ccah provider directory ccah provider directory

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. GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. This is not a guarantee they will be available to accept additional patients at the time you contact them. 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. 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. Select products that are owned by the specified organization. Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. Select Organizations that are part of the specified organization. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. Authentication is not required to access the Conformance resource. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Please select the county where you live. 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). If you are a solo practitioner, enter your name in the box above. Alliance. Imperial El Dorado Member Handbook If you are a member or potential member it is important for you to understand how our two networks are organized. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. Select HealthcareServices of the specified type. Kern Periodontist GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? 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. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. PCP's are not required to have hospital privileges. The number to call in each county is. Thank you for the opportunity to partner with you. Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. Santa Barbara Connecting, solving and transforming healthcare business challenges. Health and Wellness Rewards [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? The online Beacon Provider Directory can be found at the link below. 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. [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? A Decrease font size. 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. Accepting new patients: The doctor is taking new patients. Learn best practices and earn CBI payments for ACE screenings at your practice. View rating by specialty and compare nearby hospitals. It requires CenCal Health to meet both time and distance standards based on county population density. We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. Language Assistance It mandated healthcare operating rules for HIPAA claims-related electronic transactions, and CAQH CORE was named by the Secretary of Health and Human Services (HHS) as the authoring entity of these operating rules. 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. [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? Select HealthcareServices providing the specified category of services. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. ASL Interpreter Available: The office can translate into American Sign Language. 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. This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. Santa Clara CCP checks this information at least every 3 years. You can also use the filters to search for more specific information. + Reset font size. This information is subject to change without notice. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. Select OrganizationAffiliations available at the specified location. Accessibility Prosthodontist [parameter=value]&_include=Location:partof, GET [base]/Location? You can also access the Kaiser online directory. Solano Select Practitioners with the specified family name. To verify the current status of a hospital visit jointcommission.org. 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. Who is CenCal Health/What is a Local Health Plan? Glenn We can assist you with your selection for primary care provider. Hindi 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. Together, we can bring uncommon care to more people with significant needs. Select Practitioners with the specified given name. 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. This directory is for informational use only. To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. Select roles filled by the specified organization. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. Oral Surgeon Trinity Alliance Care IHSS Price Transparency Tool. Select products with the specified identifier. 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. Select roles where the practitioner is a member of the specified health insurance provider network. Hospital Quality: The hospitals performance rating. Sometimes, there is not a needed provider close enough. Learn More. Select HealthcareServices with the specified name. Sacramento This certificate expires, so CCP checks it at least every 3 years. The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. Dont miss our bimonthly newsletter for community partners. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? Colusa 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. In those situations, CenCal Health can still get you care. 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. 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. Tehama Russian Only submit information below that needs to be changed in the directory. Select organizations with the specified address (matches any of the string elements of an address). County: 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. 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. Frequently Asked Questions, GRIEVANCE FORM CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. 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 CCA Senior Care Options Directory by County (2023) view: Bristol, Norfolk, Plymouth Essex Franklin, Hampden, Hampshire Middlesex Suffolk Worcester CCA Senior Care Options Directory by County - Spanish (2023) view: Bristol, Norfolk, Plymouth-Spanish Essex-Spanish Franklin, Hampden, Hampshire-Spanish Middlesex-Spanish Suffolk-Spanish Please select a language The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. CORE Certification The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. 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). * If your language is not listed, please call the Telephone Service Center at 1-800-322-6384 for free translation services during a dental appointment. 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. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. Alameda Some doctors might have all the patients they can fit in, while still giving you the best care. 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. General Practitioner GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? Gunzenhausen in Regierungsbezirk Mittelfranken (Bavaria) with it's 16,477 habitants is a city located in Germany about 262 mi (or 422 km) south-west of Berlin, the country's capital town. Search from our 29,112 In-network providers, 5,058 primary care providers State (Required) * Location (Required) * Provider Name Optional Search Criteria Plan Name Specialty For Dentist, select "General Dentistry" in specialty drop down box above Need more specialty options? In those situations, CenCal Health can still get you care. Please indicate below any changes to the directory listing for the practice listed above. Search for providers using a specific location or your current location. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. In the CCHP provider online search engine above you can search for providers that participate with CCHP's two networks consisting of over 5,000 primary care providers and specialists. Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. Availability of Hard Copy Directories: Members may request printed directories or have web pages printed and mailed to them by clicking on the link below. San Bernardino [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. View Urgent Visit Access Offices in Santa Cruz County. Select health insurance provider networks available in a region described by the specified location. Alpine A Increase font size. Office of Licensing and Monitoring Provider Directories It should be noted that this is an all-inclusive resource directory of DHS licensed programs; however, not every provider listed is contracted with DHS to provide services to youth in placement. 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. We are dedicated to providing the highest quality of care for your furry family members. To report any errors, click on the link below. [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. 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. Marin Hospitals: The network hospitals a doctor can see their patients in. Contra Costa Select products that are offered in the specified location. 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. 734-436-0455 Location: The doctors office or hospital address. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. Farsi Mongolian Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! Oral Pathologist [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? A network is typically owned by a payer. [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? View Urgent Visit Access Offices in Merced County. This network contains both primary and specialty care providers to choose from. San Mateo InsureKidsNow Search. An example is a doctor who works only with the heart, cancer, or bones. 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 Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. CAQH CORE is the author of the final set of ACA-mandated operating rules for remaining HIPAA transactions, which include healthcare claims, enrollment and disenrollment in a health plan, premium payments, prior authorization and claims attachments. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. Select HealthcareServices provided by the specified organization. Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. The hospital gets reviewed by national organizations to see if they meet these standards. Select Locations with the specified postal code address. Llame al 866-610-2273 (TTY 711). The doctor provides an excellent patient experience. Chinese You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. Dont miss our bimonthly newsletter for community partners. Mono Arabic Use the Provider Directory Information Update Form to alert us to any changes to your provider information. Alliance members must use a pharmacy that works with MedImpact. 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. 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. Below we describe the information in the fields in the provider directory. Punjabi [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? 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. Ventura Sutter If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. San Francisco Learn best practices and earn CBI payments for ACE screenings at your practice. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). 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. Accepting New Patients: This provider accepts both new and existing patients. The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. The most current board certification status can be verified at The American Board of Medical Specialties website. 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. can be viewed free at osteopathic.org. Japanese 2020 K Street, NW - Suite 660 Washington, D.C. 20006. Downloadable PDF Directories [parameter=value]&_include=Location:organization, GET [base]/Location? Santa Cruz A Reset font size. Select PractitionerRoles providing the specified service. Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. Locations can range in scope from a room in a building to a geographic region/area. Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. 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. 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. The RESTful capabilities are discussed in further detail below. On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. Select OrganizationAffiliations associated with the specified specialty. Stanislaus *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. Pedodontist Click to see Board of Directors Meeting Schedule/Upcoming Agenda. MAY: An optional inclusion for the implementation; not a requirement. Who are Providers? Large healthcare providers may achieve CORE Certification. Shasta Thai CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. 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. Select OrganizationAffiliations providing the specified service. Cambodian We share our providers dedication to assuring the highest levels of care and service for people with complex health needs. Select Organizations with the specified name. 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=HealthcareService:coverage-area, GET [base]/HealthcareService?