Board certifications for most Doctors of Osteopathic Medicine (D.O.) Accessible with a Wheelchair: The office is handicap accessible. The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. 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). A Increase font size. Sometimes, there is not a needed provider close enough. , California Stanislaus Provider Directory :: Health Plan :: Contra Costa Health Services Imperial Healthcare Provider Directory | Commonwealth Care Alliance MA Russian [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. Languages: The languages a doctor speaks. This information is subject to change without notice. Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. Operating rule development for these transactions is currently underway. 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. 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. 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. Sacramento Alliance Provider Directory - provider.portal.ccah-alliance.org Most hospitals in Contra Costa County and the immediate surrounding area are participants. These are the resources and the endpoints available with the Alliance Provider Directory API. Step 3a: Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. Select OrganizationAffiliations with the specified role. Farsi Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? In those situations, CenCal Health can still get you care. For more information, please call the doctors office. Our directories are printed by county. PCP's are not required to have hospital privileges. Marin Select roles filled by the specified practitioner. 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. Together, we can bring uncommon care to more people with significant needs. Alliance Provider Portal Select products with the specified identifier. Santa Barbara Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. Select OrganizationAffiliations providing the specified service. Members - Medi-Cal Dental - Find-A-Dentist - California Golden Road 365 Detox - Transform Your Health in 21 Days CCA will not contact you unless we have questions about your request. Accepting New Patients: This provider accepts both new and existing patients. Humboldt CORE Certification Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. To select the Kaiser Permanente Medical Group as your PCP for Medi-Cal, you must have been a recent Kaiser member or meet other criteria to qualify. Medi-Cal Dental Program. [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line Select OrganizationAffiliations associated with the specified specialty. 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. Frequently Asked Questions, GRIEVANCE FORM Endodontist Select PractitionerRoles providing the specified service. Plumas FAQs, Case Studies, Issue Briefs, and more. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. 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. The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. General Practitioner Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. The FHIR server must return this data. Find-A-Dentist. We are dedicated to providing the highest quality of care for your furry family members. In addition, on a quarterly basis, CCHP emails a Network Update link to each facility to report any changes to the information CCHP has on file. Select roles filled by the specified organization. The online search engine updates nightly based on information entered that day. Tuolumne Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. Implements RESTful behaviors according to the FHIR specification. CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. + Decrease font size. Yuba, Specialty: CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. Select Locations with the specified address. 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. Documents will be mailed within five (5) business days of receiving request. **In Dukes and Nantucket Counties: CCA health plans are not yet available. The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. 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. You are now being transferred to the CCA corporate website. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. Select Organizations of the specified type. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. Sutter CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. 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. There are more protections for immigrants and their families to use public benefits. Colusa Riverside GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. Armenian A Reset font size. Found inside - Page 57. Select Locations with the specified city address. Mendocino Korean 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. [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. Alliance members must use a pharmacy that works with MedImpact. Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. The FHIR server is recommended to return this data. 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. [parameter=value]&_include=Organization:partof, GET [base]/Organization? A Increase font size. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. This makes sure that Medi-Cal members have access to covered services. Japanese San Francisco This is not a guarantee they will be available to accept additional patients at the time you contact them. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. Spanish Select Locations with the specified state address. Mongolian Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. 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. Downloadable PDF Directories 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. Calaveras The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Providers | CAQH 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. To change your primary care provider or get detailed information about your healthcare benefits and prior authorization requirements, call our Member Services team at 866-610-2273(TTY 711). Chinese 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. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. Accessibility Updates will be posted at cchealth.org. Alliance. A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. Sierra Select products that are owned by the specified organization. Select health insurance provider networks available in a region described by the specified location. To set your current location, click the green Use Current Location button. Placer See our linguistic access and accessibility policy. 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. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. MAY: An optional inclusion for the implementation; not a requirement. If you want to check to see if your doctor is board certified go to CertificationMatters.org, DoctorsThatDo.org, or call 1-866-ASK-ABMS (275-2267). Yolo Facility: CCHP updates facility information daily as changes are reported by the facility. 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. View Urgent Visit Access Offices in Monterey County. 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. 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. Provider Directory Information Update Form - ccah-alliance.org If you are a solo practitioner, enter your name in the box above. Solano CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. Glenn Kings If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Select Locations that are part of the specified location. Select products that are offered in the specified location. Please select a language Mono 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. Who is CenCal Health/What is a Local Health Plan? 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. Hours: When the office or hospital is open to see patients. 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. 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? Select HealthcareServices with the specified name. Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. Locations can range in scope from a room in a building to a geographic region/area. 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. 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. Members have the choice to refuse professional interpreters and use adult family members or friends. Provider Directory - Central California Alliance for Health Health and Wellness Rewards ProcessLogoff - provider.portal.ccah-alliance.org Punjabi All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. 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. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? Medi-Cal Dental Dental Portal Medi-Cal Provider Directory Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. A Reset font size. Butte Llame al 866-610-2273 (TTY 711). The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. Specialty: A provider's specialty is identified when they join the health plan network. San Luis Obispo Merced [parameter=value]&_include=Location:organization, GET [base]/Location? San Bernardino 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). A Decrease font size. Select roles where the practitioner is a member of the specified health insurance provider network. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Provider Directory for Members - CenCal Health Hospital information is verified by viewing the information listed on their website. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. 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. Sonoma To verify the current status of a hospital visit jointcommission.org. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Klinikum Altmhlfranken Gunzenhausen reviews | Best Hospitals in Madera Amador GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? 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. CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. Prosthodontist Provider Directories - Maryland Department of Human Services Our Provider and Pharmacy Directory make it easy to find the care you need. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? 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. At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. Only submit information below that needs to be changed in the directory. This directory is for informational use only. We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. 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. Hmong Nurse Advice Line Laotian Medi-Cal Dental Dental Portal - California Providers must document this choice in the member's medical record. Inyo The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Medical group: This information is collected from the group at the time they initially join the network. View rating by specialty and compare nearby hospitals. Pedodontist Oral Surgeon Name: The doctor or hospital that is part of the CCP network. Some doctors might have all the patients they can fit in, while still giving you the best care. It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. A network is typically owned by a payer. *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. 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. GET [base]/Location? [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? Medi-Cal Dental Provider Directory Search. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. Select roles offered by the specified organization. Oral Pathologist We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource.