Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). Select insurance plans of the specified type. On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. 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. * 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. Hospital information is verified by viewing the information listed on their website. 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. The FHIR server is recommended to return this data. InsureKidsNow Search. + Decrease font size. Select Locations with the specified postal code address. Please select the county where you live. Arabic Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. Location: The doctors office or hospital address. 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. If you are a member or potential member it is important for you to understand how our two networks are organized. [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? Learn best practices and earn CBI payments for ACE screenings at your practice. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Dental Clinics Serving Medi-Cal Members. Siskiyou Plumas Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. Amador Member Handbook Updates will be posted at cchealth.org. View Urgent Visit Access Offices in Santa Cruz County. To verify the current status of a hospital visit jointcommission.org. Please indicate below any changes to the directory listing for the practice listed above. This directory is for informational use only. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? Find-A-Dentist. Napa Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? 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. 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. Select OrganizationAffiliations with the specified role. [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line 734-436-0455 Select roles where the organization is a member of the specified health insurance provider network. As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. Search - Provider Directory What care are you looking for? Select services available in a region described by the specified location. Select roles where the practitioner is a member of the specified health insurance provider network. Alliance Care IHSS Price Transparency Tool. Together, we can bring uncommon care to more people with significant needs. Name: The doctor or hospital that is part of the CCP network. Mandarin [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. Please Note: Be sure to include your full address with City, State, and ZIP. Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. Lake They might also work in different offices or clinics. Hindi Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. Sierra [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Members have the choice to refuse professional interpreters and use adult family members or friends. ccah provider directory400,000 mile ecoboost. Armenian Alameda Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. San Joaquin El Dorado San Mateo [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. CCHP discourages the use of family members, friends or minors to interpret or translate materials. By entering an e-mail in this field I am confirming that the e-mail provided is intended for patient communication and is regularly monitored and maintained in a manner consistent with State and Federal laws. The CCA uncommon care model has demonstrated success in reaching and engaging individuals with significant medical, behavioral, and social needsimproving quality of care while keeping patients and members safely at home. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. 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. You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). SHOULD: A best practice or recommendation for the implementation. 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. Downloadable PDF Directories Japanese 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). 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). Marin 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]. Thank you for the opportunity to partner with you. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! To set your current location, click the green Use Current Location button. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. Below we describe the information in the fields in the provider directory. 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. Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. 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. Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. Cambodian 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. View rating by specialty and compare nearby hospitals. [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? We are dedicated to providing the highest quality of care for your furry family members. Russian Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. All Rights Reserved. Merced 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. [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? Telephone wait time for practice/plan to answer: within 10 minutes, Telephone call back wait time practice/provider office: by the end of the next business day, Telephone call back wait time triage: within 30 minutes. Chinese 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. Tehama 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? * Translation services available for most languages. Hours: When the office or hospital is open to see patients. Select products that are administered by the specified organization. You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . 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. Select Organizations with the specified name. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Location Name: Name of the doctor's office or hospital address. The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. Solano The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. Spanish Select roles offered by the specified organization. Select PractitionerRoles providing the specified service. Operating rule development for these transactions is currently underway. Del Norte 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. Hospital Quality: The hospitals performance rating. Select roles filled by the specified practitioner. [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. The DaVinci PDEX Plan-Net Network profile is based on the core FHIR Organization resource, and the DaVinci PDEX Plan-Net Organization profile is based on the core FHIR US Core Organization resource. [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? Punjabi The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. Tagalog By entering a hospital name, the accreditation status and quality measures are listed. All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. Results are as of 12/1/2020 unless otherwise noted. [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? Search by plan name, specialty, location, or provider name. It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. Medi-Cal Dental Provider Directory Search. Benefits of CCAH Provider Portal Shasta 2020 K Street, NW - Suite 660 Washington, D.C. 20006. The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. Vietnamese You can also use the filters to search for more specific information. Our Provider and Pharmacy Directory make it easy to find the care you need. Select HealthcareServices of the specified type. San Diego Sacramento Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. Providers in the CCRMC network are certified in languages spoken in addition to English. CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. A Reset font size. CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? Tuolumne This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. Select OrganizationAffiliations associated with the specified specialty. Select roles filled by the specified organization. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. Cantonese. 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 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. Use the Provider Directory Information Update Form to alert us to any changes to your provider information. Monterey Senate Bill 137 requires the Alliance to solicit updated information from providers on a regular basis to ensure that the most accurate data for your practice is included in our Provider Directories. . A Increase font size. 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. 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. Specialty: A provider's specialty is identified when they join the health plan network. The resource may be used to encompass a variety of services covering the entire health care spectrum, including promotion, prevention, diagnostics, hospital and ambulatory care, home care, long-term care and other health-related and community services. Korean Calaveras Fresno Providers must document this choice in the member's medical record. 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. GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. Hmong If you are a solo practitioner, enter your name in the box above. 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. A Decrease font size. . [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. Select Practitioners with the specified given name. Pedodontist 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:location, GET [base]/HealthcareService? If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Language Assistance 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. Frequently Asked Questions, GRIEVANCE FORM Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. A Reset font size. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. + Increase font size. 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. Los Angeles Adoption Directory The ACA has taken operating rules to a new level. At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. 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. 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. Santa Cruz This is not a guarantee they will be available to accept additional patients at the time you contact them. We share our providers dedication to assuring the highest levels of care and service for people with complex health needs. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. [parameter=value]&_include=Location:partof, GET [base]/Location? Enrollment for these plans ends December 7. Thai Current time in Gunzenhausen is now 07:51 PM (Saturday). CORE Certification 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. CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. These are the resources and the endpoints available with the Alliance Provider Directory API. Full Print Version of the CBH Provider Directory (Updated 1/3/2023) Step 1: Are you looking for a provider that services adults or children/adolescents? [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? MAY: An optional inclusion for the implementation; not a requirement. A Network refers to a health care provider insurance network. Select organizations with the specified address (matches any of the string elements of an address). A doctor may work with other doctors. 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. 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. Tulare 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. 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. 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. Select health insurance provider networks available in a region described by the specified 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). Select Practitioners with the specified family name.
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