Skip to Main Content

Time and Distance to Care

California Health & Wellness (CHW) must follow travel time and distance standards for your care. The standards help to make sure you are able to get care without having to travel too long or too far from where you live. Travel time and distance standards vary by county. The table below shows this travel time and distance standard.

Time and Distance to Care
PROVIDER TYPE TIME AND DISTANCE TO CARE FROM MEMBERS RESIDENCE WITHIN
Primary Care (Adult and Pediatric) and Obstetrics/Gynecology (OB/GYN) Primary Care 10 miles or 30 minutes
Specialty Care1 and Mental Health (non-psychiatry) Outpatient Service (Adult and Pediatric)

Placer County: 30 miles or 60 minutes

Amador, Butte, Sutter, El Dorado, Nevada, Yuba Counties: 45 miles or 75 minutes

Alpine, Calaveras, Colusa, Glenn, Imperial, Inyo, Mariposa, Mono, Plumas, Sierra, Tehama, Tuolumne Counties: 60 miles or 90 minutes
Hospitals 15 miles or 30 minutes
Pharmacy 10 miles or 30 minutes

1ADULT AND PEDIATRIC SPECIALITY CARE

  • 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 CHW cannot provide care to you within the travel standards, a new one may be used. It's called an alternative access standard. If you need care from a provider (or other provider) that’s far from where you live, you can call Member Services at 1-877-658-0305 (For TTY, contact California Relay by dialing 711 and provide the 1-877-658-0305 number) for help. Member Services can help find a doctor closer to you.

If CHW cannot find a closer doctor, you can request for CHW to arrange transportation to see the doctor that's far from where you live. Note: "Far" means you cannot get to a doctor (or other provider) within the CHW travel time and distance standards for your county – despite any alternative access standard CHW may use for your ZIP code.

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

Time and Distance to Care
ZIP Code Access Type Category Type (Pediatric or Adults, Not Applicable) Approved Alternative Access Standard
(Minutes)
Approved Alternative Access Standard
(Miles)
Approval Date
95223 HIV AIDS/Infectious Disease Adult 100 75 1/17/2020
95223 HIV AIDS/Infectious Disease Pediatric 100 75 1/17/2020
95223 Hospital Not Applicable 35 35 1/17/2020
95223 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 55 50 1/17/2020
95223 Primary Care Provider Adult 35 35 1/17/2020
95223 Primary Care Provider Pediatric 35 35 1/17/2020
96120 HIV AIDS/Infectious Disease Adult 125 95 1/17/2020
96120 HIV AIDS/Infectious Disease Pediatric 125 95 1/17/2020
96120 Hospital Not Applicable 40 40 1/17/2020
96120 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 85 80 1/17/2020
96120 Pharmacy Not Applicable 35 30 1/17/2020
96120 Primary Care Provider Adult 40 40 1/17/2020

 

Time and Distance to Care
ZIP Code Access Type Category Type (Pediatric or Adults, Not Applicable) Approved Alternative Access Standard
(Minutes)
Approved Alternative Access Standard
(Miles)
Approval Date
95629 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 55 45 1/17/2020
95640 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 55 45 1/17/2020
95642 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 50 45 1/17/2020
95665 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 50 45 1/17/2020
95666 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 45 40 1/17/2020
95669 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 55 45 1/17/2020
95685 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 55 45 1/17/2020
95689 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 50 45 1/17/2020
Time and Distance to Care
ZIP Code Access Type Category Type (Pediatric or Adults, Not Applicable) Approved Alternative Access Standard
(Minutes)
Approved Alternative Access Standard
(Miles)
Approval Date
95941 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 35 30 1/17/2020
95942 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 35 35 1/17/2020
Time and Distance to Care
ZIP Code Access Type Category Type (Pediatric or Adults, Not Applicable) Approved Alternative Access Standard
(Minutes)
Approved Alternative Access Standard
(Miles)
Approval Date
95223 Hospital Not Applicable 40 40 1/17/2020
95223 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 50 45 1/17/2020
95223 Pharmacy Not Applicable 35 35 1/17/2020
95232 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 40 35 1/17/2020
95236 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 40 35 1/17/2020
95245 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 45 40 1/17/2020
