Providers must document this choice in the member's medical record. Senate Bill 137 requires the Alliance to solicit updated information from providers on a regular basis to ensure that the most accurate data for your practice is included in our Provider Directories. A Increase font size. Contra Costa The doctor provides an excellent patient experience. Registered Dental Hygienists in Alternative Practice. View Urgent Visit Access Offices in Santa Cruz County. Locations can range in scope from a room in a building to a geographic region/area. CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. Select PractitionerRoles with the specified role. . CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. Nevada Potential members may contact our Marketing Department at 1-877-661-6230 option 6. CCA will not contact you unless we have questions about your request. Alpine Depending on the plan, benefits may include $0 primary care visits, $0 annual dental and eye exams, $0 transportation, $0 identity theft protection, and $200 or more for over-the-counter health products. The Provider Directory API supports the following FHIR approved implementation guide, and supports the following profiles: The base URL for each endpoint: [The Provider Directory platform is being retooled and this link will be available soon], [The Provider Directory platform is being retooled and this link will be available soon]. View Urgent Visit Access Offices in Merced County. Specialty: The area of medicine the doctor provides care to patients. [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? The FHIR server is recommended to return this data. County: Monterey Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. 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 providerrelations@cchealth.org or by calling 1-877-800-7423 option 6. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). Select HealthcareServices available at the specified location. Facility: CCHP updates facility information daily as changes are reported by the facility. Oral Pathologist Provider Directory Information Update Form - ccah-alliance.org Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. + Reset font size. [parameter=value]&_include=Organization:partof, GET [base]/Organization? The hospital gets reviewed by national organizations to see if they meet these standards. Select roles filled by the specified practitioner. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. Sometimes, there is not a needed provider close enough. CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? Select Locations with the specified postal code address. San Benito If you are a member or potential member it is important for you to understand how our two networks are organized. You are now being transferred to the CCA corporate website. InsureKidsNow Search. GET [base]/Location? [parameter=value]&_include=Location:organization, GET [base]/Location? Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. Cantonese. We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. Phone Number: The doctors office or hospital phone number. Santa Barbara *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. In addition, on a quarterly basis, CCHP emails a Network Update link to each provider to report any changes to the information CCHP has on file. A Decrease font size. Operating rule development for these transactions is currently underway. The Central California Alliance for Health (the Alliance) is an award-winning regional Medi-Cal managed care plan that provides health insurance for children, adults, seniors. Benefits of CCAH Provider Portal Groups: The practice a doctor works in. To select the Kaiser Permanente Medical Group as your PCP for Medi-Cal, you must have been a recent Kaiser member or meet other criteria to qualify. A Reset font size. 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). Select Locations with the specified address. If you want to check to see if your doctor is board certified go to CertificationMatters.org, DoctorsThatDo.org, or call 1-866-ASK-ABMS (275-2267). Butte 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 PractitionerRoles available at the specified organization. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. Medi-Cal Dental Provider Directory Search. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Select PractitionerRoles available at the specified location. Health and Wellness Rewards [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? Accepting New Patients: This provider accepts both new and existing patients. Imperial [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? 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 Call 866-610-2273 (TTY 711). Search - Provider Directory What care are you looking for? Tehama 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. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. Yuba, Specialty: Dont miss our bimonthly newsletter for community partners. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? 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). Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. This makes sure that Medi-Cal members have access to covered services. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. Operating rule development for these transactions is currently underway. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Health and Wellness Rewards The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. Select roles where the organization is a member of the specified health insurance provider network. SHALL: An absolute requirement for all implementations. 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. [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. The Alliance FHIR server SHALL be capable of returning a HealthcareService resource using: The Alliance FHIR server SHOULD be capable of returning a HealthcareService resource using: The Alliance FHIR server SHALL be capable of supporting the following _include parameters: The Alliance FHIR server SHALL be capable of supporting the following _revinclude parameters: The Alliance FHIR server SHALL be capable of returning an InsurancePlan resource using: The Alliance FHIR server SHOULD be capable of returning an InsurancePlan resource using: The Alliance FHIR server SHALL be capable of returning a Location resource using: The Alliance FHIR server SHOULD be capable of returning an Organization resource using: The Alliance FHIR server SHALL be capable of returning an Organization resource using: The Alliance FHIR server SHALL be capable of returning an OrganizationAffiliation resource using: The Alliance FHIR server SHOULD be capable of returning an OrganizationAffiliation resource using: The Alliance FHIR server SHALL be capable of returning a Practitioner resource using: The Alliance FHIR server SHOULD be capable of returning a Practitioner resource using: The Alliance FHIR server SHALL be capable of supporting the following _revinclude parameter: The Alliance FHIR server SHALL be capable of returning a PractitionerRole resource using. CCAH The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. There are more protections for immigrants and their families to use public benefits. 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. Learn best practices and earn CBI payments for ACE screenings at your practice. Hmong Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. Vietnamese 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 Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. If a doctor or hospital makes a change to any of the information below, CCP updates the provider directory within 7 days of learning of the change. 