View Urgent Visit Access Offices in Merced County. . Select services associated with the specified specialty. Facilities may also notify us at any time regarding changes to their accreditation status. Medi-Cal Dental Dental Portal Medi-Cal Provider Directory Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. Glenn Downloadable PDF Directories Operating rule development for these transactions is currently underway. Alliance members and Primary Care Providers (PCPs) may access Beacon Health Options 24 hours a day, 365 days a year via a toll-free line. Gender: A doctors sex, either Male or Female. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. This information is subject to change without notice. [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? View Urgent Visit Access Offices in Santa Cruz County. ccah provider directory To report incorrect provider information, members can contact member services by calling 1-877-661-6230 option 2 or by email: cchp@cchealth.org and Providers or the general public can contact Provider Relations at directoryupdates@cchealth.org or by calling 1-877-800-7423 option 6. Ventura Accessible with a Wheelchair: The office is handicap accessible. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. Hospital Affiliation: This information is collected from the provider at the time they initially join the network and verified upon initial and recredentialing, quarterly through the Network Update link, and reviewed on an annual basis. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. Hospital information is verified by viewing the information listed on their website. An Organization refers to a formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. San Luis Obispo Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. Select HealthcareServices of the specified type. Provider Directory Information Update Form, Merced County Medi-Cal Provider Directory, Monterey and Santa Cruz Medi-Cal Provider Directory, Alliance Care IHSS Health Plan Provider Directory. This is not a guarantee they will be available to accept additional patients at the time you contact them. We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. Modoc Tuolumne The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. Humboldt [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? See our linguistic access and accessibility policy. Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. Merced Alliance Provider Portal Hospitals: The network hospitals a doctor can see their patients in. Santa Barbara This directory gives members, potential members and providers access to our two networks (Regional Medical Center (RMC) and the Community Provider Network (CPN) of physicians, pharmacies, hospitals and ancillary providers. SHOULD: A best practice or recommendation for the implementation. [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? Select roles where the organization is a member of the specified health insurance provider network. Thai Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. Calaveras Korean 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. As of Feb. 24, Medi-Cal Rx PA requirements reinstated for 46 Standard Therapeutic Classes, COVID-19 Therapeutics Warmline and treatment webinars, Thursday training for Adverse Childhood Experiences (ACEs) screening. Most hospitals in Contra Costa County and the immediate surrounding area are participants. Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. A Decrease font size. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? Spanish Mariposa Yuba, Specialty: Select roles filled by the specified practitioner. Board Certification: Information on board certification is verified at the time of credentialing and re-verified at least every three years at the time of re-credentialing. Tulare Language Assistance Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. Using read-only RESTful GET API calls (PUT and POST are not currently supported), you can create an application to access information about our providers and pharmacies. Our Provider and Pharmacy Directory make it easy to find the care you need. , California Locations can range in scope from a room in a building to a geographic region/area. Destination Guide: Gunzenhausen (Bavaria, Regierungsbezirk Location: The doctors office or hospital address. Healthcare Provider Directory | Commonwealth Care Alliance MA Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . You are now being transferred to the CCA corporate website. El Dorado Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. 734-436-0455 Please indicate the name of your practice in the box above. We can assist you with your selection for primary care provider. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. In addition, on a quarterly basis, CCHP emails a Network Update link to each facility to report any changes to the information CCHP has on file. Telephone wait time for practice/plan to answer: within 10 minutes, Telephone call back wait time practice/provider office: by the end of the next business day, Telephone call back wait time triage: within 30 minutes. CORE Certification The CCAH provider portal gives you the information, tools and resources you need to support the day-to-day needs of your patients and office. Alliance Care IHSS Price Transparency Tool. If you have a timely access concern, you can contact CCHP's Utilization Management at 1-877-661-6230 option 4 or file a complaint with the California Department of Managed Health Care by calling the DMHC Toll-free provider complaint line at: 1-877-525-1295. The ACA has taken operating rules to a new level. Dont miss our bimonthly newsletter for community partners. Provider Search - CCHP Health Plan Sonoma The call is free. Public Health, * Language: Certificate. Santa Clara San Bernardino Provider Directory Welcome to Contra Costa Health Plan's Provider Online Search Engine Begin Your Search Here Request Printed Copy of Provider Directory Or call: 1-877-661-6230 (Option 2) Or write: Contra Costa Health Plan Attn: Member Services 595 Center Avenue, Suite 100 Martinez, CA 94553 View/Download Copy of Provider Directory Showing of The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. If you are a member or potential member it is important for you to understand how our two networks are organized. Please Note: Be sure to include your full address with City, State, and ZIP. Documents will be mailed within five (5) business days of receiving request. [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? + Decrease font size. Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. Contra Costa The DaVinci PDEX Plan-Net Network profile is based on the core FHIR Organization resource, and the DaVinci PDEX Plan-Net Organization profile is based on the core FHIR US Core Organization resource. If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. San Diego Select Locations with the specified address. Found inside - Page 57. Amador Hmong Select organizations with the specified address (matches any of the string elements of an address). At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. Alpine Sacramento Alliance Care IHSS Price Transparency Tool. The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. Preferred Provider: A doctor that meets strict quality standards. Contra Costa Health (CCH) has been notified by the Martinez Refining Company of planned maintenance work at its facility that will cause flaring visible from Interstate 680 and Marina Vista Ave from Friday through Monday, March 6th. Groups: The practice a doctor works in. Klinikum Altmhlfranken Gunzenhausen reviews | Best Hospitals in Learn best practices and earn CBI payments for ACE screenings at your practice. Russian Members have the choice to refuse professional interpreters and use adult family members or friends. The FHIR server must return this data. The CAQH CORE Phase III Operating Rules for EFT & ERA have been mandated by HHS and since January 2014 any provider should be asking forthe streamlined electronic transactions that can result due to these operating rules and their affiliated standards. Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. A profile is a set of rules which allows a resource to be constrained, or to include extensions, so the resource can add additional attributes. Please indicate below any changes to the directory listing for the practice listed above. In an effort to provide CCHP members and providers with useful information to make decisions, CCHP updates provider and facility information within thirty (30) business days after we are notified of a change. Dental Clinics Serving Medi-Cal Members. If the specialty needed is not available within the assigned network, which may be due to, but is not limited to the provider being unable to make an appointment in a timely manner, the provider is located unreasonably far away, or you require a specialty not present in the RMC network, CCHP and the assigned PCP may arrange for whatever referrals, authorizations, and treatments necessary with a specialist that is available in a non-assigned network. [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? Cantonese. In those situations, CenCal Health can still get you care. Use the Provider Directory Information Update Form to alert us to any changes to your provider information. CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. A Increase font size. [parameter=value]&_include=Location:organization, GET [base]/Location? CCA Senior Care Options, CCA Medicare Value, and CCA Medicare Preferred are available in 10 counties in Massachusetts: Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. The FHIR server may return the data, but there is no requirement to do so. Napa Provider Directory | Community Cares Plan Select OrganizationAffiliations with the specified role. PDF Monterey and Santa Cruz Medi-Cal Provider Directory Gua de Proveedores The Organization Affiliation resource describes relationships between two or more organizations, including the services one organization provides another, the location(s) where they provide services, the availability of those services, electronic endpoints and other relevant information. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. Follow-up on missed appointments: Providers are expected to review all members that do not show up for scheduled appointments and to identify those requiring follow-up, based on their medical condition. San Joaquin Provider Directory - Central California Alliance for Health GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. English To verify the current status of a hospital visit jointcommission.org. Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. Select Locations managed by the specified organization. [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? [parameter=value]&_include=Location:partof, GET [base]/Location? Shasta View rating by specialty and compare nearby hospitals. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. Search for providers using a specific location or your current location. You can also use the filters to search for more specific information. Llame al 866-610-2273 (TTY 711). [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? Provider Directories - Maryland Department of Human Services Select Locations that are part of the specified location. Inyo Butte Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? Medi-Cal Dental Provider Directory Search. For further assistance, members can contact Member Services at 1-877-661-6230 option 2 and providers can access interpreter services at 1-877-800-7423 option 4 or directly at 1-866-874-3972. ccah provider directory Verification is obtained either by contacting the accrediting agency directly or by obtaining a copy of the approval letter or report provided by the facility. Frequently Asked Questions, GRIEVANCE FORM Sometimes, there is not a needed provider close enough. Medi-Cal Dental Program. If you are a member and would like to choose one of our PCPs, please contact our Member Services department at 1-877-661-6230 option 2. There are more protections for immigrants and their families to use public benefits. Inpatient mental health services and services for the treatment of severe mental health conditions continue to be covered through county mental health departments, not the Alliance. Plumas Registered Dental Hygienists in Alternative Practice. The online search engine updates nightly based on information entered that day. The doctor or hospital gives CCP this information on their application when they join the health plan. As of January 2013, all HIPAA-covered entities must adhere to the federally mandated Phase I and II CAQH CORE Operating Rules, which relate to patient eligibility and claim status. HL7 FHIR DaVinci PDEX Payer Network (Plan-Net) Implementation Guide Version 1.0.0, HL7 FHIR DaVinci PDEX Plan-Net Profiles, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Endpoint, DaVinci PDEX Plan-Net HealthcareService profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-HealthcareService, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/HealthcareServiceCategoryCS, DaVinci PDEX Plan-Net InsurancePlan profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-InsurancePlan, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsurancePlanTypeCS, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsuranceProductTypeCS, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Location, http://terminology.hl7.org/CodeSystem/v3-RoleCode, DaVinci PDEX Plan-Net Organization profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Organization, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/OrgTypeCS, DaVinci PDEX Plan-Net OrganizationAffiliation profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-OrganizationAffiliation, DaVinci PDEX Plan-Net Practitioner profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Practitioner, DaVinci PDEX Plan-Net PractitionerRole profile. Tagalog The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. By entering an e-mail in this field I am confirming that the e-mail provided is intended for patient communication and is regularly monitored and maintained in a manner consistent with State and Federal laws. Mandarin Full Print Version of the CBH Provider Directory (Updated 1/3/2023) Step 1: Are you looking for a provider that services adults or children/adolescents? + Increase font size. For more information, please call the doctors office. It requires CenCal Health to meet both time and distance standards based on county population density. 6HUYLFHV GHSDUWPHQW DW HPDLO directory@ccah-alliance.org RU VHQG D UHTXHVW E\ PDLO WR Central California Alliance for Health Attn: Member Services 1600 Green Hills Road Suite 101 Scotts Valley, CA 95066 If you are a provider or member of the public and would like a printed copy of the provider directory, please call (877) 778-3915. Members are entitled to receive full and equal access to covered service including members with disabilities as required under the American with Disabilities Act of 1990 in section 504 of the Rehabilitation Act of 1973. Select OrganizationAffiliations associated with the specified specialty. Search by plan name, specialty, location, or provider name. Whether or not a member is assigned to the RMC or the CPN network, if specialty care is not available in their assigned network, CCHP and the assigned primary care provider (PCP) may arrange for whatever referrals, authorizations, and treatments necessary to see a specialist in a non-assigned network. Verification is obtained either by contacting the accrediting agency directly or by obtaining a copy of the approval letter or report provided by the facility. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. Select HealthcareServices providing the specified category of services. More than 130 participating organizations representing healthcare providers, health plans, government agencies and the organizations setting the standards for healthcare and data exchange are part of the CAQH CORE multi-stakeholder collaboration. Mendocino CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. Farsi MAY: An optional inclusion for the implementation; not a requirement. *In Barnstable and Berkshire Counties: CCA One Care is available; CCA Senior Care Options, CCA Medicare Value, and CCA Medicare Preferred are not yet available. Stanislaus Search by Doctor Type Search by Doctor Name Search by Hospital/Facility Doctor type Primary Care Physician Specialty Select Primary Care Type Family Medicine Zip Code Distance Within 15 miles Plan Type Medi-Cal Dental Dental Portal - California Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. Select HealthcareServices provided by the specified organization. Providers must document this choice in the member's medical record. This program arms you with the information to reduce your toxic exposure, increase your liver's biotransformation of toxins, and to enhance your elimination of these transformed toxins from your body. Search - Provider Directory What care are you looking for? Sometimes, there is not a needed provider close enough. CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. Alliance members must use a pharmacy that works with MedImpact. Trinity Please refer to the Kaiser Assignment Criteria document located at cchealth.org/CCHPmaterials or contact Member Services at 1-877-661-6230 (press 2) for more information. Continuity of Care Policy, 2023 Central California Alliance for Health | Website Feedback, Enhanced Care Management and Community Supports, Member Services Advisory Group Application, Whole Child Model Family Advisory Committee (WCMFAC), Provider Credentialing Applications and Policies, Complex Case Management and Care Coordination, Pain Management and Substance Use Resources, Interpreter Services Provider Quick Reference Guide, Interpreter Services Quality Assurance Form, Promoting Cultural and Linguistic Competency, Breastfeeding Support and Breast Pump Benefit, Prior Authorization Information Request for Injectable Drugs, Medical Nutrition Therapy Benefit Quick Reference Guide, Antidepressant Medication Management Tip Sheet, Immunizations: Adult Exploratory Measure Tip Sheet, Programmatic Measure Benchmarks & Performance Improvement, 90-Day Referral Completion Exploratory Tip Sheet, Application of Fluoride Varnish Tip Sheet, Immunizations: Children (Combo 10) Tip Sheet, Chlamydia Screening in Women Exploratory Measure Tip Sheet, Child and Adolescent Well-Care Visits Tip Sheet, Child and Adolescents BMI Assessment Tip Sheet, Well-Child Visits in the First 15 Months of Life Tip Sheet, Unhealthy Alcohol Use in Adolescents and Adults Tip Sheet, Tuberculosis (TB) Risk Assessment Exploratory Tip Sheet, Maximizing Your Value-Based Payments using CPT Category II Coding Tip Sheet, Lead Screening in Children Exploratory Measure Tip Sheet, Diabetic HbA1c Poor Control >9% Tip Sheet, Developmental Screening in the First 3 Years Tip Sheet, Controlling High Blood Pressure Exploratory Measure Tip Sheet, Best Practices for Reducing Patient No-Shows Tip Sheet, Ambulatory Care Sensitive Admissions Tip Sheet, USPSTF Recommendations for Primary Care Practice, Preventable Emergency Care Visit Diagnosis Tip Sheet, California Management Guidelines: Childhood Lead Poisoning, Standard of Care Guidelines: Childhood Lead Poisoning, Adverse Childhood Experiences (ACEs) Screening in Children and Adolescents Tip Sheet, Screening for Depression and Follow-Up Plan Tip Sheet, Initial Health Assessment Billing Code List, Chronic and Persistent Conditions Health Measures, DHCS Facility Site Review (FSR) Checklist, FSR Critical Elements: Interim Monitoring Form, DHCS Medical Record Review (MRR) Checklist, Screening for Adverse Childhood Experiences (ACEs). To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. Health and Wellness Rewards This directory is for informational use only. CCAH 1 Percent of ICO + SCO members weighted together who have at least one qualifying touch by a care team member within a given month (Rolling three-month average, 7/2021), 2Combined CCA ICO + SCO rate per 1,000 members; hospitalization rates are consistently below the per capita averages during COVID-19 pandemic. Alameda Click to see Board of Directors Meeting Schedule/Upcoming Agenda. You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). Select roles filled by the specified organization. Alliance. Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line Please select a language Facility: CCHP updates facility information daily as changes are reported by the facility. Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. Call 866-610-2273 (TTY 711). Siskiyou In those situations, CenCal Health can still get you care. Specialty: The area of medicine the doctor provides care to patients. Large healthcare providers may achieve CORE Certification. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. Provider Directory :: Health Plan :: Contra Costa Health Services The hospital gets reviewed by national organizations to see if they meet these standards. The CCA uncommon care model has demonstrated success in reaching and engaging individuals with significant medical, behavioral, and social needsimproving quality of care while keeping patients and members safely at home. You can also access the Kaiser online directory. To change your primary care provider or get detailed information about your healthcare benefits and prior authorization requirements, call our Member Services team at 866-610-2273(TTY 711). By entering a hospital name, the accreditation status and quality measures are listed. [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. San Francisco Colusa Select Organizations that are part of the specified organization. Results are as of 12/1/2020 unless otherwise noted. CCP checks this information at least every 3 years.
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