95246 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 35 35 1/17/2020
95249 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 40 35 1/17/2020
95252 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 45 40 1/17/2020
95255 Hospital Not Applicable 40 40 1/17/2020
95255 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 45 45 1/17/2020
95257 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 40 35 1/17/2020
Time and Distance to Care
ZIP Code Access Type Category Type (Pediatric or Adults, Not Applicable) Approved Alternative Access Standard
(Minutes)
Approved Alternative Access Standard
(Miles)
Approval Date
95912 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 70 55 1/17/2020
95932 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 50 45 1/17/2020
95957 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 50 45 1/17/2020
95970 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 40 40 1/17/2020
95979 Hospital Not Applicable 35 35 1/17/2020
95979 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 80 70 1/17/2020
95979 Pharmacy Not Applicable 35 30 1/17/2020
95979 Primary Care Provider Adult 45 40 1/17/2020
95979 Primary Care Provider Pediatric 45 40 1/17/2020
95987 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 70 65 1/17/2020
Time and Distance to Care
ZIP Code Access Type Category Type (Pediatric or Adults, Not Applicable) Approved Alternative Access Standard
(Minutes)
Approved Alternative Access Standard
(Miles)
Approval Date
95614 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 50 40 1/17/2020
95619 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 45 35 1/17/2020
95623 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 45 35 1/17/2020
95629 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 55 40 1/17/2020
95633 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 55 40 1/17/2020
95634 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 70 50 1/17/2020
95635 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 55 40 1/17/2020
95636 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 50 60 1/17/2020
95651 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 50 35 1/17/2020
95664 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 40 30 1/17/2020
95667 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 55 40 1/17/2020
95672 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 35 25 1/17/2020
95682 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 40 30 1/17/2020
95684 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 60 45 1/17/2020
95709 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 60 45 1/17/2020
95720 HIV AIDS/Infectious Disease Adult 90 65 1/17/2020
95720 HIV AIDS/Infectious Disease Pediatric 90 65 1/17/2020
95720 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 70 65 1/17/2020
95726 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 65 50 1/17/2020
95735 HIV AIDS/Infectious Disease Adult 95 65 1/17/2020
95735 HIV AIDS/Infectious Disease Pediatric 95 70 1/17/2020
95735 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 70 65 1/17/2020
96150 HIV AIDS/Infectious Disease Adult 100 75 1/17/2020
96150 HIV AIDS/Infectious Disease Pediatric 100 75 1/17/2020
96150 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 85 80 1/17/2020
Time and Distance to Care
ZIP Code Access Type Category Type (Pediatric or Adults, Not Applicable) Approved Alternative Access Standard
(Minutes)
Approved Alternative Access Standard
(Miles)
Approval Date
95920 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 35 30 1/17/2020
95939 Hospital Not Applicable 40 35 1/17/2020
95939 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 70 60 1/17/2020
95939 Pharmacy Not Applicable 35 30 1/17/2020
95939 Primary Care Provider Adult 40 35 1/17/2020
95939 Primary Care Provider Pediatric 40 35 1/17/2020
95943 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 35 30 1/17/2020
95963 Hospital Not Applicable 35 35 1/17/2020
95963 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 55 40 1/17/2020
95970 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 40 35 1/17/2020
95988 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 45 40 1/17/2020
Time and Distance to Care
ZIP Code Access Type Category Type (Pediatric or Adults, Not Applicable) Approved Alternative Access Standard
(Minutes)
Approved Alternative Access Standard
(Miles)
Approval Date
92227 Endocrinology Adult 140 110 1/17/2020
92227 Endocrinology Pediatric 140 110 1/17/2020
92227 HIV AIDS/Infectious Disease Adult 120 110 1/17/2020
92227 HIV AIDS/Infectious Disease Pediatric 145 110 1/17/2020
92231 Endocrinology Adult 140 110 1/17/2020
92231 Endocrinology Pediatric 140 110 1/17/2020
92231 HIV AIDS/Infectious Disease Adult 130 110 1/17/2020
92231 HIV AIDS/Infectious Disease Pediatric 155 110 1/17/2020
92233 Endocrinology Adult 140 110 1/17/2020
92233 Endocrinology Pediatric 140 110 1/17/2020
92233 HIV AIDS/Infectious Disease Adult 120 110 1/17/2020
92233 HIV AIDS/Infectious Disease Pediatric 140 110 1/17/2020
92233 Obstetrics/Gynecology (OB/GYN) Primary Care Not applicable 40 40 1/17/2020
92243 Endocrinology Adult 135 105 1/17/2020
92243 Endocrinology Pediatric 135 105 1/17/2020
92243 HIV AIDS/Infectious Disease Adult 125 105 1/17/2020
92243 HIV AIDS/Infectious Disease Pediatric 145 105 1/17/2020
92249 Endocrinology Adult 140 110 1/17/2020
92249 Endocrinology Pediatric 140 110 1/17/2020
92249 HIV AIDS/Infectious Disease Adult 130 110 1/17/2020
92249 HIV AIDS/Infectious Disease Pediatric 150 110 1/17/2020
92250 Endocrinology Adult 145 115 1/17/2020
92250 Endocrinology Pediatric 145 115 1/17/2020
92250 HIV AIDS/Infectious Disease Adult 135 115 1/17/2020
92250 HIV AIDS/Infectious Disease Pediatric 160 115 1/17/2020
92251 Endocrinology Adult 135 105 1/17/2020
92251 Endocrinology Pediatric 135 105 1/17/2020
92251 HIV AIDS/Infectious Disease Adult 120 105 1/17/2020
92251 HIV AIDS/Infectious Disease Pediatric 145 105 1/17/2020
92257 Endocrinology Adult 125 105 1/17/2020
92257 Endocrinology Pediatric 120 100 1/17/2020
92257 HIV AIDS/Infectious Disease Adult 105 95 1/17/2020
92257 HIV AIDS/Infectious Disease Pediatric 125 100 1/17/2020
92257 Hospital Not applicable 45 40 1/17/2020
92257 Obstetrics/Gynecology (OB/GYN) Primary Care Not applicable 50 45 1/17/2020
92257 Pharmacy Not applicable 35 30 1/17/2020
92257 Primary Care Provider Adult 40 35 1/17/2020
92274 Endocrinology Adult 100 85 1/17/2020
92274 Endocrinology Pediatric 95 80 1/17/2020
92274 HIV AIDS/Infectious Disease Pediatric 100 85 1/17/2020
92274 Hospital Not applicable 60 55 1/17/2020
92274 Obstetrics/Gynecology (OB/GYN) Primary Care Not applicable 65 60 1/17/2020
92281 Endocrinology Adult 125 105 1/17/2020
92281 Endocrinology Pediatric 125 100 1/17/2020
92281 HIV AIDS/Infectious Disease Adult 110 100 1/17/2020
92281 HIV AIDS/Infectious Disease Pediatric 130 100 1/17/2020
92283 Endocrinology Adult 200 126 1/17/2020
92283 Endocrinology Pediatric 200 126 1/17/2020
92283 ENT/Otolaryngology Pediatric 150 123 1/17/2020
92283 HIV AIDS/Infectious Disease Adult 180 107 1/17/2020
92283 HIV AIDS/Infectious Disease Pediatric 205 107 1/17/2020
92283 Hospital Not applicable 75 65 1/17/2020
92283 Obstetrics/Gynecology (OB/GYN) Primary Care Not applicable 85 75 1/17/2020
92283 Primary Care Provider Adult 70 65 1/17/2020
92283 Primary Care Provider Pediatric 60 55 1/17/2020
Time and Distance to Care
ZIP Code Access Type Category Type (Pediatric or Adults, Not Applicable) Approved Alternative Access Standard
(Minutes)
Approved Alternative Access Standard
(Miles)
Approval Date
92328 Cardiology/Interventional Cardiology Adult 145 135 1/17/2020
92328 Cardiology/Interventional Cardiology Pediatric 145 135 1/17/2020
92328 Dermatology Adult 145 135 1/17/2020
92328 Dermatology Pediatric 145 135 1/17/2020
92328 Endocrinology Adult 144 132 1/17/2020
92328 ENT/Otolaryngology Adult 195 180 1/17/2020
92328 ENT/Otolaryngology Pediatric 195 180 1/17/2020
92328 Gastroenterology Adult 145 135 1/17/2020
92328 Gastroenterology Pediatric 145 135 1/17/2020
92328 General Surgery Adult 145 135 1/17/2020
92328 General Surgery Pediatric 145 135 1/17/2020
92328 Hematology Adult 195 175 1/17/2020
92328 Hematology Pediatric 195 175 1/17/2020
92328 HIV AIDS/Infectious Disease Adult 110 100 1/17/2020
92328 HIV AIDS/Infectious Disease Pediatric 110 100 1/17/2020
92328 Hospital Not Applicable 100 100 1/17/2020
92328 Mental Health (Out-Patient Services) Adult 93.3 85.6 1/17/2020
92328 Mental Health (Out-Patient Services) Pediatric 93.3 85.6 1/17/2020
92328 Nephrology Adult 170 155 1/17/2020
92328 Nephrology Pediatric 185 160 1/17/2020
92328 Neurology Adult 185 131 1/17/2020
92328 Neurology Pediatric 195 131 1/17/2020
92328 Obstetrics/Gynecology (OB/GYN)  Not Applicable 145 135 1/17/2020
92328 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 165 155 1/17/2020
92328 Oncology Adult 280 250 1/17/2020
92328 Oncology Pediatric 195 175 1/17/2020
92328 Ophthalmology Adult 140 130 1/17/2020
92328 Ophthalmology Pediatric 140 130 1/17/2020
