PCP's are not required to have hospital privileges. CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. Providers in the CCRMC network are certified in languages spoken in addition to English. Accepting New Patients: This provider accepts both new and existing patients. Select PractitionerRoles associated with the specified specialty. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. 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. CCA will not contact you unless we have questions about your request. The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService?
PDF Medi-Cal Merced Provider Directory - ccah-alliance.org Provider Directory :: Health Plan :: Contra Costa Health Services 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. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Select Organizations that are part of the specified organization. Operating rule development for these transactions is currently underway. Contra Costa Most hospitals in Contra Costa County and the immediate surrounding area are participants. 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. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. 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. San Diego Board Certifications: A doctor gets a certificate after completing extra training in their specialty. Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. A network is typically owned by a payer. [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? 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? 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. [parameter=value]&_revinclude=PractitionerRole:network, GET [base]/Organization?[parameter=value]&_revinclude=OrganizationAffiliation:participating-organization. 6HUYLFHV GHSDUWPHQW DW HPDLO
[email protected] 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. 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. Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. Please select a county Select Locations with the specified city address. Sometimes CCP does not receive a notice that the information has changed. Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. Large healthcare providers may achieve CORE Certification. 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 dedicated to providing the highest quality of care for your furry family members. Alliance Care IHSS Price Transparency Tool. Taiwanese Yuba, Specialty: 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 is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. 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. Riverside 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. Kern
CCAH Provider Portal - provider.portal.ccah-alliance.org 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. Solano It requires CenCal Health to meet both time and distance standards based on county population density. Select PractitionerRoles available at the specified organization. The FHIR server must return this data. You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). Select OrganizationAffiliations available at the specified location.
Provider Directory | Community Cares Plan 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. 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. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. MAY: An optional inclusion for the implementation; not a requirement. If you are a solo practitioner, enter your name in the box above. Dont miss our bimonthly newsletter for community partners. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? A Decrease font size. Alpine A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line
Provider Directory - Central California Alliance for Health Please select a specialty This information is subject to change without notice. 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. 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. Who are Providers? 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. Benefits of CCAH Provider Portal At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. Colusa ASL Interpreter Available: The office can translate into American Sign Language. Health and Wellness Rewards Enrollment for these plans ends December 7. 734-436-0455 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.
Members - Medi-Cal Dental - Find-A-Dentist - California [parameter=value]&_include=Organization:partof, GET [base]/Organization? [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? Butte This directory is for informational use only. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? The ACA has taken operating rules to a new level. Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Punjabi Member Handbook . Medi-Cal Dental Provider Directory Search. Select services available in a region described by the specified location. Search by plan name, specialty, location, or provider name. Select Locations with the specified postal code address. See our linguistic access and accessibility policy. 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. Napa Select products that are administered by the specified organization. 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. To find a pharmacy, use Medi-Cal Rx's online pharmacy directory using the link below: The Central California Alliance for Health (the Alliance) contracts with a company called MedImpact to provide pharmacy services. [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. Certificate. Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. Imperial
Medi-Cal Dental Dental Portal - California To set your current location, click the green Use Current Location button. *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. In those situations, CenCal Health can still get you care. 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. We can explain what hospitals are near you. [parameter=value]&_include=Location:partof, GET [base]/Location? CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. Results are as of 12/1/2020 unless otherwise noted. Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. Armenian Humboldt Select Organizations of the specified type. Select Practitioners with the specified given name. Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. Periodontist [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? Select Practitioners with the specified family name. Preferred Provider: A doctor that meets strict quality standards. Fresno Operating rule development for these transactions is currently underway. Stanislaus 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. 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. Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. The doctor or hospital gives CCP this information on their application when they join the health plan. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Provider Directory Information Update Form, Merced County Medi-Cal Provider Directory, Monterey and Santa Cruz Medi-Cal Provider Directory, Alliance Care IHSS Health Plan Provider 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. 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. **In Dukes and Nantucket Counties: CCA health plans are not yet available. 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. Thai Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. Vietnamese You are now being transferred to the CCA corporate website. San Luis Obispo CenCal Health is required by the Department of Health Care Services to meet network adequacy standards.
Provider Directory - Central California Alliance for Health Groups: The practice a doctor works in. 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. 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. 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. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? ccah provider directory400,000 mile ecoboost. This network contains both primary and specialty care providers to choose from. Select HealthcareServices provided by the specified organization. CCHP discourages the use of family members, friends or minors to interpret or translate materials. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. We can help you understand and assist you with obtaining referrals to see specialists, explain when referrals are not needed, and help you find a specialist in your area. Connecting, solving and transforming healthcare business challenges. Learn best practices and earn CBI payments for ACE screenings at your practice. This program arms you with the information to reduce your toxic exposure, increase your liver's biotransformation of toxins, and to enhance your elimination of these transformed toxins from your body. Search for providers using a specific location or your current location. Select HealthcareServices providing the specified category of services. Laotian Call 866-610-2273 (TTY 711).
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. English The doctor provides an excellent patient experience.
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. ProcessLogoff - provider.portal.ccah-alliance.org 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. CORE Certification As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits.
Provider Directory for Members - CenCal Health San Joaquin 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. Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. 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). Cantonese. The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. * Translation services available for most languages. Click to see Board of Directors Meeting Schedule/Upcoming Agenda. Orange If you are a member or potential member it is important for you to understand how our two networks are organized. It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. Website: The internet address that the doctor and practice information can be found. 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 Please select the county where you live. 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.
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