* Translation services available for most languages. A Decrease font size. 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. ccah provider directory400,000 mile ecoboost. Health and Wellness Rewards Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? Health and Wellness Rewards Llame al 866-610-2273 (TTY 711). Cambodian CCP checks this information at least every 3 years. Select products with the specified identifier. Mongolian 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. 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. Alliance members must use a pharmacy that works with MedImpact. 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. Certified Orthodontist Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. Korean GET [base]/Location? . You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . Member Handbook The FHIR server is recommended to return this data. 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. [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? Select HealthcareServices providing the specified category of services. Tagalog Current time in Gunzenhausen is now 07:51 PM (Saturday). Select organizations with the specified address (matches any of the string elements of an address). In those situations, CenCal Health can still get you care. Large healthcare providers may achieve CORE Certification. 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. A Reset font size. San Joaquin Select Practitioners with the specified family name. Medi-Cal Dental Program. Learn best practices and earn CBI payments for ACE screenings at your practice. The most current board certification status can be verified at The American Board of Medical Specialties website. Select services associated with the specified specialty. 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. Call 866-610-2273 (TTY 711). Endodontist 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. Yuba, Specialty: This directory is for informational use only. Select Organizations of the specified type. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. Dont miss our bimonthly newsletter for community partners. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. 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. The hospital gets reviewed by national organizations to see if they meet these standards. 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. 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. Sonoma Learn best practices and earn CBI payments for ACE screenings at your practice. Mandarin English To set your current location, click the green Use Current Location button. A network is typically owned by a payer. Laotian CCA Senior Care Options Directory by County (2023) view: Bristol, Norfolk, Plymouth Essex Franklin, Hampden, Hampshire Middlesex Suffolk Worcester CCA Senior Care Options Directory by County - Spanish (2023) view: Bristol, Norfolk, Plymouth-Spanish Essex-Spanish Franklin, Hampden, Hampshire-Spanish Middlesex-Spanish Suffolk-Spanish Accepting New Patients: This provider accepts both new and existing patients. 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. Placer We share our providers dedication to assuring the highest levels of care and service for people with complex health needs. Select roles filled by the specified practitioner. The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. 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). Tuolumne CORE Certification Arabic Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. Yolo To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. Santa Clara Enhanced Care Management and Community Supports, Utilization Management: Authorization and Referrals, Request Printed Copy of Provider Directory, The American Board of Medical Specialties website, linguistic access and accessibility policy, Urgent care appointments not requiring prior authorization: within 48 hours of request, Urgent care appointments requiring prior authorization: within 96 hours of request, Non-urgent appointments for primary care: within 10 business days of request, Non-urgent appointments with specialists: within 15 business days of request, Non-urgent appointments for ancillary services for the diagnosis or treatment of injury, illness or other health conditions: within 15 business days of request, First Prenatal Visit: within 14 calendar days of request, Mental Health Routine Non-Urgent: within 10 business days of request, Mental Health Routine Non-Urgent Follow-Up: within 10 business days of request, Mental Health Urgent: within 48 hours of request. To report any errors, click on the link below. We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. 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). CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. Mariposa If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? 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. Colusa Gender: A doctors sex, either Male or Female. Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. Specialty: A provider's specialty is identified when they join the health plan network. They will be able to assist you in making the best health plan choice for you. Kings A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. Facility: CCHP updates facility information daily as changes are reported by the facility. CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. Name: The doctor or hospital that is part of the CCP network. [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. Select OrganizationAffiliations providing the specified service. Armenian [parameter=value]&_include=Location:organization, GET [base]/Location? Dont miss our bimonthly newsletter for community partners. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation: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. A Network refers to a health care provider insurance 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. An example is a doctor who works only with the heart, cancer, or bones. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. 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. can be viewed free at osteopathic.org. Select OrganizationAffiliations with the specified role. This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. + Increase font size. Select services available in a region described by the specified location. San Luis Obispo You are now being transferred to the CCA corporate website. The call is free. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). Phone Number: The doctors office or hospital phone number. The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. 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. Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. Stanislaus 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. San Benito Imperial Select Locations with the specified address. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. Alameda Select roles where the practitioner is a member of the specified health insurance provider network. Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. Hospital information is verified by viewing the information listed on their website. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Search by plan name, specialty, location, or provider name. 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 The Provider Directory API supports the following FHIR approved implementation guide, and supports the following profiles: The base URL for each endpoint: [The Provider Directory platform is being retooled and this link will be available soon], [The Provider Directory platform is being retooled and this link will be available soon]. Kern Board Certifications: A doctor gets a certificate after completing extra training in their specialty. The online Beacon Provider Directory can be found at the link below. You can get these documents for free in other formats, such as large print, braille, or audio. [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line Select PractitionerRoles with the specified role. 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. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. Facilities may also notify us at any time regarding changes to their accreditation status. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. 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. San Mateo CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. A Increase font size. Select Locations managed by the specified organization. Select OrganizationAffiliations associated with the specified specialty. Select products that are administered by the specified organization. Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. Languages: The languages a doctor speaks. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! 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. The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. Member Handbook CCHP does not verify these skills. Location Name: Name of the doctor's office or hospital address. Calaveras Language Assistance The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. Hmong Select Practitioners with the specified given name. This network contains both primary and specialty care providers to choose from. We can explain what hospitals are near you. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Please select a county The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. The CCA uncommon care model has demonstrated success in reaching and engaging individuals with significant medical, behavioral, and social needsimproving quality of care while keeping patients and members safely at home. Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Oral Surgeon [parameter=value]&_revinclude=PractitionerRole:network, GET [base]/Organization?[parameter=value]&_revinclude=OrganizationAffiliation:participating-organization. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. 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. Russian 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. The ACA has taken operating rules to a new level. Alliance. Lassen This information is subject to change without notice. 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. Preferred Provider: A doctor that meets strict quality standards. 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. Plumas 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? Humboldt Enrollment for these plans ends December 7. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Please indicate the name of your practice in the box above. A Reset font size. [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? Please select a language ASL Interpreter Available: The office can translate into American Sign Language. Please select a specialty 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. Registered Dental Hygienists in Alternative Practice. Accepting new patients: The doctor is taking new patients. Members have the choice to refuse professional interpreters and use adult family members or friends. 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. Use the Provider Directory Information Update Form to alert us to any changes to your provider information. At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. 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. 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. It requires CenCal Health to meet both time and distance standards based on county population density. San Bernardino Connecting, solving and transforming healthcare business challenges. 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. *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. Learn More. 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. Hours: When the office or hospital is open to see patients. 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. Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. Nevada Modoc **In Dukes and Nantucket Counties: CCA health plans are not yet available. The hospital reports the safety and quality of its care. 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. We can assist you with your selection for primary care provider. Los Angeles View rating by specialty and compare nearby hospitals. Select Locations with the specified postal code address. Hindi The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. 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. Sometimes, there is not a needed provider close enough. Select PractitionerRoles available at the specified location. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? Select HealthcareServices available at the specified location. The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. Select insurance plans of the specified type. Lake Select Organizations with the specified name. These are the resources and the endpoints available with the Alliance Provider Directory API. Sacramento Glenn Find-A-Dentist. Oral Pathologist The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. 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. Sutter 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. [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. InsureKidsNow Search. There are more protections for immigrants and their families to use public benefits. Operating rule development for these transactions is currently underway. 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. The FHIR server may return the data, but there is no requirement to do so. Most hospitals in Contra Costa County and the immediate surrounding area are participants. Solano FAQs, Case Studies, Issue Briefs, and more. Vietnamese Providers in the CCRMC network are certified in languages spoken in addition to English. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? + Reset font size. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. A Increase font size. 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. Ventura Contra Costa Sometimes CCP does not receive a notice that the information has changed. [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? Fresno Select PractitionerRoles available at the specified organization. Groups: The practice a doctor works in. Select products that are owned by the specified organization. Documents will be mailed within five (5) business days of receiving request. 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).
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