Website: The internet address that the doctor and practice information can be found. Mariposa Select HealthcareServices available at the specified location. Laotian Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. 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. If you are a solo practitioner, enter your name in the box above. Languages: The languages a doctor speaks. Santa Clara Inyo Select products that are administered by the specified organization. Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. Search by plan name, specialty, location, or provider name. Medical group: This information is collected from the group at the time they initially join the network. It requires CenCal Health to meet both time and distance standards based on county population density. Arabic Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. 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]. If you are a member or potential member it is important for you to understand how our two networks are organized. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. Alliance members must use a pharmacy that works with MedImpact. Select Organizations that are part of the specified organization. Language Assistance Llame al 866-610-2273 (TTY 711). [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? [parameter=value]&_include=Location:partof, GET [base]/Location? The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? 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. 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. Member Handbook Alliance Care IHSS Price Transparency Tool. 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. 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. Mono Mandarin Together, we can bring uncommon care to more people with significant needs. Colusa Public Health, * Language: Cambodian Select OrganizationAffiliations providing the specified service. View rating by specialty and compare nearby hospitals. Nurse Advice Line [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? Sometimes CCP does not receive a notice that the information has changed. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. Accepting New Patients: This provider accepts both new and existing patients. Select OrganizationAffiliations with the specified role. The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. We can assist you with your selection for primary care provider. You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . Found inside - Page 57. Select products with the specified identifier. [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? CCP checks this information at least every 3 years. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. Chinese CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. This makes sure that Medi-Cal members have access to covered services. Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. Only submit information below that needs to be changed in the directory. Select services associated with the specified specialty. To verify the current status of a hospital visit jointcommission.org. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. Butte The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. In those situations, CenCal Health can still get you care. Yuba, Specialty: 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. Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. Hospital information is verified by viewing the information listed on their website. For more information, please call the doctors office. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? 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. 734-436-0455 Step 3a: Farsi This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. Alliance Care IHSS Price Transparency Tool. Learn best practices and earn CBI payments for ACE screenings at your practice. San Bernardino Select Practitioners with the specified given name. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? View Urgent Visit Access Offices in Santa Cruz County. GET [base]/Location? 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. Name: The doctor or hospital that is part of the CCP network. Oral Surgeon The call is free. 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. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Select Locations with the specified state address. Then click the magenta Get Location button. 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=Location:organization, GET [base]/Location? We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. 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. GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? Certified Orthodontist The number to call in each county is. 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 county InsureKidsNow Search. Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. 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). Alameda Ventura 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. In those situations, CenCal Health can still get you care. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! 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. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Periodontist Registered Dental Hygienists in Alternative Practice. Kern This certificate expires, so CCP checks it at least every 3 years. The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. Cantonese. A Increase font size. They will be able to assist you in making the best health plan choice for you. Board Certifications: A doctor gets a certificate after completing extra training in their specialty. The doctor provides an excellent patient experience. CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. Facility: CCHP updates facility information daily as changes are reported by the facility. Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. Alpine You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. MAY: An optional inclusion for the implementation; not a requirement. Placer San Benito Implements RESTful behaviors according to the FHIR specification. Calaveras , California 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. The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. Yolo [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. 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. Shasta Language Assistance An example is a doctor who works only with the heart, cancer, or bones. You are now being transferred to the CCA corporate website. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. 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. After reviewing the listing for your practice that you received via email or fax, please confirm that all information is correct, or indicate any changes for each provider in your practice (including mid-level practitioners). Frequently Asked Questions, GRIEVANCE FORM Napa GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. Select roles offered by the specified organization. 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. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. 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 select a language Locations can range in scope from a room in a building to a geographic region/area. 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. Accessible with a Wheelchair: The office is handicap accessible. San Mateo 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. The online search engine updates nightly based on information entered that day. Trinity Dont miss our bimonthly newsletter for community partners. Current time in Gunzenhausen is now 07:51 PM (Saturday). The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. 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. El Dorado [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. Click to see Board of Directors Meeting Schedule/Upcoming Agenda. [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? Select HealthcareServices of the specified type. Large healthcare providers may achieve CORE Certification. Oral Pathologist 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. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. 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. CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. Accessibility Below we describe the information in the fields in the provider directory. Select HealthcareServices with the specified name. 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. CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. 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 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. Sutter Nevada FAQs, Case Studies, Issue Briefs, and more. Sometimes, there is not a needed provider close enough. Korean If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Select OrganizationAffiliations available at the specified location. If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. Los Angeles 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. Health and Wellness Rewards CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. We are dedicated to providing the highest quality of care for your furry family members. Showing of Most hospitals in Contra Costa County and the immediate surrounding area are participants. 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. Call 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. Marin San Luis Obispo To report any errors, click on the link below. A Decrease font size. We can explain what hospitals are near you. Member Handbook Preferred Provider: A doctor that meets strict quality standards. 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. Alliance. If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. This directory is for informational use only. Select products that are offered in the specified location. Mongolian Were committed to achieving: Partnering with you to keep your patients living safely and independently in their homes and communities is at the heart of our mission. Search - Provider Directory What care are you looking for? Select Locations with the specified postal code address. Providers in the CCRMC network are certified in languages spoken in addition to English. Tuolumne Select roles where the practitioner is a member of the specified health insurance provider network. This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. 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. CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. 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. Sometimes, there is not a needed provider close enough. At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. Documents will be mailed within five (5) business days of receiving request. Armenian Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. Learn More. We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. Santa Cruz Phone Number: The doctors office or hospital phone number. 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. 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. There are more protections for immigrants and their families to use public benefits. See our linguistic access and accessibility policy. Madera To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. 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. Orange 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. Facilities may also notify us at any time regarding changes to their accreditation status. The FHIR server is recommended to return this data. Punjabi Select HealthcareServices providing the specified category of services. Mendocino The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. 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. **In Dukes and Nantucket Counties: CCA health plans are not yet available. A Decrease font size. 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. 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. Enrollment for these plans ends December 7. Pedodontist ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Enhanced Care Management and Community Supports, Utilization Management: Authorization and Referrals, Request Printed Copy of Provider Directory, The American Board of Medical Specialties website, linguistic access and accessibility policy, Urgent care appointments not requiring prior authorization: within 48 hours of request, Urgent care appointments requiring prior authorization: within 96 hours of request, Non-urgent appointments for primary care: within 10 business days of request, Non-urgent appointments with specialists: within 15 business days of request, Non-urgent appointments for ancillary services for the diagnosis or treatment of injury, illness or other health conditions: within 15 business days of request, First Prenatal Visit: within 14 calendar days of request, Mental Health Routine Non-Urgent: within 10 business days of request, Mental Health Routine Non-Urgent Follow-Up: within 10 business days of request, Mental Health Urgent: within 48 hours of request. Amador [parameter=value]&_include=Organization:partof, GET [base]/Organization? Dental Clinics Serving Medi-Cal Members. Select Locations managed by the specified organization. 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. A health care provider insurance network is an aggregation of organizations and individuals that deliver a set of services across a geography through health insurance products/plans. 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. Taiwanese 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. Operating rule development for these transactions is currently underway. PCP's are not required to have hospital privileges. The hospital gets reviewed by national organizations to see if they meet these standards. All Rights Reserved. You can also use the filters to search for more specific information. Siskiyou 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).
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