Alternative Access Standards

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Alternative Access Standards

The Department of Health Care Services (DHCS) gives health plan guidelines on how far and how long it should take for members to access health care services. Time and distance standards are:

Provider Type Time and Distance Standard
Primary Care (Adult and Pediatric) 10 miles or 30 minutes from a
member’s residence
Specialty Care (Adult and Pediatric)
*including OB/GYN 		15 miles or 30 minutes from a
member’s residence
Hospital 15 miles or 30 minutes from a
member’s residence

The list below shows the approved alternative time and distance standards from CalOptima Health based on zip code and the type of specialty provider. If you live in one the zip codes listed below and need care from a specialty provider, please call 1-800-611-0111. We have staff who speak your language. They will help you find a provider closest to you. If a provider within the regular time and distance standards is not available to you, you can request transportation to a provider farther away at no cost to you. Family Choice Health Services can also help connect you with a closer provider, even if they are not in Family Choice Health Services provider network.

If you speak a language other than English, free language assistance services are available.

Alternative Access Standard

Zip Code City Provider Type Population Served Miles Minutes
92624 Orange OB/GYN Adult 25 35
92629 Orange OB/GYN Adult 20 35
92630 Orange OB/GYN Adult 20 35
92653 Orange OB/GYN Adult 20 35
92656 Orange OB/GYN Adult 20 35
92673 Orange OB/GYN Adult 35 45
92675 Orange OB/GYN Adult 25 45
92677 Orange OB/GYN Adult 30 55
92688 Orange OB/GYN Adult 30 55
92691 Orange OB/GYN Adult 25 45
92692 Orange OB/GYN Adult 40 40
92694 Orange OB/GYN Adult 30 50
92672 Orange OB/GYN Adult 35 55
90631 Orange Physical Medicine and Rehabilitation Pediatric 30 55

Telehealth

Provider Type
Urology