92328 Orthopedic Surgery Adult 145 135 1/17/2020
92328 Orthopedic Surgery Pediatric 145 135 1/17/2020
92328 Pharmacy Not Applicable 35 30 1/17/2020
92328 Physical Medicine and Rehabilitation Adult 200 185 1/17/2020
92328 Physical Medicine and Rehabilitation Pediatric 200 185 1/17/2020
92328 Primary Care Provider Adult 85 80 1/17/2020
92328 Primary Care Provider Pediatric 105 95 1/17/2020
92328 Psychiatry Adult 165 155 1/17/2020
92328 Psychiatry Pediatric 170 155 1/17/2020
92328 Pulmonology Adult 190 160 1/17/2020
92328 Pulmonology Pediatric 195 170 1/17/2020
93513 ENT/Otolaryngology Adult 140 130 1/17/2020
93513 ENT/Otolaryngology Pediatric 140 130 1/17/2020
93513 Hematology Adult 140 130 1/17/2020
93513 Hematology Pediatric 140 130 1/17/2020
93513 HIV AIDS/Infectious Disease Adult 140 120 1/17/2020
93513 HIV AIDS/Infectious Disease Pediatric 135 120 1/17/2020
93513 Hospital Not Applicable 50 50 1/17/2020
93513 Nephrology Adult 170 155 1/17/2020
93513 Nephrology Pediatric 140 130 1/17/2020
93513 Neurology Adult 140 130 1/17/2020
93513 Neurology Pediatric 140 75 1/17/2020
93513 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 150 135 1/17/2020
93513 Oncology Adult 200 180 1/17/2020
93513 Oncology Pediatric 140 130 1/17/2020
93513 Pharmacy Not Applicable 35 30 1/17/2020
93513 Physical Medicine and Rehabilitation Adult 140 130 1/17/2020
93513 Physical Medicine and Rehabilitation Pediatric 140 130 1/17/2020
93513 Primary Care Provider Adult 55 50 1/17/2020
93513 Primary Care Provider Pediatric 55 50 1/17/2020
93513 Pulmonology Adult 150 135 1/17/2020
93513 Pulmonology Pediatric 140 125 1/17/2020
93514 ENT/Otolaryngology Adult 100 90 1/17/2020
93514 ENT/Otolaryngology Pediatric 100 90 1/17/2020
93514 Hematology Adult 100 90 1/17/2020
93514 Hematology Pediatric 97 89 1/17/2020
93514 HIV AIDS/Infectious Disease Adult 155 110 1/17/2020
93514 HIV AIDS/Infectious Disease Pediatric 115 110 1/17/2020
93514 Hospital Not Applicable 40 35 1/17/2020
93514 Nephrology Adult 145 135 1/17/2020
93514 Nephrology Pediatric 100 90 1/17/2020
93514 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 135 125 1/17/2020
93514 Oncology Adult 190 160 1/17/2020
93514 Oncology Pediatric 100 90 1/17/2020
93514 Physical Medicine and Rehabilitation Adult 100 90 1/17/2020
93514 Physical Medicine and Rehabilitation Pediatric 100 90 1/17/2020
93514 Pulmonology Adult 105 95 1/17/2020
93514 Pulmonology Pediatric 100 90 1/17/2020
93526 ENT/Otolaryngology Adult 145 135 1/17/2020
93526 ENT/Otolaryngology Pediatric 145 135 1/17/2020
93526 Hematology Adult 145 135 1/17/2020
93526 Hematology Pediatric 145 135 1/17/2020
93526 HIV AIDS/Infectious Disease Adult 125 110 1/17/2020
93526 HIV AIDS/Infectious Disease Pediatric 120 110 1/17/2020
93526 Hospital Not Applicable 60 35 1/17/2020
93526 Nephrology Adult 165 155 1/17/2020
93526 Nephrology Pediatric 145 135 1/17/2020
93526 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 150 140 1/17/2020
93526 Oncology Adult 220 205 1/17/2020
93526 Oncology Pediatric 145 135 1/17/2020
93526 Pharmacy Not Applicable 35 30 1/17/2020
93526 Physical Medicine and Rehabilitation Adult 145 135 1/17/2020
93526 Physical Medicine and Rehabilitation Pediatric 145 135 1/17/2020
93526 Primary Care Provider Adult 65 33.5 1/17/2020
93526 Primary Care Provider Pediatric 75 50 1/17/2020
93526 Psychiatry Adult 120 110 1/17/2020
93526 Psychiatry Pediatric 120 110 1/17/2020
93526 Pulmonology Adult 145 130 1/17/2020
93526 Pulmonology Pediatric 155 145 1/17/2020
93527 Cardiology/Interventional Cardiology Adult 91 76 1/17/2020
93527 Cardiology/Interventional Cardiology Pediatric 65 80 1/17/2020
93527 Dermatology Adult 130 120 1/17/2020
93527 Dermatology Pediatric 130 120 1/17/2020
93527 Endocrinology Adult 92 77 1/17/2020
93527 Endocrinology Pediatric 95 80 1/17/2020
93527 ENT/Otolaryngology Adult 145 125 1/17/2020
93527 ENT/Otolaryngology Pediatric 145 125 1/17/2020
93527 Gastroenterology Adult 95 80 1/17/2020
93527 Gastroenterology Pediatric 95 80 1/17/2020
93527 General Surgery Adult 95 80 1/17/2020
93527 Hematology Adult 150 125 1/17/2020
93527 Hematology Pediatric 150 125 1/17/2020
93527 Hospital Not Applicable 65 60 1/17/2020
93527 Nephrology Pediatric 95 80 1/17/2020
93527 Neurology Adult 95 80 1/17/2020
93527 Neurology Pediatric 150 140 1/17/2020
93527 Obstetrics/Gynecology (OB/GYN)  Not Applicable 95 90 1/17/2020
93527 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 85 80 1/17/2020
93527 Oncology Adult 140 200 1/17/2020
