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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 and 30 minutes
Specialty Care1 and Mental Health (non-psychiatry) Outpatient Service (Adult and Pediatric)

Placer County: 30 miles and 60 minutes

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

Alpine, Calaveras, Colusa, Glenn, Imperial, Inyo, Mariposa, Mono, Plumas, Sierra, Tehama, Tuolumne Counties: 60 miles and 90 minutes
Hospitals 15 miles and 30 minutes
Pharmacy 10 miles and 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 your zip code and provider type are listed, CHW must help you find an appointment. You have a right to call Member Services at 1-877-658-0305 (For TTY, contact California Relay by dialing 711 and provide the 1-877-658-0305 number) to get help with finding an appointment to a closer specialist.

If CHW cannot find you an appointment with a closer specialist, CHW will arrange transportation to see the specialist.

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 Specialists/Infectious Diseases Adult 220 179 2/8/2021
95223 HIV/AIDS Specialists/Infectious Diseases Pediatric 221 187 2/8/2021
95223 Primary Care Provider Adult 180 145 2/8/2021
95223 Primary Care Provider Pediatric 180 145 2/8/2021
95223 Pharmacy Not applicable 34 31 2/8/2021
96120 Cardiology/Interventional Cardiology Pediatric 68 65 2/8/2021
96120 HIV/AIDS Specialists/Infectious Diseases Pediatric 180 136 2/8/2021
96120 Nephrology Adult 67 65 2/8/2021
96120 Nephrology Pediatric 222 137 2/8/2021
96120 Psychiatry Adult 77 70 2/8/2021

 

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 Hospital Not applicable 17 20 2/8/2021
95629 Primary Care Provider Adult 13 15 2/8/2021
95640 Hospital Not applicable 19 20 2/8/2021
95640 Primary Care Provider Adult 14 15 2/8/2021
95640 Primary Care Provider Pediatric 14 15 2/8/2021
95642 HIV/AIDS Specialists/Infectious Diseases Adult 64 50 2/8/2021
95665 HIV/AIDS Specialists/Infectious Diseases Adult 68 50 2/8/2021
95669 Hospital Not applicable 23 25 2/8/2021
95669 Pharmacy Not applicable 30 15 2/8/2021
95689 HIV/AIDS Specialists/Infectious Diseases Adult 67 50 2/8/2021
95689 Hospital Not applicable 25 25 2/8/2021
95689 Primary Care Provider Adult 15 15 2/8/2021
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
95901 Primary Care Provider Adult 14 15 2/8/2021
95901 Pharmacy Not applicable 22 20 2/8/2021
95914 Hospital Not applicable 18 20 2/8/2021
95914 Pharmacy Not applicable 30 20 2/8/2021
95916 Hospital Not applicable 22 25 2/8/2021
95916 Primary Care Provider Adult 19 20 2/8/2021
95916 Primary Care Provider Pediatric 19 20 2/8/2021
95916 Pharmacy Not applicable 107 59 2/8/2021
95917 Primary Care Provider Adult 16 15 2/8/2021
95917 Primary Care Provider Pediatric 16 15 2/8/2021
95917 Pharmacy Not applicable 30 15 2/8/2021
95917 Physical Medicine and Rehabilitation Pediatric 55 55 2/8/2021
95926 Physical Medicine and Rehabilitation Pediatric 95 70 2/8/2021
95928 Physical Medicine and Rehabilitation Pediatric 136 89 2/8/2021
95930 Hospital Not applicable 28 30 2/8/2021
95930 Primary Care Provider Adult 17 20 2/8/2021
95930 Primary Care Provider Pediatric 17 20 2/8/2021
95930 Pharmacy Not applicable 52 48 2/8/2021
95938 Primary Care Provider Adult 12 15 2/8/2021
95938 Primary Care Provider Pediatric 12 15 2/8/2021
95941 Hospital Not applicable 35 30 2/8/2021
95941 Primary Care Provider Adult 21 20 2/8/2021
95941 Primary Care Provider Pediatric 21 20 2/8/2021
95941 Pharmacy Not applicable 30 30 2/8/2021
95942 Hospital Not applicable 30 30 2/8/2021
95942 Primary Care Provider Adult 26 25 2/8/2021
95942 Primary Care Provider Pediatric 83 50 2/8/2021
95942 Pharmacy Not applicable 30 25 2/8/2021
95942 Physical Medicine and Rehabilitation Pediatric 69 65 2/8/2021
95954 Hospital Not applicable 24 25 2/8/2021
95954 Physical Medicine and Rehabilitation Pediatric 64 60 2/8/2021
95965 Primary Care Provider Adult 12 15 2/8/2021
95965 Primary Care Provider Pediatric 12 15 2/8/2021
95965 Pharmacy Not applicable 30 15 2/8/2021
95965 Physical Medicine and Rehabilitation Pediatric 168 121 2/8/2021
95966 Pharmacy Not applicable 30 15 2/8/2021
95969 Hospital Not applicable 18 20 2/8/2021
95969 Physical Medicine and Rehabilitation Pediatric 168 121 2/8/2021
95973 Hospital Not applicable 22 20 2/8/2021
95973 Primary Care Provider Adult 15 15 2/8/2021
95973 Primary Care Provider Pediatric 71 32 2/8/2021
95973 Physical Medicine and Rehabilitation Pediatric 161 126 2/8/2021
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
95222 HIV/AIDS Specialists/Infectious Diseases Pediatric 95 75 2/8/2021
95223 HIV/AIDS Specialists/Infectious Diseases Pediatric 221 187 2/8/2021
95223 Hospital Not applicable 121 78 2/8/2021
95223 Primary Care Provider Adult 35 35 2/8/2021
95223 Primary Care Provider Pediatric 180 145 2/8/2021
95223 Pharmacy Not applicable 193 154 2/8/2021
95228 HIV/AIDS Specialists/Infectious Diseases Pediatric 82 75 2/8/2021
95228 Hospital Not applicable 20 20 2/8/2021
95228 Pharmacy Not applicable 30 20 2/8/2021
95230 HIV/AIDS Specialists/Infectious Diseases Pediatric 80 65 2/8/2021
95230 Pharmacy Not applicable 14 15 2/8/2021
95236 Pharmacy Not applicable 12 13 2/8/2021
95245 Hospital Not applicable 18 20 2/8/2021
95245 Primary Care Provider Adult 12 15 2/8/2021
95245 Primary Care Provider Pediatric 58 31 2/8/2021
95245 Pharmacy Not applicable 76 40 2/8/2021
95246 HIV/AIDS Specialists/Infectious Diseases Pediatric 128 86 2/8/2021
95246 Hospital Not applicable 20 20 2/8/2021
95246 Primary Care Provider Adult 12 15 2/8/2021
95246 Primary Care Provider Pediatric 45 38 2/8/2021
95246 Pharmacy Not applicable 70 40 2/8/2021
95247 HIV/AIDS Specialists/Infectious Diseases Pediatric 146 95 2/8/2021
95249 HIV/AIDS Specialists/Infectious Diseases Pediatric 90 65 2/8/2021
95249 Pharmacy Not applicable 30 15 2/8/2021
95251 HIV/AIDS Specialists/Infectious Diseases Pediatric 105 108 2/8/2021
95252 Hospital Not applicable 20 20 2/8/2021
95252 Pharmacy Not applicable 30 15 2/8/2021
95255 HIV/AIDS Specialists/Infectious Diseases Adult 88 65 2/8/2021
95255 HIV/AIDS Specialists/Infectious Diseases Pediatric 100 75 2/8/2021
95255 Primary Care Provider Adult 27 30 2/8/2021
95255 Primary Care Provider Pediatric 27 30 2/8/2021
95255 Pharmacy Not applicable 30 30 2/8/2021
95257 HIV/AIDS Specialists/Infectious Diseases Pediatric 86 65 2/8/2021
95257 Hospital Not applicable 24 25 2/8/2021
95257 Primary Care Provider Adult 15 15 2/8/2021
95257 Primary Care Provider Pediatric 15 15 2/8/2021
95257 Pharmacy Not applicable 30 20 2/8/2021
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 Hospital Not applicable 22 25 2/8/2021
95912 Primary Care Provider Adult 13 15 2/8/2021
95912 Primary Care Provider Pediatric 13 15 2/8/2021
95912 Pharmacy Not applicable 30 25 2/8/2021
95957 Pharmacy Not applicable 17 16 2/8/2021
95970 Hospital Not applicable 17 20 2/8/2021
95970 Primary Care Provider Adult 15 15 2/8/2021
95970 Primary Care Provider Pediatric 16 20 2/8/2021
95970 Pharmacy Not applicable 30 15 2/8/2021
95970 Physical Medicine and Rehabilitation Pediatric 68 65 2/8/2021
95979 Hematology Adult 69 65 2/8/2021
95979 Hematology Pediatric 193 101 2/8/2021
95979 Hospital Not applicable 35 30 2/8/2021
95979 Neurology Adult 68 65 2/8/2021
95979 Neurology Pediatric 68 65 2/8/2021
95979 Oncology Pediatric 193 101 2/8/2021
95979 Primary Care Provider Adult 45 40 2/8/2021
95979 Primary Care Provider Pediatric 45 40 2/8/2021
95979 Physical Medicine and Rehabilitation Pediatric 105 85 2/8/2021
95979 Psychiatry Adult 74 68 2/8/2021
95979 Pulmonology Adult 169 93 2/8/2021
95979 Pulmonology Pediatric 171 95 2/8/2021
95987 Endocrinology Pediatric 79 75 2/8/2021
95987 Hematology Pediatric 70 65 2/8/2021
95987 Oncology Adult 70 65 2/8/2021
95987 Oncology Pediatric 70 65 2/8/2021
95987 Primary Care Provider Adult 18 20 2/8/2021
95987 Primary Care Provider Pediatric 18 20 2/8/2021
95987 Pharmacy Not applicable 30 20 2/8/2021
95987 Physical Medicine and Rehabilitation Pediatric 79 70 2/8/2021
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 Hospital Not applicable 17 20 2/8/2021
95629 Pharmacy Not applicable 12 12 2/8/2021
95633 HIV/AIDS Specialists/Infectious Diseases Pediatric 55 50 2/8/2021
95633 Pharmacy Not applicable 30 15 2/8/2021
95634 HIV/AIDS Specialists/Infectious Diseases Pediatric 56 55 2/8/2021
95634 Hospital Not applicable 21 20 2/8/2021
95634 Primary Care Provider Adult 13 15 2/8/2021
95634 Primary Care Provider Pediatric 13 15 2/8/2021
95634 Pharmacy Not applicable 78 53 2/8/2021
95636 Hospital Not applicable 24 25 2/8/2021
95636 Primary Care Provider Adult 21 20 2/8/2021
95664 Primary Care Provider Adult 13 15 2/8/2021
95664 Primary Care Provider Pediatric 13 15 2/8/2021
95667 HIV/AIDS Specialists/Infectious Diseases Pediatric 66 50 2/8/2021
95682 Hospital Not applicable 21 20 2/8/2021
95684 Hospital Not applicable 24 25 2/8/2021
95720 HIV/AIDS Specialists/Infectious Diseases Adult 90 65 2/8/2021
95720 Hospital Not applicable 29 30 2/8/2021
95720 Primary Care Provider Adult 27 25 2/8/2021
95726 Hospital Not applicable 20 20 2/8/2021
95735 HIV/AIDS Specialists/Infectious Diseases Adult 95 65 2/8/2021
95735 Primary Care Provider Adult 16 15 2/8/2021
95735 Psychiatry Pediatric 63 58 2/8/2021
96150 Psychiatry Adult 74 68 2/8/2021
96150 Psychiatry Pediatric 74 68 2/8/2021
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 Hospital Not applicable 20 20 2/8/2021
95920 Primary Care Provider Adult 19 20 2/8/2021
95920 Primary Care Provider Pediatric 19 20 2/8/2021
95920 Pharmacy Not applicable 30 20 2/8/2021
95939 Endocrinology Pediatric 157 98 2/8/2021
95939 Hospital Not applicable 35 35 2/8/2021
95939 Primary Care Provider Adult 35 35 2/8/2021
95939 Primary Care Provider Pediatric 35 35 2/8/2021
