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Time and Distance to Care

Provider Type Time and Distance to Care from member's residence
Primary Care (Adult and Pediatric) 10 miles or 30 minutes
Specialty Care and Mental Health
(non-psychiatry)

Outpatient Service (Adult and Pediatric)
Los Angeles, Sacramento & San Diego Counties:
15 miles or 30 minutes

San Joaquin & Stanislaus Counties:
30 miles or 60 minutes

Kern & Tulare Counties:
45 miles or 75 minutes
Hospitals 15 miles or 30 minutes
Pharmacy 10 miles or 30 minutes

DHCS Adult and Pediatric Core Specialists

  • Cardiology/Interventional Cardiology
  • Dermatology
  • Endocrinology
  • ENT/Otolaryngology
  • Gastroenterology
  • General Surgery
  • Hematology
  • HIV/AIDS Specialists/Infectious Diseases
  • Nephrology
  • Neurology
  • Obstetrics/Gynecology (OB/GYN) - Adult
  • Oncology
  • Ophthalmology
  • Orthopedic Surgery
  • Physical Medicine and Rehabilitation
  • Psychiatry
  • Pulmonology

If neither your Participating Physician Group (PPG) nor Health Net Community Solutions (HNCS) can provide services within the travel standards indicated, an alternate access standard may be in place for that zip code. If your zip code and provider type are listed, HNCS must help you find an appointment. HNCS Members can call toll free 1-800-675-6110 (TTY: 711), 24 hours a day, 7 days a week to get help with finding an appointment to a closer specialist. If HNCS cannot find you an appointment with a closer specialist, HNCS will arrange transportation to see the specialist. Find Alternate Access standards for where you live below.

Select a county below to see the 2021 alternate access travel time and distance standards

Kern County alternate access travel time and distance standards
Zip Code Provider Type Adult, Pediatric or N/A AAS Request Determination Approved Max Time (mins) Approved Max Distance (miles)
93203 Hospital N/A Approval 95 70
93206 Hospital N/A Approval 40 35
93224 Hospital N/A Approval 40 35
93225 Hospital N/A Approval 100 75
93243 Hospital N/A Approval 80 75
93249 Hospital N/A Approval 60 55
93249 Physical Medicine and Rehabilitation Adult Approval 80 70
93249 Physical Medicine and Rehabilitation Pediatric Approval 80 70
93251 Hospital N/A Approval 45 45
93252 Hospital N/A Approval 140 115
93268 Hospital N/A Approval 40 35
93505 Hospital N/A Approval 35 35
93516 Hospital N/A Approval 50 45
93516 PCP Pediatric Approval 50 55
93523 Hospital N/A Approval 45 40
93527 ENT/Otolaryngology Adult Approval 80 75
93527 ENT/Otolaryngology Pediatric Approval 80 75
93527 Hematology Adult Approval 80 75
93527 Hematology Pediatric Approval 80 75
93527 Neurology Adult Approval 80 75
93527 Neurology Pediatric Approval 80 75
93527 Orthopedic Surgery Adult Approval 80 75
93527 Orthopedic Surgery Pediatric Approval 80 75
93527 Physical Medicine and Rehabilitation Adult Approval 80 75
93527 Physical Medicine and Rehabilitation Pediatric Approval 80 75
93536 Endocrinology Adult Approval 60 45
93536 Endocrinology Pediatric Approval 60 45
93536 Gastroenterology Adult Approval 55 45
93536 Gastroenterology Pediatric Approval 55 45
93536 Hematology Adult Approval 60 45
93536 Hematology Pediatric Approval 60 45
93536 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 60 45
93536 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 60 45
93536 Hospital N/A Approval 70 60
93536 Neurology Adult Approval 55 50
93536 Neurology Pediatric Approval 60 45
93536 OB/GYN N/A Approval 60 45
93536 Oncology Adult Approval 60 45
93536 Oncology Pediatric Approval 60 45
93536 Orthopedic Surgery Adult Approval 55 45
93536 Orthopedic Surgery Pediatric Approval 55 45
93536 Physical Medicine and Rehabilitation Adult Approval 55 45
93536 Physical Medicine and Rehabilitation Pediatric Approval 60 45
93536 Pulmonology Adult Approval 60 45
93536 Pulmonology Pediatric Approval 60 45
93555 ENT/Otolaryngology Adult Approval 85 75
93555 ENT/Otolaryngology Pediatric Approval 85 75
93555 Hematology Adult Approval 85 75
93555 Hematology Pediatric Approval 85 80
93555 Neurology Adult Approval 85 75
93555 Neurology Pediatric Approval 85 75
93555 Orthopedic Surgery Adult Approval 85 75
93555 Orthopedic Surgery Pediatric Approval 85 75
93555 Physical Medicine and Rehabilitation Adult Approval 85 80
93555 Physical Medicine and Rehabilitation Pediatric Approval 85 80
Los Angeles County alternate access travel time and distance standards
Zip Code Provider Type Adult, Pediatric or N/A AAS Request Determination Approved Max Time (mins) Approved Max Distance (miles)
90265 Endocrinology Adult Approval 75 55
90265 Endocrinology Pediatric Approval 85 55
90265 Hematology Adult Approval 40 30
90265 Hematology Pediatric Approval 40 30
90265 Oncology Adult Approval 50 45
90265 Oncology Pediatric Approval 50 45
90265 Orthopedic Surgery Adult Approval 35 30
90265 Orthopedic Surgery Pediatric Approval 35 30
90265 Physical Medicine and Rehabilitation Adult Approval 50 45