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. [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? In addition, on a quarterly basis, CCHP emails a Network Update link to each provider, provider group or facility to report any changes to the information CCHP has on file. Chinese You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . Sometimes, there is not a needed provider close enough. Sacramento Solano 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. 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. Dont miss our bimonthly newsletter for community partners. Thank you for the opportunity to partner with you. ProcessLogoff - provider.portal.ccah-alliance.org Select OrganizationAffiliations associated with the specified specialty. Waiting time in provider office: within 45 minutes or less from the time of the patients appointment until they are taken to the exam room. [parameter=value]&_include=Location:partof, GET [base]/Location? Select Organizations of the specified type. They might also work in different offices or clinics. [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. You can also access the Kaiser online directory. Siskiyou Alliance members must use a pharmacy that works with MedImpact. Tuolumne Select OrganizationAffiliations available at the specified location. Authentication is not required to access the Conformance resource. This certificate expires, so CCP checks it at least every 3 years. 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. A doctor may work with other doctors. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022, 8:00 am to 6:00 pm, Monday through Friday, Superior patient experiences and improved clinical outcomes, Optimal access, responsiveness, transparency, and timeliness in all our communications, Operational excellence and strong analytics and reporting that support provider performance. Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. You can also use the filters to search for more specific information. Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. Destination Guide: Gunzenhausen (Bavaria, Regierungsbezirk ccah provider directory CCA Provider Homepage | Commonwealth Care Alliance MA General Practitioner We share our providers dedication to assuring the highest levels of care and service for people with complex health needs. 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. Plumas Gender: A doctors sex, either Male or Female. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. The ACA has taken operating rules to a new level. To report any errors, click on the link below. The information reported on this Web site is based on the information provided to CCHP from the participating provider and/or verified by licensing and accrediting entities. Online Provider Directory http://www.ccah-alliance.org/providerdirectory.html Click on Provider Directory Search Effective January 2015 CENTRAL CALIFORNIA ALLIANCE FOR HEALTH Provider Directory / Gua de Proveedores / Phau Ntawv Teev Cov Kws Khomob A.2 Primary Care Physicians/ Doctores de Cuidado Primario/ Cov Thawj Kws Khomob Japanese You are now being transferred to the CCA corporate website. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. Pedodontist Farsi CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. CCHP does not verify these skills. Calaveras We can assist you with your selection for primary care provider. In those situations, CenCal Health can still get you care. Medi-Cal Dental Program. Sonoma Kern 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. 2020 K Street, NW - Suite 660 Washington, D.C. 20006. Tulare 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. [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? 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. Timely Access to Care: The California Department of Managed Health Care (DMHC) has regulations set forth in Title 28, Section 1300.67.2.2 for health plans to provide timely access to care for our members. Select products that are administered by the specified organization. Provider Directory for Members - CenCal Health San Mateo ccah provider directory You can get these documents for free in other formats, such as large print, braille, or audio. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? Select Practitioners with the specified given name. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! To find a pharmacy, use Medi-Cal Rx's online pharmacy directory using the link below: The Central California Alliance for Health (the Alliance) contracts with a company called MedImpact to provide pharmacy services. Klinikum Altmhlfranken Gunzenhausen reviews | Best Hospitals in Santa Clara [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. PDF Monterey and Santa Cruz Medi-Cal Provider Directory Gua de Proveedores CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Select products that are offered in the specified location. 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. Preferred Provider: A doctor that meets strict quality standards. Punjabi San Francisco Sometimes CCP does not receive a notice that the information has changed. Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. A Network refers to a health care provider insurance network. Downloadable PDF Directories Search by plan name, specialty, location, or provider name. Documents will be mailed within five (5) business days of receiving request. 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. Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. 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? If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. Most hospitals in Contra Costa County and the immediate surrounding area are participants. Then click the magenta Get Location button. Certificate. ccah provider directory400,000 mile ecoboost. The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Who is CenCal Health/What is a Local Health Plan? Laotian Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. This network contains both primary and specialty care providers to choose from. Member Handbook Provider Directory Information Update Form Provider Directory Information Update Form Senate Bill 137 requires the Alliance to solicit updated information from providers on a regular basis to ensure that the most accurate data for your practice is included in our Provider Directories. Step 3a: Select HealthcareServices provided by the specified organization. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. 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. On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. **In Dukes and Nantucket Counties: CCA health plans are not yet available. Select PractitionerRoles associated with the specified specialty. They will be able to assist you in making the best health plan choice for you. Alameda Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. 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. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? Merced The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? 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. We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. Certified Orthodontist Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. San Bernardino Mongolian For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. . Provider Directories - Maryland Department of Human Services Medi-Cal Dental Dental Portal - California Thai 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.
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