95939 Physical Medicine and Rehabilitation Pediatric 103 58 2/8/2021
95939 Pulmonology Pediatric 69 65 2/8/2021
95943 Hospital Not applicable 18 20 2/8/2021
95943 Primary Care Provider Adult 15 15 2/8/2021
95943 Primary Care Provider Pediatric 15 15 2/8/2021
95943 Pharmacy Not applicable 30 20 2/8/2021
95963 Hospital Not applicable 27 25 2/8/2021
95963 Physical Medicine and Rehabilitation Pediatric 135 121 2/8/2021
95970 Hospital Not applicable 17 20 2/8/2021
95970 Pharmacy Not applicable 37 34 2/8/2021
95970 Physical Medicine and Rehabilitation Pediatric 99 87 2/8/2021
95988 Physical Medicine and Rehabilitation Pediatric 77 75 2/8/2021
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 Pediatric 155 170 2/8/2021
92227 ENT/Otolaryngology Pediatric 115 110 2/8/2021
92227 Primary Care Provider Adult 14 15 2/8/2021
92227 Primary Care Provider Pediatric 14 15 2/8/2021
92227 Pharmacy Not applicable 30 15 2/8/2021
92231 Endocrinology Pediatric 140 110 2/8/2021
92231 Hematology Pediatric 128 120 2/8/2021
92231 Hospital Not applicable 18 20 2/8/2021
92233 Endocrinology Pediatric 150 147 2/8/2021
92233 ENT/Otolaryngology Pediatric 95 80 2/8/2021
92233 Hematology Pediatric 155 145 2/8/2021
92233 Hospital Not applicable 26 25 2/8/2021
92233 Primary Care Provider Adult 23 25 2/8/2021
92233 Primary Care Provider Pediatric 23 25 2/8/2021
92233 Pharmacy Not applicable 30 25 2/8/2021
92243 Endocrinology Pediatric 130 100 2/8/2021
92243 ENT/Otolaryngology Pediatric 105 90 2/8/2021
92249 Endocrinology Pediatric 140 110 2/8/2021
92250 Endocrinology Pediatric 145 115 2/8/2021
92250 Hematology Pediatric 145 140 2/8/2021
92250 Hospital Not applicable 21 20 2/8/2021
92250 Primary Care Provider Pediatric 18 20 2/8/2021
92250 Pharmacy Not applicable 30 15 2/8/2021
92251 Endocrinology Pediatric 130 100 2/8/2021
92251 ENT/Otolaryngology Pediatric 105 85 2/8/2021
92251 Hematology Pediatric 119 126 2/8/2021
92251 Physical Medicine and Rehabilitation Pediatric 163 127 2/8/2021
92257 Hematology Pediatric 176 166 2/8/2021
92257 Hospital Not applicable 50 45 2/8/2021
92257 Primary Care Provider Adult 19 20 2/8/2021
92257 Primary Care Provider Pediatric 19 20 2/8/2021
92257 Physical Medicine and Rehabilitation Pediatric 183 150 2/8/2021
92274 Endocrinology Adult 130 109 2/8/2021
92274 Endocrinology Pediatric 130 109 2/8/2021
92274 Hematology Pediatric 148 123 2/8/2021
92274 Hospital Not applicable 60 55 2/8/2021
92274 Primary Care Provider Adult 20 20 2/8/2021
92274 Primary Care Provider Pediatric 20 20 2/8/2021
92274 Physical Medicine and Rehabilitation Pediatric 151 125 2/8/2021
92281 Endocrinology Pediatric 125 100 2/8/2021
92281 ENT/Otolaryngology Pediatric 88 75 2/8/2021
92281 Hematology Pediatric 110 90 2/8/2021
92281 Hospital Not applicable 21 20 2/8/2021
92281 Primary Care Provider Pediatric 20 20 2/8/2021
92281 Pharmacy Not applicable 30 20 2/8/2021
92281 Physical Medicine and Rehabilitation Pediatric 110 95 2/8/2021
92283 Dermatology Adult 72 70 2/8/2021
92283 Dermatology Pediatric 72 70 2/8/2021
92283 Endocrinology Pediatric 220 185 2/8/2021
92283 ENT/Otolaryngology Adult 71 70 2/8/2021
92283 ENT/Otolaryngology Pediatric 230 177 2/8/2021
92283 Gastroenterology Adult 182 96 2/8/2021
92283 Gastroenterology Pediatric 69 65 2/8/2021
92283 General Surgery Adult 69 65 2/8/2021
92283 General Surgery Pediatric 69 65 2/8/2021
92283 Hematology Adult 72 70 2/8/2021
92283 Hematology Pediatric 131 89 2/8/2021
92283 HIV/AIDS Specialists/Infectious Diseases Adult 69 65 2/8/2021
92283 HIV/AIDS Specialists/Infectious Diseases Pediatric 152 99 2/8/2021
92283 Hospital Not applicable 70 65 2/8/2021
92283 Nephrology Adult 69 65 2/8/2021
92283 Nephrology Pediatric 69 65 2/8/2021
92283 Neurology Adult 70 65 2/8/2021
92283 Neurology Pediatric 71 65 2/8/2021
92283 OB/GYN Not applicable 131 88 2/8/2021
92283 Oncology Pediatric 132 89 2/8/2021
92283 Ophthalmology Adult 134 84 2/8/2021
92283 Ophthalmology Pediatric 134 84 2/8/2021
92283 Orthopedic Surgery Adult 69 65 2/8/2021
92283 Orthopedic Surgery Pediatric 69 65 2/8/2021
92283 Primary Care Provider Pediatric 21 20 2/8/2021
92283 Pharmacy Not applicable 30 20 2/8/2021
92283 Physical Medicine and Rehabilitation Pediatric 229 199 2/8/2021
92283 Psychiatry Pediatric 72 66 2/8/2021
92283 Pulmonology Pediatric 134 89 2/8/2021
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 Dermatology Adult 280 199 2/8/2021
92328 Dermatology Pediatric 280 199 2/8/2021
92328 Endocrinology Pediatric 280 204 2/8/2021
92328 Hematology Pediatric 250 247 2/8/2021
92328 HIV/AIDS Specialists/Infectious Diseases Pediatric 149 141 2/8/2021
92328 Ophthalmology Pediatric 197 172 2/8/2021
92328 Orthopedic Surgery Pediatric 181 164 2/8/2021
92328 Primary Care Provider Pediatric 186 153 2/8/2021
92328 Psychiatry Adult 232 213 2/8/2021
93513 Hospital Not applicable 50 50 2/8/2021
93513 Neurology Pediatric 321 227 2/8/2021
93513 Primary Care Provider Adult 50 50 2/8/2021