90265 Physical Medicine and Rehabilitation Pediatric Approval 50 45
90265 Pulmonology Pediatric Approval 50 45
93243 Cardiology/Interventional Cardiology Adult Approval 95 75
93243 Cardiology/Interventional Cardiology Pediatric Approval 95 75
93243 Dermatology Adult Approval 90 70
93243 Dermatology Pediatric Approval 90 70
93243 Endocrinology Adult Approval 90 70
93243 Endocrinology Pediatric Approval 90 70
93243 ENT/Otolaryngology Adult Approval 55 60
93243 ENT/Otolaryngology Pediatric Approval 55 60
93243 Gastroenterology Adult Approval 75 70
93243 Gastroenterology Pediatric Approval 75 70
93243 General Surgery Adult Approval 75 70
93243 General Surgery Pediatric Approval 75 70
93243 Hematology Adult Approval 55 60
93243 Hematology Pediatric Approval 75 70
93243 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 75 70
93243 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 75 70
93243 Hospital N/A Approval 80 75
93243 Nephrology Adult Approval 75 70
93243 Nephrology Pediatric Approval 75 70
93243 Neurology Adult In Review 0 0
93243 Neurology Pediatric In Review 0 0
93243 OB/GYN N/A Approval 40 35
93243 Oncology Adult Approval 75 70
93243 Oncology Pediatric Approval 75 70
93243 Ophthalmology Adult Approval 55 60
93243 Ophthalmology Pediatric Approval 55 60
93243 Orthopedic Surgery Adult Approval 60 60
93243 Orthopedic Surgery Pediatric Approval 60 60
93243 Physical Medicine and Rehabilitation Adult Approval 75 70
93243 Physical Medicine and Rehabilitation Pediatric Approval 80 70
93243 Psychiatry Pediatric Approval 70 70
93243 Pulmonology Adult Approval 80 70
93243 Pulmonology Pediatric Approval 60 60
93532 Endocrinology Adult Approval 35 30
93532 Endocrinology Pediatric Approval 35 30
93532 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 35 30
93532 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 35 30
93532 Hospital N/A In Review 0 0
93532 Pulmonology Adult Approval 35 30
93532 Pulmonology Pediatric Approval 35 30
93535 Dermatology Adult Approval 65 45
93535 Dermatology Pediatric Approval 65 45
93536 Endocrinology Adult Approval 60 45
93536 Endocrinology Pediatric Approval 60 45
93536 Gastroenterology Adult Approval 55 45
93536 Gastroenterology Pediatric Approval 55 45
93536 Hematology Adult Approval 60 45
93536 Hematology Pediatric Approval 60 45
93536 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 60 45
93536 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 60 45
93536 Hospital N/A Approval 70 60
93536 Neurology Adult Approval 55 50
93536 Neurology Pediatric Approval 60 45
93536 OB/GYN N/A Approval 60 45
93536 Oncology Adult Approval 60 45
93536 Oncology Pediatric Approval 60 45
93536 Orthopedic Surgery Adult Approval 55 45
93536 Orthopedic Surgery Pediatric Approval 55 45
93536 Physical Medicine and Rehabilitation Adult Approval 55 45
93536 Physical Medicine and Rehabilitation Pediatric Approval 60 45
93536 Pulmonology Adult Approval 60 45
93536 Pulmonology Pediatric Approval 60 45
93544 Cardiology/Interventional Cardiology Adult Approval 35 30
93544 Cardiology/Interventional Cardiology Pediatric Approval 35 30
93544 Dermatology Adult Approval 40 35
93544 Dermatology Pediatric Approval 40 35
93544 Endocrinology Adult Approval 70 65
93544 Endocrinology Pediatric Approval 70 65
93544 ENT/Otolaryngology Adult Approval 95 75
93544 ENT/Otolaryngology Pediatric Approval 40 35
93544 Gastroenterology Adult Approval 105 65
93544 Gastroenterology Pediatric Approval 90 50
93544 Hematology Adult Approval 35 35
93544 Hematology Pediatric Approval 35 35
93544 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 95 75
93544 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 95 75
93544 Hospital N/A Approval 35 30
93544 Nephrology Adult Approval 70 65
93544 Nephrology Pediatric Approval 80 65
93544 OB/GYN N/A Approval 65 60
93544 Oncology Adult Approval 35 35
93544 Oncology Pediatric Approval 35 35
93544 Ophthalmology Adult Approval 35 30
93544 Ophthalmology Pediatric Approval 35 30
93544 Orthopedic Surgery Adult Approval 35 30
93544 Orthopedic Surgery Pediatric Approval 35 30
93544 Physical Medicine and Rehabilitation Adult Approval 40 35
93544 Physical Medicine and Rehabilitation Pediatric Approval 40 35
93544 Pulmonology Adult Approval 40 35
93544 Pulmonology Pediatric Approval 75 65
93553 Endocrinology Adult Approval 95 70
93553 Endocrinology Pediatric Approval 75 70
93553 ENT/Otolaryngology Adult Approval 80 60
93553 ENT/Otolaryngology Pediatric Approval 80 60
93553 Gastroenterology Adult Approval 55 45
93553 Gastroenterology Pediatric Approval 90 70
93553 Pulmonology Adult Approval 100 75
93553 Pulmonology Pediatric Approval 80 60
93563 Gastroenterology Adult Approval 90 65
93563 Gastroenterology Pediatric Approval 75 75
93591 Endocrinology Adult Approval 35 30
93591 Endocrinology Pediatric Approval 35 30
93591 ENT/Otolaryngology Adult Approval 35 30
93591 ENT/Otolaryngology Pediatric Approval 35 30
93591 Gastroenterology Adult Approval 35 30
93591 Gastroenterology Pediatric Approval 35 30
