Certificate. 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. 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). Who are Providers? Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. You are now being transferred to the CCA corporate website. Sacramento Del Norte We are dedicated to providing the highest quality of care for your furry family members. 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. 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 Locations can range in scope from a room in a building to a geographic region/area. Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Mono Taiwanese Provider Directories - Maryland Department of Human Services 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 local timezone is named Europe / Berlin with an UTC offset of 2 hours. After reviewing the listing for your practice that you received via email or fax, please confirm that all information is correct, or indicate any changes for each provider in your practice (including mid-level practitioners). You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). This certificate expires, so CCP checks it at least every 3 years. Downloadable PDF Directories CCHP Medi-Cal members should contact the DHCS Medi-Cal Rx Help Line for any pharmacy questions (1-800-977-2273, TTY 1-800-430-7077). 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. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. Napa ProcessLogoff - provider.portal.ccah-alliance.org Select products that are administered by the specified organization. A Network refers to a health care provider insurance network. Trinity 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. Klinikum Altmhlfranken Gunzenhausen reviews | Best Hospitals in Medi-Cal Dental Program. The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. * Translation services available for most languages. 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. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Select products that are owned by the specified organization. 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). PCP's are not required to have hospital privileges. Member Handbook 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. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). Operating rule development for these transactions is currently underway. 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? . Yuba, Specialty: PDF Monterey and Santa Cruz Medi-Cal Provider Directory Gua de Proveedores Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? CCA will not contact you unless we have questions about your request. Please select a language 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. Languages: The languages a doctor speaks. 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. Provider Directory | Community Cares Plan Shasta Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. Select Locations with the specified address. Provider Directory for Members - CenCal Health The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. CORE Certification Tagalog Provider Search - CCHP Health Plan At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. Search by plan name, specialty, location, or provider name. We can assist you with your selection for primary care provider. 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. Language Assistance San Bernardino Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. Golden Road 365 Detox - Transform Your Health in 21 Days The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? To set your current location, click the green Use Current Location button. Dont miss our bimonthly newsletter for community partners. 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. Sometimes CCP does not receive a notice that the information has changed. 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. Plumas [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? Tulare [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line Must contain at least 1 character from each of the following four groups: Uppercase letters Lowercase letters Numbers Special Characters May not contain your username May not be any of your last 10 passwords Please contact the Provider Services at (831) 430-5518 with any questions. As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. Spanish 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. Ventura Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. Search - Provider Directory What care are you looking for? CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. Stanislaus Santa Barbara Provider Directory - Central California Alliance for Health To report incorrect provider information, members can contact member services by calling 1-877-661-6230 option 2 or by email: [email protected] and Providers or the general public can contact Provider Relations at [email protected] or by calling 1-877-800-7423 option 6. An example is a doctor who works only with the heart, cancer, or bones. Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. 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. Periodontist In those situations, CenCal Health can still get you care. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. 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. CCA Provider Homepage | Commonwealth Care Alliance MA Sutter Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. Current time in Gunzenhausen is now 07:51 PM (Saturday). The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. Providers must document this choice in the member's medical record. CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. [parameter=value]&_include=Organization:partof, GET [base]/Organization? Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. County: [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? ccah provider directory Endodontist They might also work in different offices or clinics. Select Locations with the specified city address. Kern Location: The doctors office or hospital address. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. + Decrease font size. A Increase font size. Please select a county Operating rule development for these transactions is currently underway. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. Provider Directory :: Health Plan :: Contra Costa Health Services Provider Directory Information Update Form - ccah-alliance.org Calaveras Authentication is not required to access the Conformance resource. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. Select PractitionerRoles available at the specified location. Provider Directory - Central California Alliance for Health Showing of A Reset font size. Select Locations with the specified postal code address. General Practitioner *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. Santa Clara Farsi 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. Step 3a: These are the resources and the endpoints available with the Alliance Provider Directory API. Click to see Board of Directors Meeting Schedule/Upcoming Agenda. Members - Medi-Cal Dental - Find-A-Dentist - California Board Certifications: A doctor gets a certificate after completing extra training in their specialty. View rating by specialty and compare nearby hospitals. 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. Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. Chinese Select OrganizationAffiliations providing the specified service. Board certifications for most Doctors of Osteopathic Medicine (D.O.) Select HealthcareServices provided by the specified organization. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? 1 Percent of ICO + SCO members weighted together who have at least one qualifying touch by a care team member within a given month (Rolling three-month average, 7/2021), 2Combined CCA ICO + SCO rate per 1,000 members; hospitalization rates are consistently below the per capita averages during COVID-19 pandemic. 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). Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! This makes sure that Medi-Cal members have access to covered services. Amador 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. Hours: When the office or hospital is open to see patients. The Organization Affiliation resource describes relationships between two or more organizations, including the services one organization provides another, the location(s) where they provide services, the availability of those services, electronic endpoints and other relevant information. 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. Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. This information is subject to change without notice. Lake [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. Sonoma The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. Together, we can bring uncommon care to more people with significant needs. Alliance Provider Portal A network is typically owned by a payer. Cambodian CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. The online search engine updates nightly based on information entered that day. Find-A-Dentist. Select Locations with the specified state 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. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Sometimes, there is not a needed provider close enough. Member Handbook Healthcare Provider Directory | Commonwealth Care Alliance MA You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . Medical group: This information is collected from the group at the time they initially join the network. Facility: CCHP updates facility information daily as changes are reported by the facility. Health and Wellness Rewards Select Organizations of the specified type. 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. Select roles filled by the specified practitioner. Select Practitioners with the specified given name. San Joaquin CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Hindi [parameter=value]&_include=Location:organization, GET [base]/Location? Armenian 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. Connecting, solving and transforming healthcare business challenges. CCHP discourages the use of family members, friends or minors to interpret or translate materials. There are more protections for immigrants and their families to use public benefits. Accepting New Patients: This provider accepts both new and existing patients. CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. Select Locations that are part of the specified location. 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. 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. It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. MAY: An optional inclusion for the implementation; not a requirement. In addition, on a quarterly basis, CCHP emails a Network Update link to each facility to report any changes to the information CCHP has on file. Search for providers using a specific location or your current location. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. If you are a member or potential member it is important for you to understand how our two networks are organized. The online Beacon Provider Directory can be found at the link below. Provider Directory - Community Behavioral Health Learn More. Health and Wellness Rewards Mendocino Language Assistance Select services available in a region described by the specified location. We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. Select health insurance provider networks available in a region described by the specified location. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. Our directories are printed by county. Mandarin 734-436-0455 Butte CCHA | Find a Provider - Colorado Community Health Alliance They will be able to assist you in making the best health plan choice for you. 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. 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. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. Solano Implements RESTful behaviors according to the FHIR specification. CCHP does not verify these skills. Accessible with a Wheelchair: The office is handicap accessible. GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? Alliance Provider Directory - provider.portal.ccah-alliance.org 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 All Rights Reserved. Santa Cruz 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. If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days.
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