93513 Primary Care Provider Pediatric 176 78 2/8/2021
93514 Hospital Not applicable 35 35 2/8/2021
93514 Nephrology Adult 344 268 2/8/2021
93514 Nephrology Pediatric 328 265 2/8/2021
93514 Neurology Pediatric 344 256 2/8/2021
93514 Oncology Pediatric 299 254 2/8/2021
93514 Primary Care Provider Pediatric 73 59 2/8/2021
93514 Pharmacy Not applicable 84 61 2/8/2021
93514 Physical Medicine and Rehabilitation Pediatric 328 265 2/8/2021
93514 Pulmonology Pediatric 255 213 2/8/2021
93526 Dermatology Pediatric 84 80 2/8/2021
93526 Endocrinology Pediatric 84 80 2/8/2021
93526 Gastroenterology Adult 84 80 2/8/2021
93526 Gastroenterology Pediatric 84 80 2/8/2021
93526 HIV/AIDS Specialists/Infectious Diseases Pediatric 236 171 2/8/2021
93526 Nephrology Pediatric 299 263 2/8/2021
93526 Ophthalmology Adult 222 84 2/8/2021
93526 Ophthalmology Pediatric 222 84 2/8/2021
93526 Orthopedic Surgery Pediatric 84 80 2/8/2021
93526 Primary Care Provider Adult 65 60 2/8/2021
93526 Primary Care Provider Pediatric 75 70 2/8/2021
93526 Psychiatry Adult 159 146 2/8/2021
93527 Dermatology Adult 95 80 2/8/2021
93527 Dermatology Pediatric 95 80 2/8/2021
93527 Endocrinology Adult 95 80 2/8/2021
93527 Endocrinology Pediatric 95 80 2/8/2021
93527 Gastroenterology Adult 95 80 2/8/2021
93527 Gastroenterology Pediatric 95 80 2/8/2021
93527 General Surgery Adult 89 80 2/8/2021
93527 General Surgery Pediatric 89 85 2/8/2021
93527 Nephrology Adult 95 80 2/8/2021
93527 Nephrology Pediatric 95 80 2/8/2021
93527 Neurology Adult 95 80 2/8/2021
93527 Neurology Pediatric 95 80 2/8/2021
93527 OB/GYN Not applicable 95 85 2/8/2021
93527 Ophthalmology Adult 130 113 2/8/2021
93527 Ophthalmology Pediatric 130 113 2/8/2021
93527 Orthopedic Surgery Adult 95 80 2/8/2021
93527 Orthopedic Surgery Pediatric 95 80 2/8/2021
93527 Pharmacy Not applicable 24 26 2/8/2021
93527 Pulmonology Adult 95 80 2/8/2021
93527 Pulmonology Pediatric 123 117 2/8/2021
93545 Dermatology Adult 95 85 2/8/2021
93545 Dermatology Pediatric 95 85 2/8/2021
93545 Endocrinology Pediatric 95 85 2/8/2021
93545 Gastroenterology Adult 95 85 2/8/2021
93545 Gastroenterology Pediatric 95 85 2/8/2021
93545 HIV/AIDS Specialists/Infectious Diseases Pediatric 69 65 2/8/2021
93545 Nephrology Pediatric 175 171 2/8/2021
93545 Oncology Pediatric 254 210 2/8/2021
93545 Ophthalmology Adult 90 75 2/8/2021
93545 Ophthalmology Pediatric 90 75 2/8/2021
93545 Orthopedic Surgery Adult 95 85 2/8/2021
93545 Orthopedic Surgery Pediatric 95 85 2/8/2021
93545 Primary Care Provider Adult 28 30 2/8/2021
93545 Primary Care Provider Pediatric 70 65 2/8/2021
93545 Psychiatry Adult 157 144 2/8/2021
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
93601 Hospital Not applicable 20 20 2/8/2021
93601 Oncology Adult 95 90 2/8/2021
93601 Oncology Pediatric 95 90 2/8/2021
93601 Ophthalmology Adult 62 47 2/8/2021
93601 Ophthalmology Pediatric 62 47 2/8/2021
93601 Primary Care Provider Adult 20 20 2/8/2021
93601 Primary Care Provider Pediatric 20 20 2/8/2021
93601 Pharmacy Not applicable 11 12 2/8/2021
93623 Hospital Not applicable 23 25 2/8/2021
93623 Oncology Adult 94 56 2/8/2021
93623 Oncology Pediatric 94 57 2/8/2021
93623 Ophthalmology Adult 96 60 2/8/2021
93623 Ophthalmology Pediatric 96 61 2/8/2021
93623 Primary Care Provider Pediatric 22 25 2/8/2021
93623 Pharmacy Not applicable 30 20 2/8/2021
93653 Pharmacy Not applicable 18 20 2/8/2021
95306 Hospital Not applicable 22 20 2/8/2021
95306 Primary Care Provider Adult 21 20 2/8/2021
95306 Primary Care Provider Pediatric 26 25 2/8/2021
95306 Pharmacy Not applicable 30 20 2/8/2021
95311 HIV/AIDS Specialists/Infectious Diseases Pediatric 204 114 2/8/2021
95311 Oncology Adult 67 65 2/8/2021
95311 Oncology Pediatric 67 65 2/8/2021
95311 Primary Care Provider Adult 13 15 2/8/2021
95311 Primary Care Provider Pediatric 13 15 2/8/2021
95311 Pharmacy Not applicable 30 20 2/8/2021
95321 Hospital Not applicable 113 56 2/8/2021
95325 Primary Care Provider Adult 16 15 2/8/2021
95325 Primary Care Provider Pediatric 16 15 2/8/2021
95325 Pharmacy Not applicable 30 15 2/8/2021
95329 Hospital Not applicable 28 30 2/8/2021
95329 Pharmacy Not applicable 27 24 2/8/2021
95338 Hospital Not applicable 21 20 2/8/2021
95338 Oncology Adult 95 85 2/8/2021
95338 Oncology Pediatric 95 85 2/8/2021
95338 Ophthalmology Adult 90 70 2/8/2021
95338 Ophthalmology Pediatric 90 70 2/8/2021
95338 Primary Care Provider Adult 12 15 2/8/2021
95338 Primary Care Provider Pediatric 18 20 2/8/2021
95345 Oncology Adult 79 75 2/8/2021
95345 Oncology Pediatric 79 75 2/8/2021
95345 Primary Care Provider Adult 12 15 2/8/2021
95345 Primary Care Provider Pediatric 12 15 2/8/2021
95345 Pharmacy Not applicable 30 15 2/8/2021
95369 HIV/AIDS Specialists/Infectious Diseases Adult 67 65 2/8/2021
95369 HIV/AIDS Specialists/Infectious Diseases Pediatric 69 65 2/8/2021
95369 Pharmacy Not applicable 21 23 2/8/2021
