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ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 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. 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. There are more protections for immigrants and their families to use public benefits. Alliance members must use a pharmacy that works with MedImpact. Armenian Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. Together, we can bring uncommon care to more people with significant needs. Select insurance plans of the specified type. Documents will be mailed within five (5) business days of receiving request. The doctor or hospital gives CCP this information on their application when they join the health plan. Alliance. Accessible with a Wheelchair: The office is handicap accessible. You can also use the filters to search for more specific information. Mariposa Santa Cruz The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. Please select a language * Translation services available for most languages. + Decrease font size. A Reset font size. Health and Wellness Rewards Dont miss our bimonthly newsletter for community partners. 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. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. 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. 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. The online search engine updates nightly based on information entered that day. Please select a specialty A Increase font size. Please indicate below any changes to the directory listing for the practice listed above. This network contains both primary and specialty care providers to choose from. Trinity Russian San Benito 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. A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. English Select Locations with the specified state address. A Network refers to a health care provider insurance network. Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. Mongolian To set your current location, click the green Use Current Location button. 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. 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. A Increase font size. The CAQH CORE Phase III Operating Rules for EFT & ERA have been mandated by HHS and since January 2014 any provider should be asking forthe streamlined electronic transactions that can result due to these operating rules and their affiliated standards. Select HealthcareServices of the specified type. 734-436-0455 Thai SHALL: An absolute requirement for all implementations. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? 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. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? Select PractitionerRoles with the specified role. ProcessLogoff - provider.portal.ccah-alliance.org The call is free. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. The number to call in each county is. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Select PractitionerRoles available at the specified location. Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. You are now being transferred to the CCA corporate website. Dont miss our bimonthly newsletter for community partners. 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. Riverside We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. Language Assistance InsureKidsNow Search. 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. Search by plan name, specialty, location, or provider name. Updates will be posted at cchealth.org. Authentication is not required to access the Conformance resource. It requires CenCal Health to meet both time and distance standards based on county population density. CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. Learn best practices and earn CBI payments for ACE screenings at your practice. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. Hours: When the office or hospital is open to see patients. Preferred Provider: A doctor that meets strict quality standards. View Urgent Visit Access Offices in Monterey County. Select HealthcareServices with the specified name. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? SHOULD: A best practice or recommendation for the implementation. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Korean 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. Phone Number: The doctors office or hospital phone number. Use the Provider Directory Information Update Form to alert us to any changes to your provider information. Showing of Select Organizations that are part of the specified organization. Select roles where the organization is a member of the specified health insurance provider network. Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. For more information, please call the doctors office. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. Tuolumne Sonoma Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. 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. 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. Solano 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. Below we describe the information in the fields in the provider directory. Monterey Most hospitals in Contra Costa County and the immediate surrounding area are participants. [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? Operating rule development for these transactions is currently underway. Enrollment for these plans ends December 7. [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? Location: The doctors office or hospital address. Yuba, Specialty: 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. As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. San Luis Obispo They will be able to assist you in making the best health plan choice for you. PCP's are not required to have hospital privileges. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? Select products that are owned by the specified organization. Glenn Santa Barbara Humboldt All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. Please indicate the name of your practice in the box above. Butte Learn best practices and earn CBI payments for ACE screenings at your practice. You are now being transferred to the CCA corporate website. Nurse Advice Line 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. 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. 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. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Language Assistance Please select the county where you live. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. We can assist you with your selection for primary care provider. Name: The doctor or hospital that is part of the CCP network. Sacramento 2020 K Street, NW - Suite 660 Washington, D.C. 20006. [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. Plumas Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. Hospitals: The network hospitals a doctor can see their patients in. 