If you are a member or potential member it is important for you to understand how our two networks are organized. Korean If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. SHALL: An absolute requirement for all implementations. A Decrease font size. 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. Provider Directory Information Update Form Provider Directory Information Update Form Senate Bill 137 requires the Alliance to solicit updated information from providers on a regular basis to ensure that the most accurate data for your practice is included in our Provider Directories. Alliance Care IHSS Price Transparency Tool. We can assist you with your selection for primary care provider. If a doctor or hospital makes a change to any of the information below, CCP updates the provider directory within 7 days of learning of the change. Kings [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? A Reset font size. This network contains both primary and specialty care providers to choose from. Select PractitionerRoles providing the specified service. Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. Only submit information below that needs to be changed in the directory. 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]. Frequently Asked Questions, GRIEVANCE FORM Public Health, * Language: All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. + Decrease font size. San Bernardino Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. CCA will not contact you unless we have questions about your request. Nevada Select Locations with the specified state address. Facilities may also notify us at any time regarding changes to their accreditation status. Select PractitionerRoles with the specified role. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. Alpine This makes sure that Medi-Cal members have access to covered services. It requires CenCal Health to meet both time and distance standards based on county population density. 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. Shasta View Urgent Visit Access Offices in Santa Cruz County. If you are a solo practitioner, enter your name in the box above. 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. By entering a hospital name, the accreditation status and quality measures are listed. View Urgent Visit Access Offices in Merced County. 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. Adoption Directory Oral Surgeon This information is subject to change without notice. Our Provider and Pharmacy Directory make it easy to find the care you need. [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line Location: The doctors office or hospital address. You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. FAQs, Case Studies, Issue Briefs, and more. Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. Select insurance plans of the specified type. Oral Pathologist A Increase font size. Select Practitioners with the specified given name. The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. Pedodontist 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 services available in a region described by the specified location. This directory is for informational use only. Languages: The languages a doctor speaks. Yuba, Specialty: 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. Monterey Tehama 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. Select Organizations of the specified type. 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. In those situations, CenCal Health can still get you care. Results are as of 12/1/2020 unless otherwise noted. Sierra Russian 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. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Select Practitioners with the specified family name. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! 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. Mono All Rights Reserved. You are now being transferred to the CCA corporate website. Accessible with a Wheelchair: The office is handicap accessible. A Increase font size. Most hospitals in Contra Costa County and the immediate surrounding area are participants. A Reset font size. Select Organizations that are part of the specified organization. San Joaquin Accepting new patients: The doctor is taking new patients. 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. 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. Mariposa San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Sometimes, there is not a needed provider close enough. Downloadable PDF Directories A Decrease font size. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. Accepting New Patients: This provider accepts both new and existing patients. Yolo CCHP discourages the use of family members, friends or minors to interpret or translate materials. The RESTful capabilities are discussed in further detail below. CORE Certification See our linguistic access and accessibility policy. Please select a language [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? Health and Wellness Rewards Chinese Select HealthcareServices with the specified name. Timely Access to Care: The California Department of Managed Health Care (DMHC) has regulations set forth in Title 28, Section 1300.67.2.2 for health plans to provide timely access to care for our members. The hospital reports the safety and quality of its care. We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. This is not a guarantee they will be available to accept additional patients at the time you contact them. The FHIR server must return this data. Select Locations with the specified postal code address. Taiwanese Select OrganizationAffiliations available at the specified location. It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. 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. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? Member Handbook [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? CCHP does not verify these skills. Hospitals: The network hospitals a doctor can see their patients in. Santa Clara Llame al 866-610-2273 (TTY 711). Updates will be posted at cchealth.org. Endodontist The call is free. [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? Sometimes CCP does not receive a notice that the information has changed. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Thai 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 products that are owned by the specified organization. Cantonese. To verify the current status of a hospital visit jointcommission.org. This is not a guarantee they will be available to accept additional patients at the time you contact them. Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. 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. We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. Mongolian [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. Select Locations with the specified city address. Providers in the CCRMC network are certified in languages spoken in addition to English. To set your current location, click the green Use Current Location button. The doctor or hospital gives CCP this information on their application when they join the health plan. Select Locations with the specified address. Napa 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. Select roles where the practitioner is a member of the specified health insurance provider network. Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. 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. CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. Below we describe the information in the fields in the provider directory. 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. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. 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. Fresno Certificate. Nurse Advice Line Thank you for the opportunity to partner with you. Select Locations managed by the specified organization. Please select the county where you live. 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. Medi-Cal Dental Provider Directory Search. The FHIR server may return the data, but there is no requirement to do so. The number to call in each county is. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. 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. Hospital Quality: The hospitals performance rating. The online search engine updates nightly based on information entered that day. [parameter=value]&_include=Location:partof, GET [base]/Location? 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. You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. 734-436-0455 Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? 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. Siskiyou For more information, please call the doctors office. The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. Select health insurance provider networks available in a region described by the specified location. **In Dukes and Nantucket Counties: CCA health plans are not yet available. Step 3a: Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. Our directories are printed by county. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. + Reset font size. Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. Select roles filled by the specified organization. Some doctors might have all the patients they can fit in, while still giving you the best care. English The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. 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. Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. 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. 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 Calaveras 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. 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. 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? Frequently Asked Questions, GRIEVANCE FORM 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. 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. 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. * 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. can be viewed free at osteopathic.org. You can get these documents for free in other formats, such as large print, braille, or audio. Colusa Member Handbook As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. Preferred Provider: A doctor that meets strict quality standards. Select Locations that are part of the specified location. 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. The FHIR server is recommended to return this data. If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. 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. In addition, on a quarterly basis, CCHP emails a Network Update link to each provider to report any changes to the information CCHP has on file. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. Solano Periodontist Santa Barbara Select HealthcareServices providing the specified category of services. Sonoma ccah provider directory400,000 mile ecoboost. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. Ventura Call 866-610-2273 (TTY 711). Riverside Gender: A doctors sex, either Male or Female. The Alliance FHIR server SHALL be capable of returning a HealthcareService resource using: The Alliance FHIR server SHOULD be capable of returning a HealthcareService resource using: The Alliance FHIR server SHALL be capable of supporting the following _include parameters: The Alliance FHIR server SHALL be capable of supporting the following _revinclude parameters: The Alliance FHIR server SHALL be capable of returning an InsurancePlan resource using: The Alliance FHIR server SHOULD be capable of returning an InsurancePlan resource using: The Alliance FHIR server SHALL be capable of returning a Location resource using: The Alliance FHIR server SHOULD be capable of returning an Organization resource using: The Alliance FHIR server SHALL be capable of returning an Organization resource using: The Alliance FHIR server SHALL be capable of returning an OrganizationAffiliation resource using: The Alliance FHIR server SHOULD be capable of returning an OrganizationAffiliation resource using: The Alliance FHIR server SHALL be capable of returning a Practitioner resource using: The Alliance FHIR server SHOULD be capable of returning a Practitioner resource using: The Alliance FHIR server SHALL be capable of supporting the following _revinclude parameter: The Alliance FHIR server SHALL be capable of returning a PractitionerRole resource using.

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