95389 Hematology Pediatric 83 80 2/8/2021
95389 HIV/AIDS Specialists/Infectious Diseases Pediatric 78 75 2/8/2021
95389 Nephrology Pediatric 72 70 2/8/2021
95389 Oncology Adult 88 85 2/8/2021
95389 Oncology Pediatric 88 85 2/8/2021
95389 Primary Care Provider Adult 23 25 2/8/2021
95389 Primary Care Provider Pediatric 23 25 2/8/2021
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 Pediatric 198 171 2/8/2021
93512 Hematology Pediatric 198 171 2/8/2021
93512 Hospital Not applicable 45 40 2/8/2021
93512 Nephrology Adult 285 245 2/8/2021
93512 Nephrology Pediatric 256 252 2/8/2021
93512 Neurology Pediatric 198 171 2/8/2021
93512 Oncology Pediatric 198 171 2/8/2021
93512 Primary Care Provider Adult 45 40 2/8/2021
93512 Primary Care Provider Pediatric 45 40 2/8/2021
93512 Physical Medicine and Rehabilitation Pediatric 198 171 2/8/2021
93512 Pulmonology Pediatric 198 172 2/8/2021
93514 Hospital Not applicable 35 35 2/8/2021
93514 Pharmacy Not applicable 79 56 2/8/2021
93517 Endocrinology Pediatric 121 105 2/8/2021
93517 ENT/Otolaryngology Pediatric 150 118 2/8/2021
93517 Gastroenterology Pediatric 120 105 2/8/2021
93517 Hematology Pediatric 183 140 2/8/2021
93517 HIV/AIDS Specialists/Infectious Diseases Adult 95 90 2/8/2021
93517 Hospital Not applicable 60 55 2/8/2021
93517 Neurology Adult 84 80 2/8/2021
93517 Neurology Pediatric 95 85 2/8/2021
93517 Oncology Adult 95 85 2/8/2021
93517 Ophthalmology Adult 100 100 2/8/2021
93517 Ophthalmology Pediatric 100 100 2/8/2021
93517 Primary Care Provider Pediatric 60 55 2/8/2021
93517 Physical Medicine and Rehabilitation Pediatric 150 118 2/8/2021
93517 Psychiatry Pediatric 132 121 2/8/2021
93517 Pulmonology Pediatric 185 138 2/8/2021
93546 ENT/Otolaryngology Adult 240 156 2/8/2021
93546 Hematology Pediatric 295 248 2/8/2021
93546 Hospital Not applicable 21 20 2/8/2021
93546 Nephrology Adult 381 351 2/8/2021
93546 Oncology Pediatric 135 125 2/8/2021
93546 Primary Care Provider Adult 21 20 2/8/2021
93546 Primary Care Provider Pediatric 21 20 2/8/2021
93546 Physical Medicine and Rehabilitation Pediatric 381 351 2/8/2021
93546 Psychiatry Pediatric 168 154 2/8/2021
93546 Pulmonology Pediatric 381 312 2/8/2021
96107 Cardiology/Interventional Cardiology Pediatric 81 75 2/8/2021
96107 Endocrinology Pediatric 141 107 2/8/2021
96107 Hematology Pediatric 133 101 2/8/2021
96107 HIV/AIDS Specialists/Infectious Diseases Pediatric 150 135 2/8/2021
96107 Oncology Pediatric 133 101 2/8/2021
96107 Ophthalmology Adult 145 128 2/8/2021
96107 Ophthalmology Pediatric 145 128 2/8/2021
96107 Primary Care Provider Pediatric 111 91 2/8/2021
96133 Cardiology/Interventional Cardiology Pediatric 81 75 2/8/2021
96133 Endocrinology Pediatric 145 130 2/8/2021
96133 HIV/AIDS Specialists/Infectious Diseases Pediatric 172 146 2/8/2021
96133 Hospital Not applicable 55 50 2/8/2021
96133 Mental Health (non-psychiatry) Outpatient Services Pediatric 70 65 2/8/2021
96133 Nephrology Adult 68 65 2/8/2021
96133 Ophthalmology Adult 140 115 2/8/2021
96133 Ophthalmology Pediatric 140 115 2/8/2021
96133 Primary Care Provider Pediatric 35 35 2/8/2021
96133 Pharmacy Not applicable 55 50 2/8/2021
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
95946 Primary Care Provider Adult 13 15 2/8/2021
95949 Primary Care Provider Adult 15 15 2/8/2021
95959 Endocrinology Pediatric 60 50 2/8/2021
95959 Primary Care Provider Adult 13 15 2/8/2021
95959 Primary Care Provider Pediatric 13 15 2/8/2021
95959 Pharmacy Not applicable 77 43 2/8/2021
95960 Endocrinology Pediatric 54 50 2/8/2021
95960 Pharmacy Not applicable 30 15 2/8/2021
95977 Hospital Not applicable 18 20 2/8/2021
95977 Primary Care Provider Adult 15 15 2/8/2021
96161 Endocrinology Pediatric 50 50 2/8/2021
96161 HIV/AIDS Specialists/Infectious Diseases Adult 85 80 2/8/2021
96161 HIV/AIDS Specialists/Infectious Diseases Pediatric 131 112 2/8/2021
96161 Nephrology Adult 74 70 2/8/2021
96161 Nephrology Pediatric 134 106 2/8/2021
96161 Ophthalmology Adult 75 65 2/8/2021
96161 Ophthalmology Pediatric 75 65 2/8/2021
96161 Psychiatry Adult 93 83 2/8/2021
96161 Psychiatry Pediatric 93 85 2/8/2021
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 HIV/AIDS Specialists/Infectious Diseases Pediatric 36 35 2/18/2021
95603 HIV/AIDS Specialists/Infectious Diseases Pediatric 40 40 2/18/2021
95648 Hospital Not applicable 22 20 2/18/2021
95648 Primary Care Provider Adult 21 20 2/18/2021
95648 Primary Care Provider Pediatric 79 37 2/18/2021
95650 HIV/AIDS Specialists/Infectious Diseases Pediatric 42 35 2/18/2021
95668 Hospital Not applicable 24 20 2/18/2021
95677 Oncology Pediatric 45 40 2/18/2021
95678 Oncology Pediatric 59 45 2/18/2021
95681 Hospital Not applicable 20 20 2/18/2021
95681 Oncology Pediatric 36 35 2/18/2021
95681 Primary Care Provider Adult 18 20 2/18/2021
95681 Primary Care Provider Pediatric 18 20 2/18/2021
95703 Dermatology Pediatric 38 35 2/18/2021