93527 Oncology Pediatric 150 125 1/17/2020
93527 Orthopedic Surgery Adult 240 200 1/17/2020
93527 Orthopedic Surgery Pediatric 130 120 1/17/2020
93527 Physical Medicine and Rehabilitation Adult 150 140 1/17/2020
93527 Physical Medicine and Rehabilitation Pediatric 150 140 1/17/2020
93527 Psychiatry Pediatric 95 80 1/17/2020
93527 Pulmonology Adult 95 80 1/17/2020
93527 Pulmonology Pediatric 150 125 1/17/2020
93545 Cardiology/Interventional Cardiology Adult 105 90 1/17/2020
93545 Cardiology/Interventional Cardiology Pediatric 100 87 1/17/2020
93545 Dermatology Adult 125 115 1/17/2020
93545 Dermatology Pediatric 125 115 1/17/2020
93545 Endocrinology Adult 105 90 1/17/2020
93545 Endocrinology Pediatric 105 90 1/17/2020
93545 ENT/Otolaryngology Adult 145 130 1/17/2020
93545 ENT/Otolaryngology Pediatric 145 130 1/17/2020
93545 Gastroenterology Adult 105 90 1/17/2020
93545 Gastroenterology Pediatric 105 90 1/17/2020
93545 General Surgery Adult 105 90 1/17/2020
93545 General Surgery Pediatric 105 90 1/17/2020
93545 Hematology Adult 145 130 1/17/2020
93545 Hematology Pediatric 145 130 1/17/2020
93545 Hospital Not Applicable 65 60 1/17/2020
93545 Nephrology Adult 120 110 1/17/2020
93545 Nephrology Pediatric 130 110 1/17/2020
93545 Neurology Adult 130 110 1/17/2020
93545 Neurology Pediatric 145 122 1/17/2020
93545 Obstetrics/Gynecology (OB/GYN)  Not Applicable 100 95 1/17/2020
93545 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 120 110 1/17/2020
93545 Oncology Adult 250 215 1/17/2020
93545 Oncology Pediatric 145 130 1/17/2020
93545 Orthopedic Surgery Adult 125 115 1/17/2020
93545 Orthopedic Surgery Pediatric 125 115 1/17/2020
93545 Pharmacy Not Applicable 35 30 1/17/2020
93545 Physical Medicine and Rehabilitation Adult 145 135 1/17/2020
93545 Physical Medicine and Rehabilitation Pediatric 145 135 1/17/2020
93545 Primary Care Provider Adult 45 40 1/17/2020
93545 Primary Care Provider Pediatric 75 70 1/17/2020
93545 Psychiatry Adult 120 110 1/17/2020
93545 Psychiatry Pediatric 125 110 1/17/2020
93545 Pulmonology Adult 135 115 1/17/2020
93545 Pulmonology Pediatric 145 130 1/17/2020
Time and Distance to Care
ZIP Code Access Type Category Type (Pediatric or Adults, Not Applicable) Approved Alternative Access Standard
(Minutes)
Approved Alternative Access Standard
(Miles)
Approval Date
93623 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 75 70 1/17/2020
93623 Oncology Adult 100 90 1/17/2020
93653 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 70 65 1/17/2020
93653 Oncology Adult 95 85 1/17/2020
95306 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 60 55 1/17/2020
95311 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 40 40 1/17/2020
95325 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 40 40 1/17/2020
95338 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 70 65 1/17/2020
95338 Oncology Adult 95 85 1/17/2020
95345 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 55 50 1/17/2020
95369 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 40 40 1/17/2020
95389 HIV AIDS/Infectious Disease Adult 95 70 1/17/2020
95389 Hospital Not Applicable 40 40 1/17/2020
95389 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 70 60 1/17/2020
95389 Pharmacy Not Applicable 35 35 1/17/2020
Time and Distance to Care
ZIP Code Access Type Category Type (Pediatric or Adults, Not Applicable) Approved Alternative Access Standard
(Minutes)
Approved Alternative Access Standard
(Miles)
Approval Date
93512 ENT/Otolaryngology Adult 120 110 1/17/2020
93512 ENT/Otolaryngology Pediatric 120 110 1/17/2020
93512 Hematology Adult 120 110 1/17/2020
93512 Hematology Pediatric 120 110 1/17/2020
93512 HIV AIDS/Infectious Disease Adult 12 67 1/17/2020
93512 HIV AIDS/Infectious Disease Pediatric 155 67 1/17/2020
93512 Hospital Not Applicable 45 40 1/17/2020
93512 Nephrology Adult 125 115 1/17/2020
93512 Nephrology Pediatric 120 110 1/17/2020
93512 Neurology Adult 100 65 1/17/2020
93512 Neurology Pediatric 120 65 1/17/2020
93512 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 120 110 1/17/2020
93512 Oncology Adult 140 130 1/17/2020
93512 Oncology Pediatric 120 110 1/17/2020
93512 Pharmacy Not Applicable 35 30 1/17/2020
93512 Physical Medicine and Rehabilitation Adult 120 110 1/17/2020
93512 Physical Medicine and Rehabilitation Pediatric 120 110 1/17/2020
93512 Primary Care Provider Adult 45 40 1/17/2020
93512 Primary Care Provider Pediatric 45 40 1/17/2020
93512 Pulmonology Adult 100 90 1/17/2020
93512 Pulmonology Pediatric 100 90 1/17/2020
93514 ENT/Otolaryngology Adult 115 110 1/17/2020
