ccah provider directory11 Apr ccah provider directory
San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. 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. Connecting, solving and transforming healthcare business challenges. Sacramento Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Operating rule development for these transactions is currently underway. 2020 K Street, NW - Suite 660 Washington, D.C. 20006. Facility: CCHP updates facility information daily as changes are reported by the facility. Japanese On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. Tuolumne A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. 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. Select OrganizationAffiliations available at the specified location. Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. Authentication is not required to access the Conformance resource. Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. Members are entitled to receive full and equal access to covered service including members with disabilities as required under the American with Disabilities Act of 1990 in section 504 of the Rehabilitation Act of 1973. Nevada Select HealthcareServices available at the specified location. Hospitals: The network hospitals a doctor can see their patients in. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. Fresno Riverside GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? Click to see Board of Directors Meeting Schedule/Upcoming Agenda. Language Assistance El Dorado If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Oral Pathologist [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. Select roles where the practitioner is a member of the specified health insurance provider network. 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. Mendocino Periodontist Yuba, Specialty: GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? The doctor or hospital gives CCP this information on their application when they join the health plan. The hospital gets reviewed by national organizations to see if they meet these standards. This directory is for informational use only. * 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. To set your current location, click the green Use Current Location button. To verify the current status of a hospital visit jointcommission.org. Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. Adoption Directory Updates will be posted at cchealth.org. Enrollment for these plans ends December 7. Our Provider and Pharmacy Directory make it easy to find the care you need. 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. 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. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. Lake Below we describe the information in the fields in the provider directory. Select OrganizationAffiliations associated with the specified specialty. San Diego Only submit information below that needs to be changed in the directory. This network contains both primary and specialty care providers to choose from. Mongolian View Urgent Visit Access Offices in Santa Cruz County. Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. Implements RESTful behaviors according to the FHIR specification. This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. Location Name: Name of the doctor's office or hospital address. Most hospitals in Contra Costa County and the immediate surrounding area are participants. 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. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 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 who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. Tagalog Interpreter services are available at all CCHP points of contact where members may reasonably need such services. Select PractitionerRoles providing the specified service. Select services available in a region described by the specified location. 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. 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. We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. Select HealthcareServices of the specified type. Select services associated with the specified specialty. Dental Clinics Serving Medi-Cal Members. Solano Merced A Reset font size. You are now being transferred to the CCA corporate website. Health and Wellness Rewards It requires CenCal Health to meet both time and distance standards based on county population density. You can also access the Kaiser online directory. A Reset font size. Alpine 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). Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? Llame al 866-610-2273 (TTY 711). CORE Certification 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. Please Note: Be sure to include your full address with City, State, and ZIP. The call is free. Calaveras CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. Use the Provider Directory Information Update Form to alert us to any changes to your provider information. Alliance members must use a pharmacy that works with MedImpact. You can get these documents for free in other formats, such as large print, braille, or audio. Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. The RESTful capabilities are discussed in further detail below. A network is typically owned by a payer. Learn best practices and earn CBI payments for ACE screenings at your practice. 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. We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. Languages: The languages a doctor speaks. Accepting new patients: The doctor is taking new patients. [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? 734-436-0455 Together, we can bring uncommon care to more people with significant needs. An example is a doctor who works only with the heart, cancer, or bones. 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. Santa Clara [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Registered Dental Hygienists in Alternative Practice. 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). CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. Butte Mono San Francisco CCP checks this information at least every 3 years. [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? Oral Surgeon CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. 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. Select organizations with the specified address (matches any of the string elements of an address). Alameda Arabic 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? Spanish You are now being transferred to the CCA corporate website. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. Marin It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. . Accessibility Lassen ASL Interpreter Available: The office can translate into American Sign Language. Select HealthcareServices with the specified name. Select PractitionerRoles available at the specified organization. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? 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. Santa Barbara Imperial 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. General Practitioner [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. Benefits of CCAH Provider Portal Monterey [parameter=value]&_revinclude=PractitionerRole:network, GET [base]/Organization?[parameter=value]&_revinclude=OrganizationAffiliation:participating-organization. SHOULD: A best practice or recommendation for the implementation. CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. 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. Learn best practices and earn CBI payments for ACE screenings at your practice. Member Handbook 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. Santa Cruz Glenn San Joaquin 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. [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? Taiwanese 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. Mariposa Providers must document this choice in the member's medical record. Hours: When the office or hospital is open to see patients. Name: The doctor or hospital that is part of the CCP network. The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. A Network refers to a health care provider insurance network. Select Organizations with the specified name. Madera [parameter=value]&_include=Location:organization, GET [base]/Location? Medi-Cal Dental Provider Directory Search. Dont miss our bimonthly newsletter for community partners. Ventura * Translation services available for most languages. 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. Operating rule development for these transactions is currently underway. Sometimes, there is not a needed provider close enough. Gender: A doctors sex, either Male or Female. To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. Frequently Asked Questions, GRIEVANCE FORM Shasta Find-A-Dentist. You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . 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. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. Select products with the specified identifier. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. 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. For more information, please call the doctors office. Alliance. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. 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. Call 866-610-2273 (TTY 711). 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. 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. 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. 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. See our linguistic access and accessibility policy. Please indicate below any changes to the directory listing for the practice listed above. GET [base]/Location? Step 3a: 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 Select Locations with the specified postal code address. Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. Then click the magenta Get Location button. 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=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. 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. San Mateo Select products that are owned by the specified organization. Chinese MAY: An optional inclusion for the implementation; not a requirement. Sutter Select Locations with the specified address. 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. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. Placer A Decrease font size. CCA will not contact you unless we have questions about your request. In those situations, CenCal Health can still get you care. + Reset font size. Select products that are administered by the specified organization. Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. Board certifications for most Doctors of Osteopathic Medicine (D.O.) 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 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. 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. 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). Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. They will be able to assist you in making the best health plan choice for you. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. Groups: The practice a doctor works in. At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. The online search engine updates nightly based on information entered that day. Select health insurance provider networks available in a region described by the specified location. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc.
Veterinary Apparel Company Catalog,
Michael Davis Little Rock,
Pipestone County Jail Warrants,
Los Angeles Daily News Obituaries,
Franklin County Government Salaries,
Articles C
No Comments