95703 HIV/AIDS Specialists/Infectious Diseases Pediatric 37 35 2/18/2021
95703 Nephrology Pediatric 37 35 2/18/2021
95713 Endocrinology Adult 44 45 2/18/2021
95713 HIV/AIDS Specialists/Infectious Diseases Adult 39 40 2/18/2021
95713 Hospital Not applicable 18 20 2/18/2021
95713 Primary Care Provider Adult 12 15 2/18/2021
95722 HIV/AIDS Specialists/Infectious Diseases Pediatric 35 35 2/18/2021
95722 Nephrology Pediatric 35 35 2/18/2021
95746 Oncology Pediatric 43 40 2/18/2021
95747 Oncology Pediatric 53 45 2/18/2021
95765 Oncology Pediatric 45 40 2/18/2021
96140 Ophthalmology Pediatric 90 75 2/18/2021
96141 Ophthalmology Pediatric 110 90 2/18/2021
96143 Ophthalmology Pediatric 80 75 2/18/2021
96146 Ophthalmology Pediatric 80 75 2/18/2021
96146 Primary Care Provider Adult 13 15 2/18/2021
96148 Ophthalmology Pediatric 80 70 2/18/2021
96161 Dermatology Pediatric 98 60 2/18/2021
96161 Endocrinology Pediatric 51 50 2/18/2021
96161 ENT/Otolaryngology Pediatric 35 35 2/18/2021
96161 Gastroenterology Pediatric 35 35 2/18/2021
96161 HIV/AIDS Specialists/Infectious Diseases Adult 85 80 2/18/2021
96161 HIV/AIDS Specialists/Infectious Diseases Pediatric 127 104 2/18/2021
96161 Nephrology Adult 70 65 2/18/2021
96161 Nephrology Pediatric 85 80 2/18/2021
96161 Neurology Adult 97 59 2/18/2021
96161 Neurology Pediatric 99 60 2/18/2021
96161 Ophthalmology Adult 65 65 2/18/2021
96161 Ophthalmology Pediatric 65 65 2/18/2021
96161 Orthopedic Surgery Adult 35 35 2/18/2021
96161 Orthopedic Surgery Pediatric 98 60 2/18/2021
96161 Pharmacy Not applicable 19 17 2/18/2021
96161 Physical Medicine and Rehabilitation Pediatric 98 60 2/18/2021
96161 Pulmonology Pediatric 98 60 2/18/2021
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 Hospital Not applicable 20 20 2/18/2021
95923 Primary Care Provider Adult 20 20 2/18/2021
95923 Primary Care Provider Pediatric 20 20 2/18/2021
95923 Pharmacy Not applicable 65 36 2/18/2021
95934 HIV/AIDS Specialists/Infectious Diseases Pediatric 68 65 2/18/2021
95934 Nephrology Pediatric 71 65 2/18/2021
95934 Primary Care Provider Adult 16 15 2/18/2021
95934 Primary Care Provider Pediatric 16 15 2/18/2021
95947 Gastroenterology Pediatric 163 109 2/18/2021
95947 HIV/AIDS Specialists/Infectious Diseases Pediatric 162 111 2/18/2021
95947 Hospital Not applicable 26 25 2/18/2021
95947 Nephrology Pediatric 162 111 2/18/2021
95947 Primary Care Provider Adult 26 25 2/18/2021
95947 Primary Care Provider Pediatric 91 54 2/18/2021
95947 Pharmacy Not applicable 30 15 2/18/2021
95947 Pulmonology Pediatric 163 109 2/18/2021
95971 Primary Care Provider Pediatric 14 15 2/18/2021
95971 Pharmacy Not applicable 30 15 2/18/2021
95983 Gastroenterology Adult 72 70 2/18/2021
95983 Gastroenterology Pediatric 197 116 2/18/2021
95983 Hospital Not applicable 35 35 2/18/2021
95983 Neurology Adult 214 110 2/18/2021
95983 Neurology Pediatric 84 75 2/18/2021
95983 Ophthalmology Adult 90 60 2/18/2021
95983 Ophthalmology Pediatric 115 90 2/18/2021
95983 Primary Care Provider Adult 151 59 2/18/2021
95983 Primary Care Provider Pediatric 121 60 2/18/2021
95983 Pharmacy Not applicable 137 48 2/18/2021
95983 Pulmonology Pediatric 197 116 2/18/2021
96020 Hematology Pediatric 73 65 2/18/2021
96020 Hospital Not applicable 21 20 2/18/2021
96020 Oncology Pediatric 72 65 2/18/2021
96020 Primary Care Provider Adult 21 20 2/18/2021
96020 Primary Care Provider Pediatric 21 20 2/18/2021
96020 Pharmacy Not applicable 30 20 2/18/2021
96020 Physical Medicine and Rehabilitation Pediatric 84 80 2/18/2021
96103 Hospital Not applicable 19 20 2/18/2021
96103 Nephrology Pediatric 186 140 2/18/2021
96103 Neurology Pediatric 67 65 2/18/2021
96103 Primary Care Provider Adult 18 20 2/18/2021
96103 Primary Care Provider Pediatric 18 20 2/18/2021
96103 Pharmacy Not applicable 30 20 2/18/2021
96105 Gastroenterology Pediatric 170 114 2/18/2021
96105 HIV/AIDS Specialists/Infectious Diseases Pediatric 168 142 2/18/2021
96105 Hospital Not applicable 23 25 2/18/2021
96105 Nephrology Pediatric 204 133 2/18/2021
96105 Ophthalmology Adult 115 120 2/18/2021
96105 Ophthalmology Pediatric 115 120 2/18/2021
96105 Primary Care Provider Adult 23 25 2/18/2021
96105 Primary Care Provider Pediatric 23 25 2/18/2021
96105 Pharmacy Not applicable 30 25 2/18/2021
96105 Pulmonology Pediatric 170 114 2/18/2021
96122 Gastroenterology Pediatric 140 103 2/18/2021
96122 HIV/AIDS Specialists/Infectious Diseases Pediatric 150 100 2/18/2021
96122 Nephrology Pediatric 150 100 2/18/2021
96122 Neurology Pediatric 147 116 2/18/2021
96122 Ophthalmology Adult 130 115 2/18/2021
96122 Ophthalmology Pediatric 130 115 2/18/2021
96122 Pulmonology Pediatric 144 96 2/18/2021
96129 Gastroenterology Pediatric 140 100 2/18/2021
96129 HIV/AIDS Specialists/Infectious Diseases Pediatric 149 109 2/18/2021
96129 Nephrology Pediatric 144 115 2/18/2021
96129 Neurology Adult 73 70 2/18/2021
96129 Neurology Pediatric 76 75 2/18/2021