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. Insurance Plan describes a health insurance offering comprised of a list of covered benefits (for example: the product), costs associated with those benefits (for example: the plan) and additional information about the offering, such as who it is owned and administered by, a coverage area, contact information, etc. Cambodian The hospital gets reviewed by national organizations to see if they meet these standards. Operating rule development for these transactions is currently underway. Certified Orthodontist San Francisco Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. Modoc Frequently Asked Questions, GRIEVANCE FORM Specialty: The area of medicine the doctor provides care to patients. You can get these documents for free in other formats, such as large print, braille, or audio. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. Search - Provider Directory What care are you looking for? Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. All Rights Reserved. CCHP does not verify these skills. Downloadable PDF Directories This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. The hospital reports the safety and quality of its care. Search for providers using a specific location or your current location. The online Beacon Provider Directory can be found at the link below. Select Practitioners with the specified family name. Adoption Directory In those situations, CenCal Health can still get you care. CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. Public Health, * Language: Periodontist The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. ccah provider directory400,000 mile ecoboost. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. 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 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. Hmong If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. Member Handbook Select HealthcareServices available at the specified location. CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. 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). 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. Medical group: This information is collected from the group at the time they initially join the network. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. [parameter=value]&_include=Location:organization, GET [base]/Location? Select Locations with the specified city address. Kern San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Cantonese. 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 certificate expires, so CCP checks it at least every 3 years. Found inside - Page 57. San Bernardino CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. Sutter In those situations, CenCal Health can still get you care. Punjabi HL7 FHIR DaVinci PDEX Payer Network (Plan-Net) Implementation Guide Version 1.0.0, HL7 FHIR DaVinci PDEX Plan-Net Profiles, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Endpoint, DaVinci PDEX Plan-Net HealthcareService profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-HealthcareService, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/HealthcareServiceCategoryCS, DaVinci PDEX Plan-Net InsurancePlan profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-InsurancePlan, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsurancePlanTypeCS, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsuranceProductTypeCS, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Location, http://terminology.hl7.org/CodeSystem/v3-RoleCode, DaVinci PDEX Plan-Net Organization profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Organization, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/OrgTypeCS, DaVinci PDEX Plan-Net OrganizationAffiliation profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-OrganizationAffiliation, DaVinci PDEX Plan-Net Practitioner profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Practitioner, DaVinci PDEX Plan-Net PractitionerRole profile. Step 3a: [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? Alameda Registered Dental Hygienists in Alternative Practice. Large healthcare providers may achieve CORE Certification. Implements RESTful behaviors according to the FHIR specification. Select PractitionerRoles available at the specified organization. Santa Clara Benefits of CCAH Provider Portal CCA will not contact you unless we have questions about your request. Find-A-Dentist. Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. 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. See our linguistic access and accessibility policy. 6HUYLFHV GHSDUWPHQW DW HPDLO directory@ccah-alliance.org RU VHQG D UHTXHVW E\ PDLO WR Central California Alliance for Health Attn: Member Services 1600 Green Hills Road Suite 101 Scotts Valley, CA 95066 If you are a provider or member of the public and would like a printed copy of the provider directory, please call (877) 778-3915. Farsi You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). Board Certifications: A doctor gets a certificate after completing extra training in their specialty. Providers must document this choice in the member's medical record. Groups: The practice a doctor works in. Select organizations with the specified address (matches any of the string elements of an address). 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. This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. Fresno 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? CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. 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 Select health insurance provider networks available in a region described by the specified location. [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? Laotian Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. Specialty: A provider's specialty is identified when they join the health plan network. Select HealthcareServices provided by the specified organization. Madera 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. The FHIR server may return the data, but there is no requirement to do so. 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. 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. Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? 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. View Urgent Visit Access Offices in Santa Cruz County. This is not a guarantee they will be available to accept additional patients at the time you contact them. CCP checks this information at least every 3 years. Alliance Care IHSS Price Transparency Tool. There are more protections for immigrants and their families to use public benefits. San Joaquin San Diego Learn More. CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. We are dedicated to providing the highest quality of care for your furry family members. Orange The FHIR server must return this data. 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. Mendocino 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.