93591 Pulmonology Adult Approval 35 30
93591 Pulmonology Pediatric Approval 35 30
90704 Cardiology/Interventional Cardiology Adult Approval 50 40
90704 Cardiology/Interventional Cardiology Pediatric Approval 50 40
90704 Dermatology Adult Approval 50 40
90704 Dermatology Pediatric Approval 50 40
90704 Endocrinology Adult Approval 50 40
90704 Endocrinology Pediatric Approval 50 40
90704 ENT/Otolaryngology Adult Approval 50 30
90704 ENT/Otolaryngology Pediatric Approval 50 30
90704 Gastroenterology Adult Approval 50 40
90704 Gastroenterology Pediatric Approval 50 40
90704 General Surgery Adult Approval 50 30
90704 General Surgery Pediatric Approval 50 30
90704 Hematology Adult Approval 50 30
90704 Hematology Pediatric Approval 50 30
90704 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 50 40
90704 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 50 40
90704 Nephrology Adult Approval 50 40
90704 Nephrology Pediatric Approval 50 40
90704 Neurology Adult Approval 50 40
90704 Neurology Pediatric Approval 50 40
90704 OB/GYN N/A Approval 50 30
90704 Oncology Adult Approval 50 30
90704 Oncology Pediatric Approval 50 30
90704 Ophthalmology Adult Approval 50 30
90704 Ophthalmology Pediatric Approval 50 30
90704 Orthopedic Surgery Adult Approval 50 40
90704 Orthopedic Surgery Pediatric Approval 50 40
90704 Physical Medicine and Rehabilitation Adult Approval 50 40
90704 Physical Medicine and Rehabilitation Pediatric Approval 50 40
90704 Psychiatry Pediatric Approval 40 30
90704 Pulmonology Adult Approval 50 40
90704 Pulmonology Pediatric Approval 50 40
Sacramento County alternate access travel time and distance standards
Zip Code Provider Type Adult, Pediatric or N/A AAS Request Determination Approved Max Time (mins) Approved Max Distance (miles)
94571 Dermatology Adult Approval 45 40
94571 Dermatology Pediatric Approval 45 45
94571 ENT/Otolaryngology Adult Approval 85 65
94571 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 35 25
94571 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 85 60
94571 Pulmonology Pediatric Approval 35 25
95610 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 35 20
95610 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 35 20
95615 Dermatology Pediatric Approval 40 30
95615 ENT/Otolaryngology Adult Approval 35 25
95615 ENT/Otolaryngology Pediatric Approval 35 25
95615 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 35 25
95615 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 35 25
95615 Pulmonology Pediatric Approval 35 25
95630 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 35 25
95630 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 35 25
95632 Dermatology Adult Approval 35 25
95632 Dermatology Pediatric Approval 65 45
95632 ENT/Otolaryngology Adult Approval 65 50
95632 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 60 40
95632 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 60 40
95632 Pulmonology Pediatric Approval 60 40
95638 Dermatology Adult Approval 35 30
95638 Dermatology Pediatric Approval 35 30
95638 ENT/Otolaryngology Adult Approval 35 30
95638 ENT/Otolaryngology Pediatric Approval 35 30
95638 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 45 35
95638 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 45 35
95638 Pulmonology Pediatric Approval 35 30
95641 Dermatology Adult Approval 65 50
95641 Dermatology Pediatric Approval 70 60
95641 ENT/Otolaryngology Adult Approval 75 60
95641 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 40 30
95641 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 55 45
95641 Physical Medicine and Rehabilitation Adult Approval 60 45
95641 Physical Medicine and Rehabilitation Pediatric Approval 60 45
95641 Pulmonology Pediatric Approval 55 45
95662 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 35 20
95662 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 35 20
95683 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 35 25
95683 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 35 25
95683 Physical Medicine and Rehabilitation Adult Approval 35 25
95683 Physical Medicine and Rehabilitation Pediatric Approval 35 25
95690 Dermatology Adult Approval 40 30
95690 Dermatology Pediatric Approval 50 35
95690 ENT/Otolaryngology Adult Approval 45 35
95690 ENT/Otolaryngology Pediatric Approval 35 30
95690 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 55 45
95690 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 55 45
95690 Physical Medicine and Rehabilitation Adult Approval 40 30
95690 Physical Medicine and Rehabilitation Pediatric Approval 40 30
95690 Pulmonology Pediatric Approval 55 45
95693 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 40 30
95693 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 40 30
95693 Pulmonology Pediatric Approval 35 25
San Diego County alternate access travel time and distance standards
ZIP Code Provider Type Adult, Pediatric or N/A AAS Request Determination Approved Max Time (mins) Approved Max Distance (miles)