96129 Ophthalmology Adult 115 105 2/18/2021
96129 Ophthalmology Pediatric 115 105 2/18/2021
96129 Psychiatry Adult 89 82 2/18/2021
96129 Psychiatry Pediatric 89 82 2/18/2021
96129 Pulmonology Pediatric 150 102 2/18/2021
96137 Pharmacy Not applicable 76 57 2/18/2021
96137 Psychiatry Adult 69 64 2/18/2021
96137 Psychiatry Pediatric 69 64 2/18/2021
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 Pharmacy Not applicable 35 30 2/18/2021
95922 Primary Care Provider Adult 13 15 2/18/2021
95922 Primary Care Provider Pediatric 66 38 2/18/2021
95922 Pharmacy Not applicable 53 49 2/18/2021
95960 Hospital Not applicable 21 20 2/18/2021
95960 Pharmacy Not applicable 42 38 2/18/2021
96118 HIV/AIDS Specialists/Infectious Diseases Pediatric 153 140 2/18/2021
96118 Hospital Not applicable 35 30 2/18/2021
96118 Nephrology Pediatric 155 141 2/18/2021
96118 Ophthalmology Adult 115 100 2/18/2021
96118 Ophthalmology Pediatric 115 100 2/18/2021
96118 Primary Care Provider Adult 35 35 2/18/2021
96118 Primary Care Provider Pediatric 35 35 2/18/2021
96124 HIV/AIDS Specialists/Infectious Diseases Pediatric 160 100 2/18/2021
96124 Hospital Not applicable 27 25 2/18/2021
96124 Nephrology Pediatric 156 100 2/18/2021
96124 Neurology Adult 68 65 2/18/2021
96124 Neurology Pediatric 68 65 2/18/2021
96124 Primary Care Provider Adult 25 25 2/18/2021
96124 Primary Care Provider Pediatric 25 25 2/18/2021
96124 Pharmacy Not applicable 30 25 2/18/2021
96124 Psychiatry Adult 85 78 2/18/2021
96124 Psychiatry Pediatric 85 76 2/18/2021
96125 Hospital Not applicable 35 35 2/18/2021
96125 Primary Care Provider Adult 17 20 2/18/2021
96125 Primary Care Provider Pediatric 17 20 2/18/2021
96125 Pharmacy Not applicable 35 30 2/18/2021
96126 HIV/AIDS Specialists/Infectious Diseases Pediatric 88 85 2/18/2021
96126 Hospital Not applicable 35 30 2/18/2021
96126 Nephrology Adult 142 132 2/18/2021
96126 Nephrology Pediatric 142 132 2/18/2021
96126 Ophthalmology Adult 135 95 2/18/2021
96126 Ophthalmology Pediatric 135 95 2/18/2021
96126 Primary Care Provider Adult 35 30 2/18/2021
96126 Primary Care Provider Pediatric 35 30 2/18/2021
96126 Pharmacy Not applicable 30 30 2/18/2021
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
95626 Oncology Pediatric 54 50 2/18/2021
95645 Hospital Not applicable 24 25 2/18/2021
95645 Pharmacy Not applicable 30 20 2/18/2021
95659 Hospital Not applicable 25 25 2/18/2021
95659 Oncology Pediatric 55 55 2/18/2021
95659 Primary Care Provider Adult 20 20 2/18/2021
95659 Primary Care Provider Pediatric 20 20 2/18/2021
95659 Pharmacy Not applicable 30 20 2/18/2021
95668 Hospital Not applicable 25 25 2/18/2021
95668 Oncology Pediatric 54 50 2/18/2021
95668 Primary Care Provider Adult 20 20 2/18/2021
95668 Primary Care Provider Pediatric 20 20 2/18/2021
95668 Pharmacy Not applicable 30 15 2/18/2021
95674 Primary Care Provider Adult 19 20 2/18/2021
95674 Primary Care Provider Pediatric 19 20 2/18/2021
95674 Pharmacy Not applicable 30 15 2/18/2021
95692 Hospital Not applicable 17 20 2/18/2021
95692 Pharmacy Not applicable 17 16 2/18/2021
95836 Hospital Not applicable 19 20 2/18/2021
95837 Hospital Not applicable 19 20 2/18/2021
95837 Oncology Pediatric 58 55 2/18/2021
95837 Pharmacy Not applicable 30 15 2/18/2021
95953 Pharmacy Not applicable 30 15 2/18/2021
95957 Endocrinology Pediatric 58 50 2/18/2021
95957 Hospital Not applicable 23 25 2/18/2021
95957 Primary Care Provider Adult 20 20 2/18/2021
95957 Primary Care Provider Pediatric 20 20 2/18/2021
95957 Pharmacy Not applicable 30 20 2/18/2021
95957 Physical Medicine and Rehabilitation Pediatric 54 50 2/18/2021
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 Hospital Not applicable 35 35 2/18/2021
95942 Pharmacy Not applicable 65 55 2/18/2021
95963 Hospital Not applicable 110 68 2/18/2021
95963 Pharmacy Not applicable 70 64 2/18/2021
95973 Pharmacy Not applicable 47 24 2/18/2021
96021 Hospital Not applicable 24 25 2/18/2021
96021 Primary Care Provider Adult 12 15 2/18/2021
96021 Primary Care Provider Pediatric 112 61 2/18/2021
96021 Pharmacy Not applicable 117 64 2/18/2021
96021 Physical Medicine and Rehabilitation Pediatric 166 126 2/18/2021
96022 Hospital Not applicable 54 46 2/18/2021
96022 Pharmacy Not applicable 14 16 2/18/2021
96022 Physical Medicine and Rehabilitation Pediatric 196 175 2/18/2021
96029 Hospital Not applicable 28 30 2/18/2021
96029 Primary Care Provider Adult 15 15 2/18/2021
96029 Primary Care Provider Pediatric 15 15 2/18/2021
96029 Pharmacy Not applicable 30 15 2/18/2021
96035 Pharmacy Not applicable 30 15 2/18/2021
96035 Physical Medicine and Rehabilitation Pediatric 172 145 2/18/2021
96055 Hospital Not applicable 18 20 2/18/2021
96055 Pharmacy Not applicable 30 20 2/18/2021
96055 Physical Medicine and Rehabilitation Pediatric 162 134 2/18/2021
96059 Hospital Not applicable 40 35 2/18/2021
96059 Primary Care Provider Adult 35 30 2/18/2021
