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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 or distance standards set by the State of California.  This is the time it takes to get from your home or 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.

    PHC California continues to demonstrate that its provider network is capable of delivering the appropriate level of care and access to its members.  PHC California has a Medi-Cal-approved 2023 Annual Network Certification & 2023 Delivery System – Alternative Access Standards request in place for time or distance standards.

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

    * Time or 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*
    93534Endocrinology1 hr 32 min36 miles30 min or 15 miles
    93535Endocrinology1 hr 32 min36 miles30 min or 15 miles
    93536Endocrinology1 hr 30 min35 miles30 min or 15 miles
    93551Endocrinology1 hr 9 min26 miles30 min or 15 miles
    93552Endocrinology1 hr 2 min24 miles30 min or 15 miles
    93534ENT/Otolaryngology1 hr 19 min30 miles30 min or 15 miles
    93535ENT/Otolaryngology1 hr 19 min30 miles30 min or 15 miles
    93534Gastroenterology1 hr 44 min41 miles30 min or 15 miles
    93535Gastroenterology1 hr 45 min41 miles30 min or 15 miles
    93536Gastroenterology1 hr 40 min39 miles30 min or 15 miles
    93551Gastroenterology1 hr 22 min31 miles30 min or 15 miles
    93552Gastroenterology1 hr 15 min29 miles30 min or 15 miles
    93534Hematology1 hr 29 min34 miles30 min or 15 miles
    93535Hematology1 hr 28 min34 miles30 min or 15 miles
    93536Hematology1 hr 24 min33 miles30 min or 15 miles
    93551Hematology1 hr 7 min26 miles30 min or 15 miles
    91351HIV/AIDS Specialist/Infectious Diseases43 min16 miles30 min or 15 miles
    91711HIV/AIDS Specialist/Infectious Diseases1 hr 8 min26 miles30 min or 15 miles
    91723HIV/AIDS Specialist/Infectious Diseases46 min17 miles30 min or 15 miles
    91750HIV/AIDS Specialist/Infectious Diseases1 hr 4 min23 miles30 min or 15 miles
    91767HIV/AIDS Specialist/Infectious Diseases1 hr 6 min25 miles30 min or 15 miles
    91791HIV/AIDS Specialist/Infectious Diseases43 min16 miles30 min or 15 miles
    91792HIV/AIDS Specialist/Infectious Diseases42 min16 miles30 min or 15 miles
    93534Nephrology1 hr 26 min33 miles30 min or 15 miles
    93535Nephrology1 hr 27 min34 miles30 min or 15 miles
    93536Nephrology1 hr 21 min32 miles30 min or 15 miles
    93551Nephrology1 hr 21 min32 miles30 min or 15 miles
    93552Nephrology1 hr 2 min24 miles30 min or 15 miles
    93534

    Neurology/td>

    1 hr 25 min33 miles30 min or 15 miles
    93535Nephrology1 hr 28 min34 miles30 min or 15 miles
    93536Neurology1 hr 18 min30 miles30 min or 15 miles
    93551Neurology1 hr 5 min25 miles30 min or 15 miles
    93552Neurology1 hr 3 min24 miles30 min or 15 miles
    91355Oncology1 hr 13 min28 miles30 min or 15 miles
    93534Oncology1 hr 32 min36 miles30 min or 15 miles
    93535Oncology1 hr 32 min36 miles30 min or 15 miles
    93536Oncology1 hr 30 min35 miles30 min or 15 miles
    93551Oncology1 hr 9 min27 miles30 min or 15 miles
    93552Oncology1 hr 3 min24 miles30 min or 15 miles
    93534Orthopedic Surgery1 hr 20 min31 miles30 min or 15 miles
    93535Orthopedic Surgery1 hr 21 min31 miles30 min or 15 miles
    93536Orthopedic Surgery1 hr 17 min30 miles30 min or 15 miles
    91355Physical Medicine and Rehabilitation43 min16 miles30 min or 15 miles
    93534Pulmonology1 hr 33 min36 miles30 min or 15 miles
    93535Pulmonology1 hr 34 min36 miles30 min or 15 miles
    93536Pulmonology1 hr 30 min35 miles30 min or 15 miles
    93551Pulmonology1 hr 11 min27 miles30 min or 15 miles
    93552Pulmonology1 hr 7 min26 miles30 min or 15 miles

    * Time or distance standards for Los Angeles County.

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

    DHCS 102820 PHC FR Form 1.2

     

    Page Updated: June 12, 2025 @ 7:12pm