 miles30 min and 15 miles
    93534Dermatology1 hr 5 min66 miles30 min and 15 miles
    93535Dermatology1 hr 23 min76 miles30 min and 15 miles
    93550Dermatology1 hr 32 min66 miles30 min and 15 miles
    93534Endocrinology1 hr 25 min73 miles30 min and 15 miles
    93535Endocrinology1 hr 41 min85 miles30 min and 15 miles
    93550Endocrinology1 hr 30 min44 miles30 min and 15 miles
    93534Gastroenterology1 hr 5 min62 miles30 min and 15 miles
    93535Gastroenterology1 hr 23 min75 miles30 min and 15 miles
    93550Gastroenterology1 hr 30 min64 miles30 min and 15 miles
    93535Nephrology1 hr 17 min70 miles30 min and 15 miles
    93534Neurology1 hr 10 min67 miles30 min and 15 miles
    93535Neurology1 hr 27 min78 miles30 min and 15 miles
    93534Orthopedic Surgery1 hr 25 min74 miles30 min and 15 miles
    93535Orthopedic Surgery1 hr 44 min86 miles30 min and 15 miles
    93550Orthopedic Surgery1 hr 32 min45 miles30 min and 15 miles
    90731Physiatrist (Rehab Medicine)43 min26 miles30 min and 15 miles
    90732Physiatrist (Rehab Medicine)39 min24 miles30 min and 15 miles
    90802Physiatrist (Rehab Medicine)44 min26 miles30 min and 15 miles
    90803Physiatrist (Rehab Medicine)46 min28 miles30 min and 15 miles
    90804Physiatrist (Rehab Medicine)39 min25 miles30 min and 15 miles
    90806Physiatrist (Rehab Medicine)33 min21 miles30 min and 15 miles
    90813Physiatrist (Rehab Medicine)36 min23 miles30 min and 15 miles
    90814Physiatrist (Rehab Medicine)43 min26 miles30 min and 15 miles
    93535Physiatrist (Rehab Medicine)35 min27 miles30 min and 15 miles
    93535Oncology1 hr 6 min63 miles30 min and 15 miles
    93535General Surgery1 hr 11 min68 miles30 min and 15 miles
    93534Pulmonology1 hr 22 min72 miles30 min and 15 miles
    93535Pulmonology1 hr 39 min85 miles30 min and 15 miles
    93550Pulmonology1 hr 28 min43 miles30 min and 15 miles

    * Time and distance standards for Los Angeles County.

    If you have any questions about alternative access standards, please contact Member Services.

    DHCS 102820 PHC FR Form 1.1