ccah provider directory

Gender: A doctors sex, either Male or Female. Oral Pathologist 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=PractitionerRole:organization, GET [base]/PractitionerRole? This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. 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. 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. [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? 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. Hmong 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. Thank you for the opportunity to partner with you. Select OrganizationAffiliations providing the specified service. Modoc Select OrganizationAffiliations with the specified role. The online search engine updates nightly based on information entered that day. + Decrease font size. CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. We can assist you with your selection for primary care provider. 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 products with the specified identifier. 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. On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. Dont miss our bimonthly newsletter for community partners. Select Locations managed by the specified organization. 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. Please select a specialty Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. Locations can range in scope from a room in a building to a geographic region/area. This is not a guarantee they will be available to accept additional patients at the time you contact them. Select services available in a region described by the specified location. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. [parameter=value]&_revinclude=PractitionerRole:network, GET [base]/Organization?[parameter=value]&_revinclude=OrganizationAffiliation:participating-organization. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. 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. Alliance Care IHSS Price Transparency Tool. Downloadable PDF Directories You can also use the filters to search for more specific information. 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. Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. 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 Providers must document this choice in the member's medical record. Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. Select PractitionerRoles with the specified role. [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? 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). [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. El Dorado The hospital reports the safety and quality of its care. Resources in the Conformance category are used to represent metadata about the datatypes, resources, and CCAH Provider Directory API features of the FHIR specification and can be used to create derived specifications. We can help you understand and assist you with obtaining referrals to see specialists, explain when referrals are not needed, and help you find a specialist in your area. This is not a guarantee they will be available to accept additional patients at the time you contact them. CCHP discourages the use of family members, friends or minors to interpret or translate materials. Use the Provider Directory Information Update Form to alert us to any changes to your provider information. Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. Hindi It requires CenCal Health to meet both time and distance standards based on county population density. Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. 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. If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. The FHIR server must return this data. [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? Select roles filled by the specified organization. Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. The doctor or hospital gives CCP this information on their application when they join the health plan. A Increase font size. Mariposa The local timezone is named Europe / Berlin with an UTC offset of 2 hours. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Who are Providers? Search by plan name, specialty, location, or provider name. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? Only submit information below that needs to be changed in the directory. InsureKidsNow Search. Below we describe the information in the fields in the provider directory. A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. GET [base]/Location? To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. Tehama Stanislaus 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. Placer Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. Accessible with a Wheelchair: The office is handicap accessible. In those situations, CenCal Health can still get you care. 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. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. This directory is for informational use only. Ventura A Network refers to a health care provider insurance network. Board certifications for most Doctors of Osteopathic Medicine (D.O.) We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. 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. 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. 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. 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. Updates will be posted at cchealth.org. 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. Select Locations with the specified address. Medi-Cal Dental Program. Sierra Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. 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. Tulare Preferred Provider: A doctor that meets strict quality standards. 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. Health and Wellness Rewards This certificate expires, so CCP checks it at least every 3 years. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? Russian CORE Certification The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. Specialty: The area of medicine the doctor provides care to patients. , California Select PractitionerRoles providing the specified service. 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. PCP's are not required to have hospital privileges. Accepting New Patients: This provider accepts both new and existing patients. Select Locations that are part of the specified location. Punjabi 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. Mandarin You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer specialist. Sonoma Farsi If you cannot find a dentist in your area who is accepting new patients, please contact the Medi-Cal Telephone Service Center for additional help at 1-800-322-6384. Mongolian 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 information is subject to change without notice. Please select a language Alliance members must use a pharmacy that works with MedImpact. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. They will be able to assist you in making the best health plan choice for you. CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. Member Handbook Authentication is not required to access the Conformance resource. Frequently Asked Questions, GRIEVANCE FORM Contra Costa Search for providers using a specific location or your current location. Lassen CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. Plumas The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Select Locations with the specified postal code address. 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. Specialty: A provider's specialty is identified when they join the health plan network. Hospital information is verified by viewing the information listed on their website. Registered Dental Hygienists in Alternative Practice. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. Laotian Select PractitionerRoles available at the specified location. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. To set your current location, click the green Use Current Location button. Santa Barbara 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. Marin CCHP Medi-Cal members should contact the DHCS Medi-Cal Rx Help Line for any pharmacy questions (1-800-977-2273, TTY 1-800-430-7077). Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. View Urgent Visit Access Offices in Monterey County. The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. Insurance Plan describes a health insurance offering comprised of a list of covered benefits (for example: the product), costs associated with those benefits (for example: the plan) and additional information about the offering, such as who it is owned and administered by, a coverage area, contact information, etc. + Reset font size. There are more protections for immigrants and their families to use public benefits. Languages Spoken: These abilities are self-reported by the providers in the CPN network when the provider joins the network and at the time of recredentialing. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. The call is free. Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. Llame al 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. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. Dont miss our bimonthly newsletter for community partners. Select Organizations with the specified name. Santa Cruz The number to call in each county is. 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. 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. SHALL: An absolute requirement for all implementations. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. 2020 K Street, NW - Suite 660 Washington, D.C. 20006. Please indicate the name of your practice in the box above. This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. can be viewed free at osteopathic.org. Glenn View Urgent Visit Access Offices in Merced County. Enrollment for these plans ends December 7. Trinity For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Found inside - Page 57. Learn best practices and earn CBI payments for ACE screenings at your practice. General Practitioner There are more protections for immigrants and their families to use public benefits. CCP checks this information at least every 3 years. Periodontist The online Beacon Provider Directory can be found at the link below. Humboldt Alpine 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. 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. 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. CCHP does not verify these skills. Hospital Quality: The hospitals performance rating. Connecting, solving and transforming healthcare business challenges. Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. Nurse Advice Line Must contain at least 1 character from each of the following four groups: Uppercase letters Lowercase letters Numbers Special Characters May not contain your username May not be any of your last 10 passwords Please contact the Provider Services at (831) 430-5518 with any questions. 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. You can get these documents for free in other formats, such as large print, braille, or audio. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? Select insurance plans of the specified type. Inyo Implements RESTful behaviors according to the FHIR specification. Location: The doctors office or hospital address. 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. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. Mendocino In those situations, CenCal Health can still get you care. [parameter=value]&_include=Location:partof, GET [base]/Location? If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. 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. Some doctors might have all the patients they can fit in, while still giving you the best care. We are dedicated to providing the highest quality of care for your furry family members. Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. Results are as of 12/1/2020 unless otherwise noted. Find-A-Dentist. 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. CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? By entering a hospital name, the accreditation status and quality measures are listed. 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. Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! Select health insurance provider networks available in a region described by the specified location. If you are a solo practitioner, enter your name in the box above. + Increase font size. * Translation services available for most languages. Search - Provider Directory What care are you looking for? Member Handbook [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? A network is typically owned by a payer. Orange [parameter=value]&_include=Location:organization, GET [base]/Location? Calaveras Cambodian English The RESTful capabilities are discussed in further detail below. Learn best practices and earn CBI payments for ACE screenings at your practice. View rating by specialty and compare nearby hospitals. Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. Select OrganizationAffiliations associated with the specified specialty. 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 The FHIR server may return the data, but there is no requirement to do so. Select products that are administered by the specified organization. Hospitals: The network hospitals a doctor can see their patients in. Facilities may also notify us at any time regarding changes to their accreditation status. CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties.

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