ccah provider directory

ccah provider directory

Documents will be mailed within five (5) business days of receiving request. CCP checks this information at least every 3 years. You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). Select HealthcareServices providing the specified category of services. Lake Select Organizations that are part of the specified organization. Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. Location: The doctors office or hospital address. 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. 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. CCHP discourages the use of family members, friends or minors to interpret or translate materials. Marin 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. Phone Number: The doctors office or hospital phone number. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. Select products that are administered by the specified organization. [parameter=value]&_include=Organization:partof, GET [base]/Organization? The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. 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. Please indicate the name of your practice in the box above. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. Endodontist This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. 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. Select HealthcareServices with the specified name. Call 866-610-2273 (TTY 711). Mandarin At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? 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 products with the specified identifier. Use the Provider Directory Information Update Form to alert us to any changes to your provider information. [parameter=value]&_include=Location:partof, GET [base]/Location? Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. CCHP does not verify these skills. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. Search by Doctor Type Search by Doctor Name Search by Hospital/Facility Doctor type Primary Care Physician Specialty Select Primary Care Type Family Medicine Zip Code Distance Within 15 miles Plan Type 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. Thank you for the opportunity to partner with you. If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. More than 130 participating organizations representing healthcare providers, health plans, government agencies and the organizations setting the standards for healthcare and data exchange are part of the CAQH CORE multi-stakeholder collaboration. Monterey If you have a timely access concern, you can contact CCHP's Utilization Management at 1-877-661-6230 option 4 or file a complaint with the California Department of Managed Health Care by calling the DMHC Toll-free provider complaint line at: 1-877-525-1295. 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. 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. Select Locations that are part of the specified location. Health and Wellness Rewards As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. Tuolumne **In Dukes and Nantucket Counties: CCA health plans are not yet available. Facility: CCHP updates facility information daily as changes are reported by the facility. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Select organizations with the specified address (matches any of the string elements of an address). Los Angeles 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. Below we describe the information in the fields in the provider directory. Found inside - Page 57. Glenn 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 Locations managed by the specified organization. GET [base]/Location? Select PractitionerRoles available at the specified location. 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? In those situations, CenCal Health can still get you care. The call is free. San Bernardino Learn best practices and earn CBI payments for ACE screenings at your practice. Riverside The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. Merced Certified Orthodontist Dont miss our bimonthly newsletter for community partners. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. Select OrganizationAffiliations associated with the specified specialty. Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. Specialty: The area of medicine the doctor provides care to patients. Napa Punjabi [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? Select roles filled by the specified organization. The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. This information is subject to change without notice. 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. CORE Certification All Rights Reserved. To verify the current status of a hospital visit jointcommission.org. Madera Select Organizations of the specified type. Tehama The doctor or hospital gives CCP this information on their application when they join the health plan. Russian Select health insurance provider networks available in a region described by the specified location. Location Name: Name of the doctor's office or hospital address. 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. Then click the magenta Get Location button. Kings Frequently Asked Questions, GRIEVANCE FORM Shasta 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 providerrelations@cchealth.org or by calling 1-877-800-7423 option 6. Japanese Language Assistance Accessibility The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Inyo The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Certificate. [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? 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). San Joaquin On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. Facilities may also notify us at any time regarding changes to their accreditation status. Select HealthcareServices of the specified type. Mongolian Select OrganizationAffiliations providing the specified service. The hospital reports the safety and quality of its care. Frequently Asked Questions, GRIEVANCE FORM Groups: The practice a doctor works in. CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. 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. Select roles where the practitioner is a member of the specified health insurance provider network. Providers must document this choice in the member's medical record. Medi-Cal Dental Program. Select Practitioners with the specified given name. Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. Select HealthcareServices available at the specified location. 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. You can also use the filters to search for more specific information. Humboldt Select PractitionerRoles providing the specified service. Medi-Cal Dental Provider Directory Search. Select services associated with the specified specialty. Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. Preferred Provider: A doctor that meets strict quality standards. 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. 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. Please Note: Be sure to include your full address with City, State, and ZIP. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. Stanislaus See our linguistic access and accessibility policy. Large healthcare providers may achieve CORE Certification. 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. These are the resources and the endpoints available with the Alliance Provider Directory API. 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. Sometimes CCP does not receive a notice that the information has changed. Tagalog 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. Search for providers using a specific location or your current location. View Urgent Visit Access Offices in Monterey County. 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. Accessible with a Wheelchair: The office is handicap accessible. Please indicate below any changes to the directory listing for the practice listed above. To set your current location, click the green Use Current Location button. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? *In Barnstable and Berkshire Counties: CCA One Care is available; CCA Senior Care Options, CCA Medicare Value, and CCA Medicare Preferred are not yet available. 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. [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. 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. Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. Hospital information is verified by viewing the information listed on their website. San Mateo We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. Locations can range in scope from a room in a building to a geographic region/area. [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? Arabic Kern . Current time in Gunzenhausen is now 07:51 PM (Saturday). San Benito If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. You can get these documents for free in other formats, such as large print, braille, or audio. Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. ccah provider directory400,000 mile ecoboost. Benefits of CCAH Provider Portal A Increase font size. Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. Alliance. The FHIR server must return this data. Cambodian Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! Butte Please select a language Select roles offered by the specified organization. Search - Provider Directory What care are you looking for? The CCAH provider portal gives you the information, tools and resources you need to support the day-to-day needs of your patients and office. Thai ccah provider directory Verification is obtained either by contacting the accrediting agency directly or by obtaining a copy of the approval letter or report provided by the facility. The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. Sutter [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? 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. Sometimes, there is not a needed provider close enough. Yuba, Specialty: + Reset font size. GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Select OrganizationAffiliations with the specified role. This is not a guarantee they will be available to accept additional patients at the time you contact them. Taiwanese Hours: When the office or hospital is open to see patients. Select products that are owned by the specified organization. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. Vietnamese Select Practitioners with the specified family name. A doctor may work with other doctors. Select PractitionerRoles associated with the specified specialty. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. * 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. We share our providers dedication to assuring the highest levels of care and service for people with complex health needs. Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. Alliance members must use a pharmacy that works with MedImpact. 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. 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. Providers in the CCRMC network are certified in languages spoken in addition to English. The ACA has taken operating rules to a new level. 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. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo 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. Farsi Mariposa 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 Board Certifications: A doctor gets a certificate after completing extra training in their specialty. In those situations, CenCal Health can still get you care. 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. There are more protections for immigrants and their families to use public benefits. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? Select Locations with the specified postal code address. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. 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). 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. Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. Cantonese. Yolo Hospitals: The network hospitals a doctor can see their patients in. Sacramento 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. 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. Hmong A Increase font size. Spanish The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. [parameter=value]&_include=Location:organization, GET [base]/Location? Specialty: A provider's specialty is identified when they join the health plan network. + Decrease font size. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. Results are as of 12/1/2020 unless otherwise noted. Laotian A Decrease font size. [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole?

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