Orange Please select a county You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . Select PractitionerRoles providing the specified service. 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. Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. Thai CAQH technology-enabled solutions, operating rules and research help nearly 1,000 health plans, 2 million providers, government entities and vendors connect, exchange information and operate more efficiently. 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. CCP checks this information at least every 3 years. [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. + Increase font size. * 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. Riverside Hospitals: The network hospitals a doctor can see their patients in. See our linguistic access and accessibility policy. You are now being transferred to the CCA corporate website. *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. El Dorado 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 OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. There are more protections for immigrants and their families to use public benefits. [parameter=value]&_include=Location:organization, GET [base]/Location? Call 866-610-2273 (TTY 711). The online search engine updates nightly based on information entered that day. Plumas 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. Name: The doctor or hospital that is part of the CCP network. Mandarin San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Dont miss our bimonthly newsletter for community partners. Select products that are offered in the specified location. Location: The doctors office or hospital address. Select PractitionerRoles with the specified role. Benefits of CCAH Provider Portal **In Dukes and Nantucket Counties: CCA health plans are not yet available. Cantonese. Alliance members must use a pharmacy that works with MedImpact. The ACA has taken operating rules to a new level. Alliance. 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. Most hospitals in Contra Costa County and the immediate surrounding area are participants. Farsi Updates will be posted at cchealth.org. A Reset font size. Punjabi English Who are Providers? CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? Oral Surgeon Select roles filled by the specified practitioner. Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. County: Select PractitionerRoles available at the specified location. Dont miss our bimonthly newsletter for community partners. 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. The hospital reports the safety and quality of its care. You can get these documents for free in other formats, such as large print, braille, or audio. The FHIR server is recommended to return this data. 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 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. San Benito Chinese Who is CenCal Health/What is a Local Health Plan? Found inside - Page 57. Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. The hospital gets reviewed by national organizations to see if they meet these standards. This directory is for informational use only. Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. CCHP discourages the use of family members, friends or minors to interpret or translate materials. Locations can range in scope from a room in a building to a geographic region/area. Select HealthcareServices provided by the specified organization. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. To verify the current status of a hospital visit jointcommission.org. Language Assistance All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. Select Locations with the specified address. View Urgent Visit Access Offices in Santa Cruz County. Our directories are printed by county. 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. Frequently Asked Questions, GRIEVANCE FORM San Francisco Please select a language Registered Dental Hygienists in Alternative Practice. Select products that are owned by the specified organization. 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. Spanish By entering a hospital name, the accreditation status and quality measures are listed. Select OrganizationAffiliations providing the specified service. Hours: When the office or hospital is open to see patients. Certificate. Fresno 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. Preferred Provider: A doctor that meets strict quality standards. 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. Japanese View Urgent Visit Access Offices in Monterey County. As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. 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. CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. Accepting new patients: The doctor is taking new patients. Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. GET [base]/Organization/[id]/_history/vid, GET [base]/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. [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? 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. 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. Colusa FAQs, Case Studies, Issue Briefs, and more. 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. 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. The FHIR server may return the data, but there is no requirement to do so. 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 Learn best practices and earn CBI payments for ACE screenings at your practice. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. Please select a specialty [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? Select Locations managed by the specified organization. This is not a guarantee they will be available to accept additional patients at the time you contact them. This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. Providers in the CCRMC network are certified in languages spoken in addition to English. The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? This network contains both primary and specialty care providers to choose from. Prosthodontist Select Locations with the specified city address. Documents will be mailed within five (5) business days of receiving request. 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. Merced 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. Select Organizations that are part of the specified organization. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). If you are a member or potential member it is important for you to understand how our two networks are organized. The doctor provides an excellent patient experience. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? Marin GET [base]/Location? Continuity of Care Policy, 2023 Central California Alliance for Health | Website Feedback, Enhanced Care Management and Community Supports, Member Services Advisory Group Application, Whole Child Model Family Advisory Committee (WCMFAC), Provider Credentialing Applications and Policies, Complex Case Management and Care Coordination, Pain Management and Substance Use Resources, Interpreter Services Provider Quick Reference Guide, Interpreter Services Quality Assurance Form, Promoting Cultural and Linguistic Competency, Breastfeeding Support and Breast Pump Benefit, Prior Authorization Information Request for Injectable Drugs, Medical Nutrition Therapy Benefit Quick Reference Guide, Antidepressant Medication Management Tip Sheet, Immunizations: Adult Exploratory Measure Tip Sheet, Programmatic Measure Benchmarks & Performance Improvement, 90-Day Referral Completion Exploratory Tip Sheet, Application of Fluoride Varnish Tip Sheet, Immunizations: Children (Combo 10) Tip Sheet, Chlamydia Screening in Women Exploratory Measure Tip Sheet, Child and Adolescent Well-Care Visits Tip Sheet, Child and Adolescents BMI Assessment Tip Sheet, Well-Child Visits in the First 15 Months of Life Tip Sheet, Unhealthy Alcohol Use in Adolescents and Adults Tip Sheet, Tuberculosis (TB) Risk Assessment Exploratory Tip Sheet, Maximizing Your Value-Based Payments using CPT Category II Coding Tip Sheet, Lead Screening in Children Exploratory Measure Tip Sheet, Diabetic HbA1c Poor Control >9% Tip Sheet, Developmental Screening in the First 3 Years Tip Sheet, Controlling High Blood Pressure Exploratory Measure Tip Sheet, Best Practices for Reducing Patient No-Shows Tip Sheet, Ambulatory Care Sensitive Admissions Tip Sheet, USPSTF Recommendations for Primary Care Practice, Preventable Emergency Care Visit Diagnosis Tip Sheet, California Management Guidelines: Childhood Lead Poisoning, Standard of Care Guidelines: Childhood Lead Poisoning, Adverse Childhood Experiences (ACEs) Screening in Children and Adolescents Tip Sheet, Screening for Depression and Follow-Up Plan Tip Sheet, Initial Health Assessment Billing Code List, Chronic and Persistent Conditions Health Measures, DHCS Facility Site Review (FSR) Checklist, FSR Critical Elements: Interim Monitoring Form, DHCS Medical Record Review (MRR) Checklist, Screening for Adverse Childhood Experiences (ACEs). To 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. Connecting, solving and transforming healthcare business challenges. 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. Operating rule development for these transactions is currently underway. Use the Provider Directory Information Update Form to alert us to any changes to your provider information. General Practitioner 2020 K Street, NW - Suite 660 Washington, D.C. 20006. Nevada 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. 734-436-0455 Yolo Humboldt Mono The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. ccah provider directory400,000 mile ecoboost. Stanislaus 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. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. Modoc [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical 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. 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. [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? Select HealthcareServices providing the specified category of services. Calaveras MAY: An optional inclusion for the implementation; not a requirement. We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. Solano A Increase font size. 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 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. CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. View rating by specialty and compare nearby hospitals. InsureKidsNow Search. Public Health, * Language: 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. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. There are more protections for immigrants and their families to use public benefits. They might also work in different offices or clinics. Location Name: Name of the doctor's office or hospital address. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services.
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