93514 ENT/Otolaryngology Pediatric 115 110 1/17/2020
93514 Hematology Adult 115 110 1/17/2020
93514 Hematology Pediatric 115 110 1/17/2020
93514 HIV AIDS/Infectious Disease Adult 155 110 1/17/2020
93514 HIV AIDS/Infectious Disease Pediatric 115 110 1/17/2020
93514 Hospital Not Applicable 35 32 1/17/2020
93514 Nephrology Adult 145 95 1/17/2020
93514 Nephrology Pediatric 115 95 1/17/2020
93514 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 135 120 1/17/2020
93514 Oncology Pediatric 115 105 1/17/2020
93514 Pharmacy Not Applicable 35 35 1/17/2020
93514 Physical Medicine and Rehabilitation Adult 115 110 1/17/2020
93514 Physical Medicine and Rehabilitation Pediatric 115 110 1/17/2020
93514 Primary Care Provider Adult 35 35 1/17/2020
93514 Primary Care Provider Pediatric 35 35 1/17/2020
93514 Pulmonology Adult 100 95 1/17/2020
93514 Pulmonology Pediatric 100 95 1/17/2020
93517 Hematology Pediatric 95 85 1/17/2020
93517 HIV AIDS/Infectious Disease Adult 150 120 1/17/2020
93517 HIV AIDS/Infectious Disease Pediatric 125 115 1/17/2020
93517 Hospital Not Applicable 60 55 1/17/2020
93517 Neurology Pediatric 95 85 1/17/2020
93517 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 95 85 1/17/2020
93517 Oncology Adult 95 85 1/17/2020
93517 Oncology Pediatric 95 85 1/17/2020
93517 Pharmacy Not Applicable 45 45 1/17/2020
93517 Primary Care Provider Adult 60 55 1/17/2020
93517 Primary Care Provider Pediatric 60 55 1/17/2020
93517 Pulmonology Pediatric 100 90 1/17/2020
93546 ENT/Otolaryngology Adult 95 90 1/17/2020
93546 ENT/Otolaryngology Pediatric 95 90 1/17/2020
93546 Hematology Adult 95 90 1/17/2020
93546 Hematology Pediatric 95 90 1/17/2020
93546 HIV AIDS/Infectious Disease Adult 125 90 1/17/2020
93546 HIV AIDS/Infectious Disease Pediatric 95 90 1/17/2020
93546 Nephrology Adult 120 110 1/17/2020
93546 Nephrology Pediatric 95 90 1/17/2020
93546 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 110 105 1/17/2020
93546 Oncology Adult 135 125 1/17/2020
93546 Oncology Pediatric 100 90 1/17/2020
93546 Physical Medicine and Rehabilitation Adult 95 90 1/17/2020
93546 Physical Medicine and Rehabilitation Pediatric 95 90 1/17/2020
96107 HIV AIDS/Infectious Disease Adult 125 105 1/17/2020
96107 HIV AIDS/Infectious Disease Pediatric 125 105 1/17/2020
96107 Hospital Not Applicable 60 55 1/17/2020
96107 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 85 80 1/17/2020
96107 Pharmacy Not Applicable 55 50 1/17/2020
96107 Primary Care Provider Adult 60 30 1/17/2020
96107 Primary Care Provider Pediatric 40 30 1/17/2020
96133 HIV AIDS/Infectious Disease Adult 130 105 1/17/2020
96133 HIV AIDS/Infectious Disease Pediatric 130 105 1/17/2020
96133 Hospital Not Applicable 55 50 1/17/2020
96133 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 90 80 1/17/2020
96133 Pharmacy Not Applicable 40 40 1/17/2020
96133 Primary Care Provider Adult 55 22 1/17/2020
96133 Primary Care Provider Pediatric 40 22 1/17/2020
Time and Distance to Care
ZIP Code Access Type Category Type (Pediatric or Adults, Not Applicable) Approved Alternative Access Standard
(Minutes)
Approved Alternative Access Standard
(Miles)
Approval Date
95602 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 55 40 1/17/2020
95945 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 55 50 1/17/2020
95946 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 50 45 1/17/2020
95949 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 60 45 1/17/2020
95959 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 50 45 1/17/2020
95960 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 40 35 1/17/2020
95975 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 45 40 1/17/2020
95977 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 40 40 1/17/2020
96161 HIV AIDS/Infectious Disease Adult 95 85 1/17/2020
96161 HIV AIDS/Infectious Disease Pediatric 91 82 1/17/2020
96161 Nephrology Adult 90 80 1/17/2020
96161 Nephrology Pediatric 95 85 1/17/2020
96161 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 90 85 1/17/2020
Time and Distance to Care
ZIP Code Access Type Category Type (Pediatric or Adults, Not Applicable) Approved Alternative Access Standard
(Minutes)
Approved Alternative Access Standard
(Miles)
Approval Date
95602 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 50 35 1/17/2020
95603 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 50 35 1/17/2020
95631 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 70 55 1/17/2020
95648 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 40 30 1/17/2020