91901 Endocrinology Adult Approval 80 50
91901 Endocrinology Pediatric Approval 75 45
91901 Neurology Pediatric Approval 35 25
91901 Physical Medicine and Rehabilitation Adult Approval 35 25
91901 Physical Medicine and Rehabilitation Pediatric Approval 70 45
91905 Cardiology/Interventional Cardiology Adult Approval 95 60
91905 Cardiology/Interventional Cardiology Pediatric Approval 95 60
91905 Dermatology Adult Approval 70 60
91905 Dermatology Pediatric Approval 70 60
91905 Endocrinology Adult Approval 110 65
91905 Endocrinology Pediatric Approval 110 65
91905 ENT/Otolaryngology Adult Approval 70 50
91905 ENT/Otolaryngology Pediatric Approval 70 50
91905 Gastroenterology Adult Approval 60 50
91905 Gastroenterology Pediatric Approval 65 45
91905 General Surgery Adult Approval 55 45
91905 General Surgery Pediatric Approval 55 45
91905 Hematology Adult Approval 70 50
91905 Hematology Pediatric Approval 70 50
91905 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 70 50
91905 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 70 50
91905 Hospital N/A Approval 75 70
91905 Nephrology Adult Approval 70 50
91905 Nephrology Pediatric Approval 70 50
91905 Neurology Adult Approval 70 50
91905 Neurology Pediatric Approval 80 70
91905 OB/GYN N/A Approval 65 45
91905 Oncology Adult Approval 70 65
91905 Oncology Pediatric Approval 70 65
91905 Ophthalmology Adult Approval 45 40
91905 Ophthalmology Pediatric Approval 45 40
91905 Orthopedic Surgery Adult Approval 70 50
91905 Orthopedic Surgery Pediatric Approval 70 50
91905 Physical Medicine and Rehabilitation Adult Approval 70 50
91905 Physical Medicine and Rehabilitation Pediatric Approval 100 60
91905 Psychiatry Adult Approval 50 45
91905 Psychiatry Pediatric Approval 60 45
91905 Pulmonology Adult Approval 100 60
91905 Pulmonology Pediatric Approval 100 60
91906 Cardiology/Interventional Cardiology Adult Approval 45 40
91906 Cardiology/Interventional Cardiology Pediatric Approval 45 40
91906 Dermatology Adult Approval 55 40
91906 Dermatology Pediatric Approval 50 40
91906 Endocrinology Adult Approval 90 60
91906 Endocrinology Pediatric Approval 90 60
91906 ENT/Otolaryngology Adult Approval 60 45
91906 ENT/Otolaryngology Pediatric Approval 60 45
91906 Gastroenterology Adult Approval 90 60
91906 Gastroenterology Pediatric Approval 60 40
91906 General Surgery Adult Approval 50 40
91906 General Surgery Pediatric Approval 45 40
91906 Hematology Adult Approval 60 45
91906 Hematology Pediatric Approval 80 60
91906 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 60 45
91906 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 60 45
91906 Hospital N/A Approval 60 45
91906 Nephrology Adult Approval 90 60
91906 Nephrology Pediatric Approval 90 60
91906 Neurology Adult Approval 80 60
91906 Neurology Pediatric Approval 60 45
91906 OB/GYN N/A Approval 60 55
91906 Oncology Adult Approval 60 45
91906 Oncology Pediatric Approval 80 60
91906 Ophthalmology Adult Approval 40 35
91906 Ophthalmology Pediatric Approval 40 35
91906 Orthopedic Surgery Adult Approval 70 65
91906 Orthopedic Surgery Pediatric Approval 70 65
91906 Physical Medicine and Rehabilitation Adult Approval 90 60
91906 Physical Medicine and Rehabilitation Pediatric Approval 55 40
91906 Psychiatry Adult Approval 45 40
91906 Psychiatry Pediatric Approval 55 40
91906 Pulmonology Adult Approval 45 40
91906 Pulmonology Pediatric Approval 45 40
91916 Dermatology Adult Approval 35 30
91916 Endocrinology Adult Approval 55 55
91916 Endocrinology Pediatric Approval 45 40
91916 ENT/Otolaryngology Adult Approval 45 30
91916 ENT/Otolaryngology Pediatric Approval 45 30
91916 Gastroenterology Adult Approval 35 30
91916 Gastroenterology Pediatric Approval 40 30
91916 Hematology Adult Approval 45 30
91916 Hematology Pediatric Approval 45 35
91916 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 40 30
91916 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 40 30
91916 Hospital N/A Approval 40 30
91916 Nephrology Adult Approval 40 30
91916 Nephrology Pediatric Approval 40 30
91916 Neurology Adult Approval 40 30
91916 Neurology Pediatric Approval 60 60
91916 OB/GYN N/A Approval 40 30
91916 Oncology Adult Approval 45 30
91916 Oncology Pediatric Approval 45 35
91916 Orthopedic Surgery Adult Approval 40 30
91916 Orthopedic Surgery Pediatric Approval 40 30
91916 Physical Medicine and Rehabilitation Adult Approval 60 45
91916 Physical Medicine and Rehabilitation Pediatric Approval 45 45
91916 Pulmonology Adult Approval 40 30
91916 Pulmonology Pediatric Approval 40 30
91917 Dermatology Adult Approval 35 25
91917 Dermatology Pediatric Approval 35 25
91917 Endocrinology Adult Approval 55 40
91917 Endocrinology Pediatric Approval 55 40
91917 ENT/Otolaryngology Adult Approval 35 25
91917 ENT/Otolaryngology Pediatric Approval 35 25
91917 Gastroenterology Adult Approval 35 25
91917 Gastroenterology Pediatric Approval 35 25
91917 General Surgery Adult Approval 35 25
91917 Hematology Adult Approval 45 30
