Select Practitioners with the specified given name. Member Handbook Alpine Only submit information below that needs to be changed in the directory. 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]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. CCAH Provider Portal - provider.portal.ccah-alliance.org Providers | CAQH 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. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. Hindi Santa Barbara Select Organizations with the specified name. If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. Kern Select PractitionerRoles associated with the specified specialty. Select roles offered by the specified organization. GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? 2020 K Street, NW - Suite 660 Washington, D.C. 20006. Trinity CCHA | Find a Provider - Colorado Community Health Alliance Downloadable PDF Directories Select HealthcareServices available at the specified location. Mariposa To report any errors, click on the link below. Accessibility [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. Llame al 866-610-2273 (TTY 711). Name: The doctor or hospital that is part of the CCP 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. Select insurance plans of the specified type. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? ProcessLogoff - provider.portal.ccah-alliance.org Alliance Provider Portal On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. The FHIR server may return the data, but there is no requirement to do so. CORE Certification Interpreter services are available at all CCHP points of contact where members may reasonably need such services. CCA will not contact you unless we have questions about your request. San Mateo Merced 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. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Step 3a: [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? Pedodontist Contra Costa 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. To report incorrect provider information, members can contact member services by calling 1-877-661-6230 option 2 or by email: [email protected] and Providers or the general public can contact Provider Relations at [email protected] or by calling 1-877-800-7423 option 6. [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? 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). [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? Provider Directory - Central California Alliance for Health Call 866-610-2273 (TTY 711). A Decrease font size. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. We share our providers dedication to assuring the highest levels of care and service for people with complex health needs. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. Location: The doctors office or hospital address. Provider Directories - Maryland Department of Human Services All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. 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. You are now being transferred to the CCA corporate website. San Benito View rating by specialty and compare nearby hospitals. Please select a language Connecting, solving and transforming healthcare business challenges. There are more protections for immigrants and their families to use public benefits. Registered Dental Hygienists in Alternative Practice. This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. We can explain what hospitals are near you. Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. Select roles filled by the specified organization. Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. Select Locations with the specified state address. Colusa Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. Lake Learn best practices and earn CBI payments for ACE screenings at your practice. Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? Select HealthcareServices provided by the specified organization. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). Select HealthcareServices providing the specified category of services. Fresno GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? 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. Specialty: A provider's specialty is identified when they join the health plan network. Location Name: Name of the doctor's office or hospital address. The most current board certification status can be verified at The American Board of Medical Specialties website. This network contains both primary and specialty care providers to choose from. Tuolumne If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. Dont miss our bimonthly newsletter for community partners. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. 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. Languages: The languages a doctor speaks. Imperial Results are as of 12/1/2020 unless otherwise noted. Public Health, * Language: Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. 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. CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. Shasta A Reset font size. You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). Select HealthcareServices with the specified name. Prosthodontist , California Select Locations that are part of the specified location. It requires CenCal Health to meet both time and distance standards based on county population density. General Practitioner 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. Please Note: Be sure to include your full address with City, State, and ZIP. Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. Arabic The RESTful capabilities are discussed in further detail below. Riverside This is not a guarantee they will be available to accept additional patients at the time you contact them. InsureKidsNow Search. Certificate. Dental Clinics Serving Medi-Cal Members. The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. 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. Search - Provider Directory A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? Select PractitionerRoles available at the specified location. Select OrganizationAffiliations providing the specified service. We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. The Central California Alliance for Health (the Alliance) is an award-winning regional Medi-Cal managed care plan that provides health insurance for children, adults, seniors. An example is a doctor who works only with the heart, cancer, or bones. Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. The online Beacon Provider Directory can be found at the link below. 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. Select OrganizationAffiliations available at the specified location. 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. Thai Select Organizations that are part of the specified organization. Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. Learn More. The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. Tagalog Ventura To set your current location, click the green Use Current Location button. Enrollment for these plans ends December 7. Find-A-Dentist. 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. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. Sutter Select OrganizationAffiliations with the specified role. You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer specialist. We can assist you with your selection for primary care provider. Lassen Search - Provider Directory What care are you looking for? ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Resources in the Conformance category are used to represent metadata about the datatypes, resources, and CCAH Provider Directory API features of the FHIR specification and can be used to create derived specifications. Locations can range in scope from a room in a building to a geographic region/area. Language Assistance can be viewed free at osteopathic.org. If you are a member or potential member it is important for you to understand how our two networks are organized. Please indicate the name of your practice in the box above. 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. In those situations, CenCal Health can still get you care. Phone Number: The doctors office or hospital phone number. The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? FAQs, Case Studies, Issue Briefs, and more. 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. Glenn To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. Medi-Cal Dental Program. Updates will be posted at cchealth.org. 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. Laotian To verify the current status of a hospital visit jointcommission.org. This information is subject to change without notice. A Network refers to a health care provider insurance network. Provider Search - CCHP Health Plan Select roles where the practitioner is a member of the specified health insurance provider network. Provider Directory | Community Cares Plan 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. Sometimes, there is not a needed provider close enough. Together, we can bring uncommon care to more people with significant needs. They will be able to assist you in making the best health plan choice for you. You can get these documents for free in other formats, such as large print, braille, or audio. Accepting new patients: The doctor is taking new patients. Accepting New Patients: This provider accepts both new and existing patients. 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. See our linguistic access and accessibility policy. Amador Placer Who are Providers? Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. All Rights Reserved. Yuba, Specialty: Oral Pathologist Health and Wellness Rewards A Increase font size. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. Armenian [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. Destination Guide: Gunzenhausen (Bavaria, Regierungsbezirk 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. 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. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. 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. The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. Provider Directory - Central California Alliance for Health 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. 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. There are more protections for immigrants and their families to use public benefits. 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. Los Angeles 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. 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 This directory is for informational use only. CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. 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. 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. 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? Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. Hospital information is verified by viewing the information listed on their website. 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. This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. Russian 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. Klinikum Altmhlfranken Gunzenhausen reviews | Best Hospitals in 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. MAY: An optional inclusion for the implementation; not a requirement. Select products that are administered by the specified organization. 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). Accessible with a Wheelchair: The office is handicap accessible. Periodontist San Diego Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. 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. 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. 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 CCA Senior Care Options Directory by County (2023) view: Bristol, Norfolk, Plymouth Essex Franklin, Hampden, Hampshire Middlesex Suffolk Worcester CCA Senior Care Options Directory by County - Spanish (2023) view: Bristol, Norfolk, Plymouth-Spanish Essex-Spanish Franklin, Hampden, Hampshire-Spanish Middlesex-Spanish Suffolk-Spanish
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