96059 Primary Care Provider Pediatric 35 30 2/18/2021
96059 Pharmacy Not applicable 30 25 2/18/2021
96059 Physical Medicine and Rehabilitation Pediatric 173 142 2/18/2021
96061 Hospital Not applicable 35 30 2/18/2021
96061 Primary Care Provider Adult 35 30 2/18/2021
96061 Primary Care Provider Pediatric 35 30 2/18/2021
96061 Pharmacy Not applicable 30 30 2/18/2021
96061 Physical Medicine and Rehabilitation Pediatric 152 111 2/18/2021
96075 Hospital Not applicable 40 35 2/18/2021
96075 Primary Care Provider Adult 35 30 2/18/2021
96075 Primary Care Provider Pediatric 35 30 2/18/2021
96075 Physical Medicine and Rehabilitation Pediatric 105 95 2/18/2021
96076 Hematology Pediatric 169 110 2/18/2021
96076 Hospital Not applicable 45 45 2/18/2021
96076 Physical Medicine and Rehabilitation Pediatric 244 187 2/18/2021
96080 Hospital Not applicable 23 25 2/18/2021
96080 Primary Care Provider Adult 20 20 2/18/2021
96080 Primary Care Provider Pediatric 20 20 2/18/2021
96080 Pharmacy Not applicable 112 84 2/18/2021
96080 Physical Medicine and Rehabilitation Pediatric 185 145 2/18/2021
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
95310 HIV/AIDS Specialists/Infectious Diseases Pediatric 100 80 2/18/2021
95311 Hospital Not applicable 111 58 2/18/2021
95311 Pharmacy Not applicable 19 18 2/18/2021
95321 HIV/AIDS Specialists/Infectious Diseases Pediatric 209 140 2/18/2021
95321 Primary Care Provider Adult 93 46 2/18/2021
95321 Primary Care Provider Pediatric 93 46 2/18/2021
95321 Pharmacy Not applicable 30 20 2/18/2021
95327 HIV/AIDS Specialists/Infectious Diseases Pediatric 95 85 2/18/2021
95327 Hospital Not applicable 23 25 2/18/2021
95327 Primary Care Provider Adult 13 15 2/18/2021
95327 Primary Care Provider Pediatric 13 15 2/18/2021
95327 Pharmacy Not applicable 30 20 2/18/2021
95329 HIV/AIDS Specialists/Infectious Diseases Pediatric 82 80 2/18/2021
95329 Hospital Not applicable 28 30 2/18/2021
95329 Pharmacy Not applicable 30 25 2/18/2021
95335 Cardiology/Interventional Cardiology Pediatric 78 75 2/18/2021
95335 HIV/AIDS Specialists/Infectious Diseases Pediatric 152 132 2/18/2021
95335 Primary Care Provider Pediatric 40 35 2/18/2021
95335 Pharmacy Not applicable 40 35 2/18/2021
95346 Cardiology/Interventional Cardiology Pediatric 78 70 2/18/2021
95346 HIV/AIDS Specialists/Infectious Diseases Pediatric 240 134 2/18/2021
95346 Hospital Not applicable 30 30 2/18/2021
95346 Primary Care Provider Adult 25 25 2/18/2021
95346 Primary Care Provider Pediatric 25 25 2/18/2021
95346 Pharmacy Not applicable 30 20 2/18/2021
95364 Cardiology/Interventional Cardiology Pediatric 75 70 2/18/2021
95364 HIV/AIDS Specialists/Infectious Diseases Pediatric 234 165 2/18/2021
95364 Primary Care Provider Adult 40 40 2/18/2021
95364 Primary Care Provider Pediatric 40 35 2/18/2021
95364 Pharmacy Not applicable 40 40 2/18/2021
95370 HIV/AIDS Specialists/Infectious Diseases Pediatric 100 85 2/18/2021
95379 HIV/AIDS Specialists/Infectious Diseases Pediatric 135 115 2/18/2021
95383 HIV/AIDS Specialists/Infectious Diseases Pediatric 136 118 2/18/2021
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 Primary Care Provider Adult 16 15 2/18/2021
95692 Primary Care Provider Pediatric 12 15 2/18/2021
95692 Pharmacy Not applicable 30 15 2/18/2021
95901 Hospital Not applicable 20 20 2/18/2021
95901 Primary Care Provider Pediatric 14 15 2/18/2021
95901 Pharmacy Not applicable 30 20 2/18/2021
95903 Hospital Not applicable 18 20 2/18/2021
95903 Primary Care Provider Adult 13 15 2/18/2021
95903 Primary Care Provider Pediatric 13 15 2/18/2021
95903 Pharmacy Not applicable 30 15 2/18/2021
95914 Hospital Not applicable 18 20 2/18/2021
95914 Pharmacy Not applicable 32 29 2/18/2021
95918 Hospital Not applicable 22 25 2/18/2021
95918 Primary Care Provider Adult 15 15 2/18/2021
95918 Primary Care Provider Pediatric 15 15 2/18/2021
95918 Pharmacy Not applicable 30 20 2/18/2021
95919 Hospital Not applicable 23 25 2/18/2021
95919 Pharmacy Not applicable 30 20 2/18/2021
95922 Pharmacy Not applicable 30 20 2/18/2021
95925 Hospital Not applicable 24 25 2/18/2021
95925 Pharmacy Not applicable 30 25 2/18/2021
95935 Endocrinology Pediatric 50 50 2/18/2021
95935 Hospital Not applicable 23 25 2/18/2021
95935 Pharmacy Not applicable 30 15 2/18/2021
95941 Hospital Not applicable 17 20 2/18/2021
95941 Pharmacy Not applicable 39 36 2/18/2021
95960 Hospital Not applicable 17 20 2/18/2021
95960 Pharmacy Not applicable 39 36 2/18/2021
95962 Hospital Not applicable 23 25 2/18/2021
95962 Pharmacy Not applicable 30 20 2/18/2021
95966 Pharmacy Not applicable 38 34 2/18/2021
95972 Hospital Not applicable 21 20 2/18/2021
95972 Pharmacy Not applicable 30 20 2/18/2021
95977 Hospital Not applicable 18 20 2/18/2021
95977 Pharmacy Not applicable 22 20 2/18/2021
95981 Hospital Not applicable 28 30 2/18/2021
95981 Primary Care Provider Pediatric 109 68 2/18/2021
95981 Pharmacy Not applicable 30 30 2/18/2021