91917 Hematology Pediatric Approval 35 25
91917 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 55 40
91917 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 55 40
91917 Hospital N/A Approval 35 25
91917 Nephrology Adult Approval 35 25
91917 Nephrology Pediatric Approval 35 25
91917 Neurology Adult Approval 35 25
91917 Neurology Pediatric Approval 40 30
91917 OB/GYN N/A Approval 35 25
91917 Oncology Adult Approval 45 30
91917 Oncology Pediatric Approval 35 25
91917 Orthopedic Surgery Adult Approval 90 40
91917 Orthopedic Surgery Pediatric Approval 90 40
91917 Physical Medicine and Rehabilitation Adult Approval 55 40
91934 Cardiology/Interventional Cardiology Adult Approval 65 55
91934 Cardiology/Interventional Cardiology Pediatric Approval 65 55
91934 Dermatology Adult Approval 75 55
91934 Dermatology Pediatric Approval 65 55
91934 Endocrinology Adult Approval 80 60
91934 Endocrinology Pediatric Approval 80 60
91934 ENT/Otolaryngology Adult Approval 80 60
91934 ENT/Otolaryngology Pediatric Approval 80 60
91934 Gastroenterology Adult Approval 70 60
91934 Gastroenterology Pediatric Approval 80 55
91934 General Surgery Adult Approval 65 55
91934 General Surgery Pediatric Approval 65 55
91934 Hematology Adult Approval 80 60
91934 Hematology Pediatric Approval 80 60
91934 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 80 60
91934 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 80 60
91934 Hospital N/A Approval 95 70
91934 Nephrology Adult Approval 80 60
91934 Nephrology Pediatric Approval 80 60
91934 Neurology Adult Approval 80 60
91934 Neurology Pediatric Approval 80 60
91934 OB/GYN N/A Approval 75 55
91934 Oncology Adult Approval 80 60
91934 Oncology Pediatric Approval 80 60
91934 Ophthalmology Adult Approval 50 50
91934 Ophthalmology Pediatric Approval 50 50
91934 Orthopedic Surgery Adult Approval 80 60
91934 Orthopedic Surgery Pediatric Approval 80 60
91934 Physical Medicine and Rehabilitation Adult Approval 80 60
91934 Physical Medicine and Rehabilitation Pediatric Approval 75 55
91934 Psychiatry Adult Approval 95 85
91934 Psychiatry Pediatric Approval 70 55
91934 Pulmonology Adult Approval 65 55
91934 Pulmonology Pediatric Approval 65 55
91935 Endocrinology Adult Approval 35 25
91935 Endocrinology Pediatric Approval 35 25
91935 ENT/Otolaryngology Adult Approval 35 25
91935 Hematology Adult Approval 35 25
91935 Hematology Pediatric Approval 35 25
91935 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 35 25
91935 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 35 25
91935 Neurology Adult Approval 35 25
91935 Neurology Pediatric Approval 35 25
91935 Oncology Adult Approval 35 25
91935 Oncology Pediatric Approval 35 25
91935 Physical Medicine and Rehabilitation Adult Approval 35 25
91962 Cardiology/Interventional Cardiology Adult Approval 45 40
91962 Cardiology/Interventional Cardiology Pediatric Approval 80 55
91962 Dermatology Adult Approval 85 55
91962 Dermatology Pediatric Approval 85 55
91962 Endocrinology Adult Approval 105 80
91962 Endocrinology Pediatric Approval 100 70
91962 ENT/Otolaryngology Adult Approval 85 55
91962 ENT/Otolaryngology Pediatric Approval 85 55
91962 Gastroenterology Adult Approval 50 45
91962 Gastroenterology Pediatric Approval 55 40
91962 General Surgery Adult Approval 45 40
91962 General Surgery Pediatric Approval 45 40
91962 Hematology Adult Approval 85 55
91962 Hematology Pediatric Approval 95 70
91962 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 85 55
91962 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 85 55
91962 Hospital N/A Approval 85 55
91962 Nephrology Adult Approval 85 55
91962 Nephrology Pediatric Approval 85 55
91962 Neurology Adult Approval 75 55
91962 Neurology Pediatric Approval 95 65
91962 OB/GYN N/A Approval 80 55
91962 Oncology Adult Approval 85 55
91962 Oncology Pediatric Approval 85 55
91962 Ophthalmology Adult Approval 35 30
91962 Ophthalmology Pediatric Approval 35 30
91962 Orthopedic Surgery Adult Approval 85 55
91962 Orthopedic Surgery Pediatric Approval 85 55
91962 Physical Medicine and Rehabilitation Adult Approval 95 70
91962 Physical Medicine and Rehabilitation Pediatric Approval 95 65
91962 Psychiatry Pediatric Approval 50 40
91962 Pulmonology Adult Approval 90 60
91962 Pulmonology Pediatric Approval 85 55
91963 Cardiology/Interventional Cardiology Adult Approval 70 50
91963 Cardiology/Interventional Cardiology Pediatric Approval 85 65
91963 Dermatology Adult Approval 70 50
91963 Dermatology Pediatric Approval 70 50
91963 Endocrinology Adult Approval 85 65
91963 Endocrinology Pediatric Approval 90 65
91963 ENT/Otolaryngology Adult Approval 105 60
91963 ENT/Otolaryngology Pediatric Approval 95 65
91963 Gastroenterology Adult Approval 85 65
91963 Gastroenterology Pediatric Approval 90 65
91963 General Surgery Adult Approval 90 65
91963 General Surgery Pediatric Approval 85 60
91963 Hematology Adult Approval 75 50
91963 Hematology Pediatric Approval 95 65
91963 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 90 70
