Alliance Care IHSS Price Transparency Tool. 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. Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. CCHP discourages the use of family members, friends or minors to interpret or translate materials. Authentication is not required to access the Conformance resource. Santa Clara You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. Language Assistance Kern Registered Dental Hygienists in Alternative Practice. Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. Operating rule development for these transactions is currently underway. Enrollment for these plans ends December 7. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. 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. Specialty: The area of medicine the doctor provides care to patients. [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? [parameter=value]&_include=Organization:partof, GET [base]/Organization? A Decrease font size. Nurse Advice Line Punjabi Chinese This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. Butte Groups: The practice a doctor works in. Follow-up on missed appointments: Providers are expected to review all members that do not show up for scheduled appointments and to identify those requiring follow-up, based on their medical condition. Preferred Provider: A doctor that meets strict quality standards. Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. Santa Barbara + Decrease font size. Dont miss our bimonthly newsletter for community partners. 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. *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. Riverside 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. Phone Number: The doctors office or hospital phone number. 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. Colusa Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. Accepting new patients: The doctor is taking new patients. Please Note: Be sure to include your full address with City, State, and ZIP. [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. Facilities may also notify us at any time regarding changes to their accreditation status. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. 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. Select OrganizationAffiliations associated with the specified specialty. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. Please indicate below any changes to the directory listing for the practice listed above. 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. You can get these documents for free in other formats, such as large print, braille, or audio. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? Sierra SHALL: An absolute requirement for all implementations. FAQs, Case Studies, Issue Briefs, and more. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. Select PractitionerRoles available at the specified location. Select Locations managed by the specified organization. If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. This is not a guarantee they will be available to accept additional patients at the time you contact them. 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? Members have the choice to refuse professional interpreters and use adult family members or friends. [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. Facility: CCHP updates facility information daily as changes are reported by the facility. PCP's are not required to have hospital privileges. Select products that are administered by the specified organization. Providers must document this choice in the member's medical record. We share our providers dedication to assuring the highest levels of care and service for people with complex health needs. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. 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). On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. CCA will not contact you unless we have questions about your request. CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. 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. 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). * 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. Mandarin 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). The doctor or hospital gives CCP this information on their application when they join the health plan. Alliance members must use a pharmacy that works with MedImpact. Amador You can also access the Kaiser online directory. Select services available in a region described by the specified 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. CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. Select roles filled by the specified organization. Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. Our Provider and Pharmacy Directory make it easy to find the care you need. Select PractitionerRoles associated with the specified specialty. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? 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). There are more protections for immigrants and their families to use public benefits. Select organizations with the specified address (matches any of the string elements of an address). Marin It requires CenCal Health to meet both time and distance standards based on county population density. Frequently Asked Questions, GRIEVANCE FORM Contra Costa Alliance. Select roles offered by the specified organization. The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. 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 online search engine updates nightly based on information entered that day. SHOULD: A best practice or recommendation for the implementation. 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. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). 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. 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 InsurancePlan profile is based on the core FHIR InsurancePlan resource. A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. The doctor provides an excellent patient experience. 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. Kings A doctor may work with other doctors. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. Operating rule development for these transactions is currently underway. You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). 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. The number to call in each county is. Click to see Board of Directors Meeting Schedule/Upcoming Agenda. Our directories are printed by county. [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? , California [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? Tuolumne Cantonese. Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. Pedodontist Please select a language Periodontist [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? This makes sure that Medi-Cal members have access to covered services. can be viewed free at osteopathic.org. Member Handbook CCHP does not verify these skills. 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. Sonoma Nevada Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. 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. The ACA has taken operating rules to a new level. The FHIR server may return the data, but there is no requirement to do so. A Increase font size. 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. 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. Trinity Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. 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. 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. GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. 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. They will be able to assist you in making the best health plan choice for you. 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. Sacramento San Mateo Accessible with a Wheelchair: The office is handicap accessible. To set your current location, click the green Use Current Location button. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. Select Locations with the specified city address. Select OrganizationAffiliations available at the specified location. Dental Clinics Serving Medi-Cal Members. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. An example is a doctor who works only with the heart, cancer, or bones. See our linguistic access and accessibility policy. Monterey 734-436-0455 Mono Lassen Showing of 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). Select roles filled by the specified practitioner. CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. Select HealthcareServices with the specified name. 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? Stanislaus Placer Board certifications for most Doctors of Osteopathic Medicine (D.O.) Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. 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. Hmong The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource.
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