95658 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 40 30 1/17/2020
95681 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 40 30 1/17/2020
95703 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 60 40 1/17/2020
95713 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 65 50 1/17/2020
95722 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 55 40 1/17/2020
96146 HIV AIDS/Infectious Disease Adult 85 75 1/17/2020
96146 HIV AIDS/Infectious Disease Pediatric 82 70 1/17/2020
96146 Nephrology Adult 80 70 1/17/2020
96146 Nephrology Pediatric 80 70 1/17/2020
96146 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 90 80 1/17/2020
96161 HIV AIDS/Infectious Disease Adult 95 85 1/17/2020
96161 HIV AIDS/Infectious Disease Adult 90 85 1/17/2020
96161 Nephrology Adult 90 85 1/17/2020
96161 Nephrology Pediatric 95 85 1/17/2020
96161 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 90 85 1/17/2020
Time and Distance to Care
ZIP Code Access Type Category Type (Pediatric or Adults, Not Applicable) Approved Alternative Access Standard
(Minutes)
Approved Alternative Access Standard
(Miles)
Approval Date
95923 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 50 45 1/17/2020
95934 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 50 45 1/17/2020
95947 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 40 40 1/17/2020
95971 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 50 45 1/17/2020
95981 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 45 45 1/17/2020
95983 Hospital Not Applicable 35 35 1/17/2020
95983 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 40 40 1/17/2020
96020 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 50 50 1/17/2020
96103 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 60 55 1/17/2020
96105 HIV AIDS/Infectious Disease Adult 105 100 1/17/2020
96105 HIV AIDS/Infectious Disease Pediatric 105 100 1/17/2020
96105 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 70 65 1/17/2020
96122 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 55 50 1/17/2020
96129 HIV AIDS/Infectious Disease Adult 95 85 1/17/2020
96129 HIV AIDS/Infectious Disease Pediatric 95 85 1/17/2020
96129 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 60 55 1/17/2020
96137 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 45 40 1/17/2020
Time and Distance to Care
ZIP Code Access Type Category Type (Pediatric or Adults, Not Applicable) Approved Alternative Access Standard
(Minutes)
Approved Alternative Access Standard
(Miles)
Approval Date
95910 Hospital Not Applicable 35 35 1/17/2020
95910 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 50 45 1/17/2020
95910 Pharmacy Not Applicable 35 30 1/17/2020
95922 Hospital Not Applicable 40 35 1/17/2020
95922 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 35 35 1/17/2020
95922 Pharmacy Not Applicable 35 30 1/17/2020
95960 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 40 35 1/17/2020
96118 HIV AIDS/Infectious Disease Adult 105 100 1/17/2020
96118 HIV AIDS/Infectious Disease Pediatric 105 100 1/17/2020
96118 Hospital Not Applicable 35 35 1/17/2020
96118 Nephrology Adult 95 90 1/17/2020
96118 Nephrology Pediatric 95 90 1/17/2020
96118 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 80 75 1/17/2020
96118 Pharmacy Not Applicable 35 30 1/17/2020
96118 Primary Care Provider Adult 35 35 1/17/2020
96118 Primary Care Provider Pediatric 35 35 1/17/2020
96124 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 70 65 1/17/2020
96125 Hospital Not Applicable 33 30 1/17/2020
96125 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 60 55 1/17/2020
96125 Pharmacy Not Applicable 35 30 1/17/2020
96126 HIV AIDS/Infectious Disease Adult 105 95 1/17/2020
96126 HIV AIDS/Infectious Disease Pediatric 105 95 1/17/2020
Time and Distance to Care
ZIP Code Access Type Category Type (Pediatric or Adults, Not Applicable) Approved Alternative Access Standard
(Minutes)
Approved Alternative Access Standard
(Miles)
Approval Date
95659 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 45 35 1/17/2020
95668 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 35 25 1/17/2020
95674 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 45 35 1/17/2020
95692 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 45 30 1/17/2020
95953 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 35 35 1/17/2020
95957 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 50 45 1/17/2020
95982 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 40 40 1/17/2020
