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

Time and Distance to Care

DHCS Adult and Pediatric Core Specialists

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

Kern County

Los Angeles County

Sacramento County

San Diego County

Stanislaus County

Tulare County