91963 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 90 70
91963 Hospital N/A Approval 90 65
91963 Nephrology Adult Approval 90 65
91963 Nephrology Pediatric Approval 90 65
91963 Neurology Adult Approval 95 65
91963 Neurology Pediatric Approval 85 65
91963 OB/GYN N/A Approval 95 65
91963 Oncology Adult Approval 75 50
91963 Oncology Pediatric Approval 85 60
91963 Orthopedic Surgery Adult Approval 90 65
91963 Orthopedic Surgery Pediatric Approval 90 65
91963 Physical Medicine and Rehabilitation Adult Approval 90 65
91963 Physical Medicine and Rehabilitation Pediatric Approval 85 60
91963 Psychiatry Pediatric Approval 45 35
91963 Pulmonology Adult Approval 75 50
91963 Pulmonology Pediatric Approval 75 50
91980 Cardiology/Interventional Cardiology Adult Approval 35 30
91980 Cardiology/Interventional Cardiology Pediatric Approval 35 30
91980 Dermatology Adult Approval 65 45
91980 Dermatology Pediatric Approval 65 45
91980 Endocrinology Adult Approval 65 45
91980 Endocrinology Pediatric Approval 65 45
91980 ENT/Otolaryngology Adult Approval 40 30
91980 ENT/Otolaryngology Pediatric Approval 40 30
91980 Gastroenterology Adult Approval 45 30
91980 Gastroenterology Pediatric Approval 45 30
91980 General Surgery Adult Approval 40 30
91980 General Surgery Pediatric Approval 35 30
91980 Hematology Adult Approval 50 35
91980 Hematology Pediatric Approval 40 30
91980 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 45 30
91980 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 45 30
91980 Hospital N/A Approval 40 30
91980 Nephrology Adult Approval 45 30
91980 Nephrology Pediatric Approval 45 30
91980 Neurology Adult Approval 45 30
91980 Neurology Pediatric Approval 50 35
91980 OB/GYN N/A Approval 40 30
91980 Oncology Adult Approval 50 35
91980 Oncology Pediatric Approval 40 30
91980 Orthopedic Surgery Adult Approval 45 30
91980 Orthopedic Surgery Pediatric Approval 45 30
91980 Physical Medicine and Rehabilitation Adult Approval 65 45
91980 Physical Medicine and Rehabilitation Pediatric Approval 40 30
91980 Pulmonology Adult Approval 35 30
91980 Pulmonology Pediatric Approval 35 30
92003 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 35 30
92003 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 35 30
92004 Cardiology/Interventional Cardiology Adult Approval 70 60
92004 Cardiology/Interventional Cardiology Pediatric Approval 70 60
92004 Dermatology Adult Approval 70 60
92004 Dermatology Pediatric Approval 70 60
92004 Endocrinology Adult Approval 155 120
92004 Endocrinology Pediatric Approval 155 120
92004 ENT/Otolaryngology Adult Approval 155 125
92004 ENT/Otolaryngology Pediatric Approval 155 120
92004 Gastroenterology Adult Approval 155 120
92004 Gastroenterology Pediatric Approval 155 120
92004 General Surgery Adult Approval 115 100
92004 General Surgery Pediatric Approval 95 100
92004 Hematology Adult Approval 150 125
92004 Hematology Pediatric Approval 140 110
92004 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 130 120
92004 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 130 120
92004 Hospital N/A Approval 90 85
92004 Nephrology Adult Approval 155 120
92004 Nephrology Pediatric Approval 130 120
92004 Neurology Adult Approval 155 120
92004 Neurology Pediatric Approval 155 120
92004 OB/GYN N/A Approval 150 120
92004 Oncology Adult Approval 155 120
92004 Oncology Pediatric Approval 155 120
92004 Ophthalmology Adult Approval 115 95
92004 Ophthalmology Pediatric Approval 115 95
92004 Orthopedic Surgery Adult Approval 150 120
92004 Orthopedic Surgery Pediatric Approval 150 120
92004 PCP Adult Approval 70 65
92004 Physical Medicine and Rehabilitation Adult Approval 155 125
92004 Physical Medicine and Rehabilitation Pediatric Approval 130 120
92004 Psychiatry Adult Approval 95 85
92004 Psychiatry Pediatric Approval 145 120
92004 Pulmonology Adult Approval 135 135
92004 Pulmonology Pediatric Approval 155 120
92008 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 40 25
92008 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 40 25
92009 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 35 20
92009 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 35 20
92010 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 40 25
92010 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 40 25
92011 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 40 25
92011 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 40 25
92026 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 35 25
92026 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 35 25
92026 Pulmonology Adult Approval 35 25
92028 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 75 65
92028 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 50 45
92028 Physical Medicine and Rehabilitation Adult Approval 35 30
92028 Physical Medicine and Rehabilitation Pediatric Approval 50 40
92028 Pulmonology Adult Approval 60 65
92036 Cardiology/Interventional Cardiology Adult Approval 115 85
