Obstetrics/Gynecology (as specialist)* Ophthalmology*+ Orthopedics*+ Physical Medicine and Rehabilitation+ Pulmonology+ Oncology/Hematology **+ 80% ≥ *High-volume specialty type; **High-impact specialty type; +DHCS Core Specialists Geographic Distribution Alternative Access Standards: Specialty Care Providers - Adult/Pediatric – Specialty Type County Zip Code(s) Alternative Geographic Access Standard Physical Humboldt 95501, 95502, 95528, 95536, 95540, One within 90 miles or 120 Medicine Rehab 95542, 95545, 95547, 95554, 95558, minutes from member’s 95560, 95562, 95565, 95569, 95571, residence 95587, 95589 Hematology Lassen 96109 One within 90 miles or 120 minutes from member’s residence 96113, 96117, 96130, 96132, 96136 One within 120 miles or 180 minutes from member’s residence 96119, 96123 One within 165 miles or 270 minutes from member’s residence Oncology 96113, 96117, 96119, 96130, 96132, One within 90 miles or 120 96136 minutes from member’s residence 96123 One within 120 miles or 180 minutes from member’s residence Ophthalmology 96109, 96113, 96114, 96117, 96119, One within 90 miles or 120 96121, 96127, 96128, 96130, 96132, minutes from member’s 96136 residence 96123 One within 120 miles or 180 minutes from member’s residence Physical 96113, 96117, 96119, 96128, 96130, One within 90 or 120 Medicine Rehab 96132, 96136 minutes from member’s residence 96123 One within 120 miles or 180 minutes from member’s
Obstetrics/Gynecology (as specialist)* Ophthalmology*+ Orthopedics*+ Physical Medicine and Rehabilitation+ Pulmonology+ Oncology/Hematology **+ ≥ 80% *High-volume specialty type; **High-impact specialty type; +DHCS Core Specialists Geographic Distribution – Alternative Access Standards: Specialty Care Providers - Adult/Pediatric Specialty Type County Zip Code(s) Alternative Geographic Access Standard Physical Medicine Rehab Humboldt 95501, 95502, 95528, 95536, 95540, 95542, 95545, 95547, 95554, 95558, 95560, 95562, 95565, 95569, 95571, 95587, 95589 One within 90 miles or 120 minutes from member’s residence Hematology Lassen 96109 One within 90 miles or 120 minutes from member’s residence 96113, 96117, 96130, 96132, 96136 One within 120 miles or 180 minutes from member’s residence 96119, 96123 One within 165 miles or 270 minutes from member’s residence Oncology 96113, 96117, 96119, 96130, 96132, 96136 One within 90 miles or 120 minutes from member’s residence 96123 One within 120 miles or 180 minutes from member’s residence Ophthalmology 96109, 96113, 96114, 96117, 96119, 96121, 96127, 96128, 96130, 96132, 96136 One within 90 miles or 120 minutes from member’s residence 96123 One within 120 miles or 180 minutes from member’s residence Physical Medicine Rehab 96113, 96117, 96119, 96128, 96130, 96132, 96136 One within 90 or 120 minutes from member’s residence 96123 One within 120 miles or 180 minutes from member’s