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. Use the Provider Directory Information Update Form to alert us to any changes to your provider information. CCHP does not verify these skills. Large healthcare providers may achieve CORE Certification. A doctor may work with other doctors. Alliance Care IHSS Price Transparency Tool. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. 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 OrganizationAffiliations associated with the specified specialty. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? Glenn Nevada The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. Armenian Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. Some doctors might have all the patients they can fit in, while still giving you the best care. Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. This is not a guarantee they will be available to accept additional patients at the time you contact them. Select PractitionerRoles associated with the specified specialty. [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. Thank you for the opportunity to partner with you. 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. Mono For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. The hospital reports the safety and quality of its care. Select roles where the practitioner is a member of the specified health insurance provider network. Select services associated with the specified specialty. Butte New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. Madera Lake They will be able to assist you in making the best health plan choice for you. Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. A Reset font size. 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. You are now being transferred to the CCA corporate website. MAY: An optional inclusion for the implementation; not a requirement. [parameter=value]&_include=Location:partof, GET [base]/Location? Phone Number: The doctors office or hospital phone number. Step 3a: Riverside View Urgent Visit Access Offices in Santa Cruz County. 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. View Urgent Visit Access Offices in Merced County. 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. 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. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. To verify the current status of a hospital visit jointcommission.org. 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. At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. A Increase font size. Select products that are owned by the specified organization. We share our providers dedication to assuring the highest levels of care and service for people with complex health needs. HL7 FHIR DaVinci PDEX Payer Network (Plan-Net) Implementation Guide Version 1.0.0, HL7 FHIR DaVinci PDEX Plan-Net Profiles, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Endpoint, DaVinci PDEX Plan-Net HealthcareService profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-HealthcareService, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/HealthcareServiceCategoryCS, DaVinci PDEX Plan-Net InsurancePlan profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-InsurancePlan, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsurancePlanTypeCS, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsuranceProductTypeCS, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Location, http://terminology.hl7.org/CodeSystem/v3-RoleCode, DaVinci PDEX Plan-Net Organization profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Organization, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/OrgTypeCS, DaVinci PDEX Plan-Net OrganizationAffiliation profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-OrganizationAffiliation, DaVinci PDEX Plan-Net Practitioner profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Practitioner, DaVinci PDEX Plan-Net PractitionerRole profile. Sometimes, there is not a needed provider close enough. The FHIR server must return this data. The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. Select insurance plans of the specified type. 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. Operating rule development for these transactions is currently underway. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Select PractitionerRoles available at the specified organization. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). Placer As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. 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. Select PractitionerRoles with the specified role. 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 Monterey Learn best practices and earn CBI payments for ACE screenings at your practice. [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. Accessible with a Wheelchair: The office is handicap accessible. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. 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). Mongolian It requires CenCal Health to meet both time and distance standards based on county population density. Thai It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. 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. Hours: When the office or hospital is open to see patients. Yuba, Specialty: English This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. Select health insurance provider networks available in a region described by the specified location. Find-A-Dentist. Accessibility 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. Enrollment for these plans ends December 7. In those situations, CenCal Health can still get you care. Select roles filled by 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! 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). 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. The online Beacon Provider Directory can be found at the link below. [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? 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. San Diego Select roles filled by the specified practitioner. [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? If you are a solo practitioner, enter your name in the box above. Together, we can bring uncommon care to more people with significant needs. The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. Sierra We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. 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. Registered Dental Hygienists in Alternative Practice. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. Sonoma The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. 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. Please indicate the name of your practice in the box above. Fresno ProcessLogoff - provider.portal.ccah-alliance.org Location: The doctors office or hospital address. Depending on the plan, benefits may include $0 primary care visits, $0 annual dental and eye exams, $0 transportation, $0 identity theft protection, and $200 or more for over-the-counter health products. If you are a member or potential member it is important for you to understand how our two networks are organized. [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? Call 866-610-2273 (TTY 711). Accepting new patients: The doctor is taking new patients. San Francisco Vietnamese CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. Spanish [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. For more information, please call the doctors office. Inyo Select roles where the organization is a member of the specified health insurance provider network. Dont miss our bimonthly newsletter for community partners. Only submit information below that needs to be changed in the directory. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? 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. 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. County: We can assist you with your selection for primary care provider. El Dorado You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). [parameter=value]&_include=Location:organization, GET [base]/Location? * Translation services available for most languages. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? 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). Who are Providers? Imperial Santa Clara You can also access the Kaiser online directory. Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. Tuolumne Mendocino This directory is for informational use only. Siskiyou San Mateo Select roles offered by the specified organization. Endodontist [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? 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. Santa Barbara Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. Providers must document this choice in the member's medical record. 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. Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? Please select a language 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. Click to see Board of Directors Meeting Schedule/Upcoming Agenda. Language Assistance Oral Surgeon Russian The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. There are more protections for immigrants and their families to use public 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. Sometimes CCP does not receive a notice that the information has changed. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. This certificate expires, so CCP checks it at least every 3 years. , California Online Provider Directory http://www.ccah-alliance.org/providerdirectory.html Click on Provider Directory Search Effective January 2015 CENTRAL CALIFORNIA ALLIANCE FOR HEALTH Provider Directory / Gua de Proveedores / Phau Ntawv Teev Cov Kws Khomob A.2 Primary Care Physicians/ Doctores de Cuidado Primario/ Cov Thawj Kws Khomob Please select the county where you live. Select HealthcareServices provided by the specified organization. Medi-Cal Dental Provider Directory Search. There are more protections for immigrants and their families to use public benefits. This makes sure that Medi-Cal members have access to covered services. 734-436-0455 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. CCHP discourages the use of family members, friends or minors to interpret or translate materials. 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. Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. Below we describe the information in the fields in the provider directory. Authentication is not required to access the Conformance resource. Select Locations with the specified city address. Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. Members have the choice to refuse professional interpreters and use adult family members or friends. CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. 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. Name: The doctor or hospital that is part of the CCP network. CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. 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. Specialty: A provider's specialty is identified when they join the health plan network. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. Select Locations that are part of the specified location. 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. Gender: A doctors sex, either Male or Female. Select HealthcareServices of the specified type. Select OrganizationAffiliations with the specified role. Marin Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. 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]. GET [base]/Location? [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? 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. Kern Search by plan name, specialty, location, or provider name. Laotian Results are as of 12/1/2020 unless otherwise noted. 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. 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. Medi-Cal Dental Program. Arabic [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. View Urgent Visit Access Offices in Monterey County. Alliance members must use a pharmacy that works with MedImpact. [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? A Reset font size. Del Norte Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. 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. An example is a doctor who works only with the heart, cancer, or bones. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Select organizations with the specified address (matches any of the string elements of an address). + Reset font size. Farsi Japanese 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 directoryupdates@cchealth.org or by calling 1-877-800-7423 option 6. Health and Wellness Rewards Stanislaus Select PractitionerRoles providing the specified service. Tulare Language Assistance Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. 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. You can also use the filters to search for more specific information. We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. 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. Search for providers using a specific location or your current location. Alliance. SHOULD: A best practice or recommendation for the implementation. Our Provider and Pharmacy Directory make it easy to find the care you need. Hospitals: The network hospitals a doctor can see their patients in. 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. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. ASL Interpreter Available: The office can translate into American Sign Language.

Honolulu Fire Department Recruitment, Durospan Steel Buildings Ebay, On The Grind Coffee Calories, Lgbt Characters Fandom, Articles C