92036 Cardiology/Interventional Cardiology Pediatric Approval 115 85
92036 Dermatology Adult Approval 105 85
92036 Dermatology Pediatric Approval 115 85
92036 Endocrinology Adult Approval 110 80
92036 Endocrinology Pediatric Approval 115 80
92036 ENT/Otolaryngology Adult Approval 115 90
92036 ENT/Otolaryngology Pediatric Approval 110 90
92036 Gastroenterology Adult Approval 120 85
92036 Gastroenterology Pediatric Approval 100 80
92036 General Surgery Adult Approval 85 90
92036 General Surgery Pediatric Approval 110 90
92036 Hematology Adult Approval 110 90
92036 Hematology Pediatric Approval 110 90
92036 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 105 90
92036 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 100 90
92036 Hospital N/A Approval 110 90
92036 Nephrology Adult Approval 120 85
92036 Nephrology Pediatric Approval 120 85
92036 Neurology Adult Approval 120 85
92036 Neurology Pediatric Approval 110 80
92036 OB/GYN N/A Approval 100 90
92036 Oncology Adult Approval 105 90
92036 Oncology Pediatric Approval 100 90
92036 Ophthalmology Adult Approval 95 75
92036 Ophthalmology Pediatric Approval 95 75
92036 Orthopedic Surgery Adult Approval 115 90
92036 Orthopedic Surgery Pediatric Approval 115 90
92036 Physical Medicine and Rehabilitation Adult Approval 115 80
92036 Physical Medicine and Rehabilitation Pediatric Approval 115 80
92036 Pulmonology Adult Approval 115 95
92036 Pulmonology Pediatric Approval 105 90
92054 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 45 45
92054 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 45 45
92055 Endocrinology Adult Approval 45 35
92055 Endocrinology Pediatric Approval 45 35
92055 ENT/Otolaryngology Adult Approval 45 35
92055 ENT/Otolaryngology Pediatric Approval 45 30
92055 Gastroenterology Adult Approval 45 35
92055 Gastroenterology Pediatric Approval 45 35
92055 General Surgery Adult Approval 45 30
92055 General Surgery Pediatric Approval 45 30
92055 Hematology Adult Approval 45 35
92055 Hematology Pediatric Approval 45 35
92055 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 50 30
92055 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 110 70
92055 Nephrology Adult Approval 45 35
92055 Nephrology Pediatric Approval 45 35
92055 OB/GYN N/A Approval 40 35
92055 Oncology Adult Approval 50 35
92055 Oncology Pediatric Approval 45 35
92055 Physical Medicine and Rehabilitation Adult Approval 50 35
92055 Physical Medicine and Rehabilitation Pediatric Approval 50 35
92055 Pulmonology Adult Approval 50 40
92055 Pulmonology Pediatric Approval 45 35
92056 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 50 30
92056 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 50 30
92057 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 50 30
92057 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 50 30
92058 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 50 35
92058 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 50 35
92059 Endocrinology Adult Approval 40 30
92059 Endocrinology Pediatric Approval 40 30
92059 ENT/Otolaryngology Adult Approval 45 35
92059 ENT/Otolaryngology Pediatric Approval 40 30
92059 Gastroenterology Adult Approval 35 30
92059 Gastroenterology Pediatric Approval 35 30
92059 General Surgery Adult Approval 35 30
92059 General Surgery Pediatric Approval 35 30
92059 Hematology Adult Approval 40 35
92059 Hematology Pediatric Approval 40 35
92059 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 45 40
92059 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 45 40
92059 Nephrology Adult Approval 35 30
92059 Nephrology Pediatric Approval 35 30
92059 OB/GYN N/A Approval 35 30
92059 Oncology Adult Approval 40 30
92059 Oncology Pediatric Approval 40 30
92059 Physical Medicine and Rehabilitation Adult Approval 45 35
92059 Physical Medicine and Rehabilitation Pediatric Approval 40 35
92059 Pulmonology Adult Approval 55 45
92059 Pulmonology Pediatric Approval 40 30
92061 ENT/Otolaryngology Adult Approval 35 30
92061 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 40 30
92061 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 40 30
92061 Physical Medicine and Rehabilitation Adult Approval 75 45
92061 Pulmonology Adult Approval 105 65
92065 Hematology Pediatric Approval 100 65
92065 Pulmonology Adult Approval 100 70
92066 Cardiology/Interventional Cardiology Adult Approval 90 65
92066 Cardiology/Interventional Cardiology Pediatric Approval 90 70
92066 Dermatology Adult Approval 90 65
92066 Dermatology Pediatric Approval 90 65
92066 Endocrinology Adult Approval 90 65
92066 Endocrinology Pediatric Approval 90 65
92066 ENT/Otolaryngology Adult Approval 90 70
92066 ENT/Otolaryngology Pediatric Approval 90 65
92066 Gastroenterology Adult Approval 85 65
92066 Gastroenterology Pediatric Approval 85 65
92066 General Surgery Adult Approval 85 65
92066 General Surgery Pediatric Approval 85 65
92066 Hematology Adult Approval 90 65
92066 Hematology Pediatric Approval 90 65
92066 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 85 65
