The RESTful capabilities are discussed in further detail below. Most hospitals in Contra Costa County and the immediate surrounding area are participants. The hospital reports the safety and quality of its care. CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. Plumas Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. Board Certifications: A doctor gets a certificate after completing extra training in their specialty. Farsi Facilities may also notify us at any time regarding changes to their accreditation status. Groups: The practice a doctor works in. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? You are now being transferred to the CCA corporate website. Learn best practices and earn CBI payments for ACE screenings at your practice. Member Handbook **In Dukes and Nantucket Counties: CCA health plans are not yet available. A Network refers to a health care provider insurance network. 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. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. Showing of Select HealthcareServices with the specified name. Sutter San Mateo Select roles filled by the specified organization. Siskiyou 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. Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Cantonese. SHOULD: A best practice or recommendation for the implementation. Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. There are more protections for immigrants and their families to use public benefits. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. 2020 K Street, NW - Suite 660 Washington, D.C. 20006. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. Alameda 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. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. 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). [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? Location: The doctors office or hospital address. GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? Alliance members must use a pharmacy that works with MedImpact. Hospital Quality: The hospitals performance rating. [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? Search - Provider Directory What care are you looking for? ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? In those situations, CenCal Health can still get you care. Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? 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. Provider Directory Information Update Form - ccah-alliance.org Our directories are printed by county. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. The online search engine updates nightly based on information entered that day. Vietnamese FAQs, Case Studies, Issue Briefs, and more. Spanish You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . 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. Fresno We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. Select roles where the organization is a member of the specified health insurance provider network. Please indicate the name of your practice in the box above. San Benito Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Connecting, solving and transforming healthcare business challenges. 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. Yolo Search by plan name, specialty, location, or provider name. At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. SHALL: An absolute requirement for all implementations. Sometimes CCP does not receive a notice that the information has changed. 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. It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. Oral Pathologist Learn best practices and earn CBI payments for ACE screenings at your practice. Please select the county where you live. Medi-Cal Dental Provider Directory Search. 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. You can also use the filters to search for more specific information. 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. Provider Directories - Maryland Department of Human Services If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. 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. [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? Medical group: This information is collected from the group at the time they initially join the network. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. Provider Search - CCHP Health Plan Golden Road 365 Detox - Transform Your Health in 21 Days 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. 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. To set your current location, click the green Use Current Location button. Locations can range in scope from a room in a building to a geographic region/area. 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. Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. CCHP does not verify these skills. Current time in Gunzenhausen is now 07:51 PM (Saturday). Interpreter services are available at all CCHP points of contact where members may reasonably need such services. Select products that are offered in the specified location. 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 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. + Increase font size. Select roles where the practitioner is a member of the specified health insurance provider network. 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. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. A Increase font size. Operating rule development for these transactions is currently underway. This information is subject to change without notice. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. [parameter=value]&_include=Location:partof, GET [base]/Location? New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. 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. Step 3a: Search for providers using a specific location or your current location. If you are a member or potential member it is important for you to understand how our two networks are organized. [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? Korean The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. 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. 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. Alliance Provider Portal CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? 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. 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. An Organization refers to a formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. There are more protections for immigrants and their families to use public benefits. Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. Accessible with a Wheelchair: The office is handicap accessible. Select HealthcareServices provided by the specified organization. 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). Languages: The languages a doctor speaks. Please indicate below any changes to the directory listing for the practice listed above. [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line The hospital gets reviewed by national organizations to see if they meet these standards. Select Locations with the specified address. Below we describe the information in the fields in the provider directory. Select HealthcareServices of the specified type. PDF Medi-Cal Merced Provider Directory - ccah-alliance.org can be viewed free at osteopathic.org. [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? Select products with the specified identifier. Marin 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. Only submit information below that needs to be changed in the directory. PDF Monterey and Santa Cruz Medi-Cal Provider Directory Gua de Proveedores Lake Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. 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. The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. CCHA | Find a Provider - Colorado Community Health Alliance Select OrganizationAffiliations providing the specified service. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. 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. 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. 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. English A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. Providers | CAQH General Practitioner Napa Select Locations with the specified postal code address. Amador We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County.

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