Public Health, * Language: 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. This makes sure that Medi-Cal members have access to covered services. You are now being transferred to the CCA corporate website. 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. 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. Select services associated with the specified specialty. This directory is for informational use only. Select roles filled by the specified organization. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? Sutter 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. Hindi You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. Languages: The languages a doctor speaks. Pedodontist + Reset font size. A doctor may work with other doctors. You can also access the Kaiser online directory. Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. Operating rule development for these transactions is currently underway. The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. ProcessLogoff - provider.portal.ccah-alliance.org Fresno For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. 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. San Mateo Alpine SHALL: An absolute requirement for all implementations. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. 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. Medi-Cal Dental Program. Find-A-Dentist. On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. Taiwanese 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. Yolo 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. Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. Select PractitionerRoles with the specified role. Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. 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. 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. Select Locations managed by the specified organization. Alliance. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Hospitals: The network hospitals a doctor can see their patients in. Oral Pathologist Found inside - Page 57. Select HealthcareServices providing the specified category of services. View rating by specialty and compare nearby hospitals. Groups: The practice a doctor works in. + Decrease font size. The hospital gets reviewed by national organizations to see if they meet these standards. The FHIR server may return the data, but there is no requirement to do so. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. Select PractitionerRoles associated with the specified specialty. Preferred Provider: A doctor that meets strict quality standards. Locations can range in scope from a room in a building to a geographic region/area. The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. 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 Then click the magenta Get Location button. Providers in the CCRMC network are certified in languages spoken in addition to English. Armenian 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. Member Handbook The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. [parameter=value]&_include=Location:partof, GET [base]/Location? Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. 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 PCP's are not required to have hospital privileges. Select Locations that are part of the specified location. A network is typically owned by a payer. View Urgent Visit Access Offices in Monterey County. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. Lake Call 866-610-2273 (TTY 711). San Benito Punjabi 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. CAQH technology-enabled solutions, operating rules and research help nearly 1,000 health plans, 2 million providers, government entities and vendors connect, exchange information and operate more efficiently. Siskiyou Select OrganizationAffiliations with the specified role. See our linguistic access and accessibility policy. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. Learn More. 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. The most current board certification status can be verified at The American Board of Medical Specialties website. Select OrganizationAffiliations providing the specified service. 734-436-0455 MAY: An optional inclusion for the implementation; not a requirement. Results are as of 12/1/2020 unless otherwise noted. They might also work in different offices or clinics. Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. The FHIR server is recommended to return this data. Korean Authentication is not required to access the Conformance resource. 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). 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. Dont miss our bimonthly newsletter for community partners. Merced Hmong We share our providers dedication to assuring the highest levels of care and service for people with complex health needs. Del Norte Medi-Cal Dental Provider Directory Search. Alliance members must use a pharmacy that works with MedImpact. 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. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. Alliance Care IHSS Price Transparency Tool. We can assist you with your selection for primary care provider. Kings Accepting new patients: The doctor is taking new patients. Trinity They will be able to assist you in making the best health plan choice for you. Nurse Advice Line CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. 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. Sonoma GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? A Network refers to a health care provider insurance network. Hospital Quality: The hospitals performance rating. The ACA has taken operating rules to a new level. Sometimes CCP does not receive a notice that the information has changed. 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. 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? Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. CCP checks this information at least every 3 years. Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. 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. Select PractitionerRoles available at the specified organization. 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. The FHIR server must return this data. 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. A Increase font size. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. 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. Select Locations with the specified postal code address. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? Monterey Please Note: Be sure to include your full address with City, State, and ZIP. Member Handbook All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. Mandarin Select products that are administered by the specified organization. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. FAQs, Case Studies, Issue Briefs, and more. Amador Select Locations with the specified city address. Select organizations with the specified address (matches any of the string elements of an address). Alliance Care IHSS Price Transparency Tool. Select products with the specified identifier. Hospital information is verified by viewing the information listed on their website. View Urgent Visit Access Offices in Santa Cruz County. 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. Santa Cruz [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? Please select the county where you live. Specialty: The area of medicine the doctor provides care to patients. At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. 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. 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. Select OrganizationAffiliations available at the specified location. The call is free. Current time in Gunzenhausen is now 07:51 PM (Saturday). , California Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? . Accessible with a Wheelchair: The office is handicap accessible. Board certifications for most Doctors of Osteopathic Medicine (D.O.) Search - Provider Directory What care are you looking for? Learn best practices and earn CBI payments for ACE screenings at your practice. **In Dukes and Nantucket Counties: CCA health plans are not yet available. 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. 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. * Translation services available for most languages. Inyo Our Provider and Pharmacy Directory make it easy to find the care you need. Phone Number: The doctors office or hospital phone number. Documents will be mailed within five (5) business days of receiving request. A Increase font size. Select roles filled by the specified practitioner. Tehama The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. 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. Facilities may also notify us at any time regarding changes to their accreditation status. Select PractitionerRoles providing the specified service. Sierra Operating rule development for these transactions is currently underway. Los Angeles CCHP discourages the use of family members, friends or minors to interpret or translate materials. Thank you for the opportunity to partner with you. SHOULD: A best practice or recommendation for the implementation. Tuolumne Dont miss our bimonthly newsletter for community partners. Thai Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Language Assistance 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. This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. 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). Select products that are offered in the specified location. If you are a solo practitioner, enter your name in the box above. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. . Select insurance plans of the specified type. Farsi Santa Barbara Connecting, solving and transforming healthcare business challenges. Lassen 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. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. Oral Surgeon Who is CenCal Health/What is a Local Health Plan? To verify the current status of a hospital visit jointcommission.org. Use the Provider Directory Information Update Form to alert us to any changes to your provider information. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. Glenn Modoc Humboldt Select PractitionerRoles available at the specified location. Some doctors might have all the patients they can fit in, while still giving you the best care. Select roles where the practitioner is a member of the specified health insurance provider network. Chinese Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. Tulare GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? Large healthcare providers may achieve CORE Certification. A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. San Joaquin 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. [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? Alameda CCA will not contact you unless we have questions about your request. El Dorado 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. Spanish The online search engine updates nightly based on information entered that day. 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. Solano InsureKidsNow Search. Riverside Below we describe the information in the fields in the provider directory. Select Organizations that are part of the specified organization. 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? Showing of [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? Together, we can bring uncommon care to more people with significant needs. We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. This certificate expires, so CCP checks it at least every 3 years. A Reset font size. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? 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. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. 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. 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. Stanislaus Frequently Asked Questions, GRIEVANCE FORM Health and Wellness Rewards San Luis Obispo Location Name: Name of the doctor's office or hospital address. To set your current location, click the green Use Current Location button. View Urgent Visit Access Offices in Merced County. Only submit information below that needs to be changed in the directory. A Reset font size. [parameter=value]&_include=Organization:partof, GET [base]/Organization?
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