92066 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 85 65
92066 Hospital N/A Approval 75 60
92066 Nephrology Adult Approval 80 65
92066 Nephrology Pediatric Approval 80 65
92066 Neurology Adult Approval 90 65
92066 Neurology Pediatric Approval 90 65
92066 OB/GYN N/A Approval 85 65
92066 Oncology Adult Approval 90 65
92066 Oncology Pediatric Approval 90 65
92066 Ophthalmology Adult Approval 85 65
92066 Ophthalmology Pediatric Approval 90 65
92066 Orthopedic Surgery Adult Approval 85 65
92066 Orthopedic Surgery Pediatric Approval 85 65
92066 Physical Medicine and Rehabilitation Adult Approval 95 70
92066 Physical Medicine and Rehabilitation Pediatric Approval 90 65
92066 Psychiatry Adult Approval 85 65
92066 Psychiatry Pediatric Approval 85 65
92066 Pulmonology Adult Approval 110 85
92066 Pulmonology Pediatric Approval 110 85
92070 Cardiology/Interventional Cardiology Adult Approval 75 45
92070 Cardiology/Interventional Cardiology Pediatric Approval 75 45
92070 Dermatology Adult Approval 40 35
92070 Dermatology Pediatric Approval 75 45
92070 Endocrinology Adult Approval 95 50
92070 Endocrinology Pediatric Approval 35 30
92070 ENT/Otolaryngology Adult Approval 65 50
92070 ENT/Otolaryngology Pediatric Approval 75 45
92070 Gastroenterology Adult Approval 70 45
92070 Gastroenterology Pediatric Approval 70 45
92070 Hematology Adult Approval 80 50
92070 Hematology Pediatric Approval 80 50
92070 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 45 40
92070 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 45 40
92070 Hospital N/A Approval 65 45
92070 Nephrology Adult Approval 60 45
92070 Nephrology Pediatric Approval 60 45
92070 Oncology Adult Approval 75 45
92070 Oncology Pediatric Approval 75 45
92070 Ophthalmology Adult Approval 75 45
92070 Ophthalmology Pediatric Approval 75 45
92070 Orthopedic Surgery Adult Approval 70 45
92070 Orthopedic Surgery Pediatric Approval 70 45
92070 Physical Medicine and Rehabilitation Adult Approval 65 50
92070 Physical Medicine and Rehabilitation Pediatric Approval 75 50
92070 Pulmonology Adult Approval 85 65
92070 Pulmonology Pediatric Approval 75 45
92081 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 45 25
92081 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 45 25
92082 Pulmonology Adult Approval 105 50
92083 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 45 25
92083 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 45 25
92084 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 40 30
92084 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 40 30
92086 Cardiology/Interventional Cardiology Adult Approval 100 75
92086 Cardiology/Interventional Cardiology Pediatric Approval 100 75
92086 Dermatology Adult Approval 105 80
92086 Dermatology Pediatric Approval 105 80
92086 Endocrinology Adult Approval 120 75
92086 Endocrinology Pediatric Approval 120 75
92086 ENT/Otolaryngology Adult Approval 125 80
92086 ENT/Otolaryngology Pediatric Approval 120 75
92086 Gastroenterology Adult Approval 110 75
92086 Gastroenterology Pediatric Approval 110 75
92086 General Surgery Adult Approval 120 75
92086 General Surgery Pediatric Approval 120 75
92086 Hematology Adult Approval 115 75
92086 Hematology Pediatric Approval 115 75
92086 HIV/AIDS Specialists/ Infectious Diseases Adult Approval 125 85
92086 HIV/AIDS Specialists/ Infectious Diseases Pediatric Approval 125 85
92086 Hospital N/A Approval 95 70
92086 Nephrology Adult Approval 115 80
92086 Nephrology Pediatric Approval 115 80
92086 Neurology Adult Approval 105 80
92086 Neurology Pediatric Approval 105 80
92086 OB/GYN N/A Approval 115 80
92086 Oncology Adult Approval 120 75
92086 Oncology Pediatric Approval 120 75
92086 Ophthalmology Adult Approval 110 75
92086 Ophthalmology Pediatric Approval 110 75
92086 Orthopedic Surgery Adult Approval 110 75
92086 Orthopedic Surgery Pediatric Approval 110 75
92086 Physical Medicine and Rehabilitation Adult Approval 110 80
92086 Physical Medicine and Rehabilitation Pediatric Approval 105 75
92086 Pulmonology Adult Approval 140 90
92086 Pulmonology Pediatric Approval 120 75
92173 Hematology Adult Approval 35 20
92173 Oncology Adult Approval 35 20
Stanislaus County alternate access travel time and distance standards
Zip Code Provider Type Adult, Pediatric or N/A AAS Request Determination Approved Max Time (mins) Approved Max Distance (miles)
95360 Hospital N/A Approval 130 55
95363 Hospital N/A Approval 40 30
Tulare County alternate access travel time and distance standards
Zip Code Provider Type Adult, Pediatric or N/A AAS Request Determination Approved Max Time (minutes) Approved Max Distance (miles)
93207 Hospital N/A Approval 35 30
93260 Hospital N/A Approval 35 30
93262 Hospital N/A Approval 100 70
93265 Hospital N/A Approval 35 30
93271 Hospital N/A Approval 35 35
93527 Hospital N/A Approval 45 45
93527 PCP Adult Approval 45 45
93527 PCP Pediatric Approval 45 45
93603 Hospital N/A Approval 35 35
Last Updated: 03/11/2022