95991 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 45 40 1/17/2020
95993 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 40 40 1/17/2020
Time and Distance to Care
ZIP Code Access Type Category Type (Pediatric or Adults, Not Applicable) Approved Alternative Access Standard
(Minutes)
Approved Alternative Access Standard
(Miles)
Approval Date
95942 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 45 45 1/17/2020
95963 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 35 25 1/17/2020
96021 Hospital Not Applicable 40 35 1/17/2020
96021 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 50 40 1/17/2020
96022 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 80 65 1/17/2020
96029 Hospital Not Applicable 45 40 1/17/2020
96029 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 55 40 1/17/2020
96035 Hospital Not Applicable 45 20 1/17/2020
96035 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 55 40 1/17/2020
96055 Hospital Not Applicable 45 20 1/17/2020
96055 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 55 40 1/17/2020
96059 Hospital Not Applicable 40 40 1/17/2020
96059 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 65 50 1/17/2020
96059 Pharmacy Not Applicable 35 30 1/17/2020
96059 Primary Care Provider Adult 35 22 1/17/2020
96059 Primary Care Provider Pediatric 35 30 1/17/2020
96061 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 55 50 1/17/2020
96061 Pharmacy Not Applicable 35 30 1/17/2020
96075 Hospital Not Applicable 45 40 1/17/2020
96075 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 65 50 1/17/2020
96075 Pharmacy Not Applicable 35 30 1/17/2020
96075 Primary Care Provider Adult 35 35 1/17/2020
96075 Primary Care Provider Pediatric 35 35 1/17/2020
96076 Hospital Not Applicable 45 45 1/17/2020
96076 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 95 80 1/17/2020
96076 Pharmacy Not Applicable 35 35 1/17/2020
96076 Primary Care Provider Adult 45 40 1/17/2020
96076 Primary Care Provider Pediatric 45 40 1/17/2020
96080 Hospital Not Applicable 45 40 1/17/2020
96080 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 75 65 1/17/2020
Time and Distance to Care
ZIP Code Access Type Category Type (Pediatric or Adults, Not Applicable) Approved Alternative Access Standard
(Minutes)
Approved Alternative Access Standard
(Miles)
Approval Date
95314 Pharmacy Not Applicable 35 35 1/17/2020
95321 Hospital Not Applicable 35 30 1/17/2020
95321 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 40 35 1/17/2020
95335 HIV AIDS/Infectious Disease Adult 100 95 1/17/2020
95335 HIV AIDS/Infectious Disease Pediatric 100 95 1/17/2020
95335 Hospital Not Applicable 55 50 1/17/2020
95335 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 55 50 1/17/2020
95335 Pharmacy Not Applicable 40 35 1/17/2020
95335 Primary Care Provider Adult 40 35 1/17/2020
95335 Primary Care Provider Pediatric 40 35 1/17/2020
95346 Hospital Not Applicable 35 20 1/17/2020
95346 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 35 35 1/17/2020
95364 HIV AIDS/Infectious Disease Adult 105 90 1/17/2020
95364 HIV AIDS/Infectious Disease Pediatric 105 95 1/17/2020
95364 Hospital Not Applicable 55 50 1/17/2020
95364 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 60 55 1/17/2020
95364 Pharmacy Not Applicable 35 30 1/17/2020
95364 Primary Care Provider Adult 45 40 1/17/2020
95364 Primary Care Provider Pediatric 40 35 1/17/2020
95389 HIV AIDS/Infectious Disease Adult 115 80 1/17/2020
95389 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 65 60 1/17/2020
Time and Distance to Care
ZIP Code Access Type Category Type (Pediatric or Adults, Not Applicable) Approved Alternative Access Standard
(Minutes)
Approved Alternative Access Standard
(Miles)
Approval Date
95692 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 45 35 1/17/2020
95903 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 40 35 1/17/2020
95918 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 35 35 1/17/2020
95922 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 30 45 1/17/2020
95935 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 35 30 1/17/2020
95960 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 40 35 1/17/2020
95961 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 45 35 1/17/2020
95962 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 35 30 1/17/2020
95977 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 40 35 1/17/2020
95981 Obstetrics/Gynecology (OB/GYN) Primary Care Not Applicable 35 35 1/17/2020