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Tuolumne Alameda Korean Please indicate below any changes to the directory listing for the practice listed above. Large healthcare providers may achieve CORE Certification. Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. Mono Learn best practices and earn CBI payments for ACE screenings at your practice. Cantonese. Website: The internet address that the doctor and practice information can be found. Operating rule development for these transactions is currently underway. Together, we can bring uncommon care to more people with significant needs. , California All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. San Francisco Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. This certificate expires, so CCP checks it at least every 3 years. See our linguistic access and accessibility policy. [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. San Luis Obispo By entering a hospital name, the accreditation status and quality measures are listed. A Decrease font size. Butte Downloadable PDF Directories 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 Organizations with the specified name. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. 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. We share our providers dedication to assuring the highest levels of care and service for people with complex health needs. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. A Network refers to a health care provider insurance network. 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. If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. 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. Please Note: Be sure to include your full address with City, State, and ZIP. Select organizations with the specified address (matches any of the string elements of an address). 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. 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? Most hospitals in Contra Costa County and the immediate surrounding area are participants. 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. The FHIR server may return the data, but there is no requirement to do so. Select PractitionerRoles associated with the specified specialty. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. Santa Barbara Select HealthcareServices of the specified type. 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]. Siskiyou 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 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). The hospital reports the safety and quality of its care. Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. Solano CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. Select Practitioners with the specified family name. 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. *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. [parameter=value]&_include=Organization:partof, GET [base]/Organization? Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. Kern If you are a member or potential member it is important for you to understand how our two networks are organized. Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? Dental Clinics Serving Medi-Cal Members. This directory is for informational use only. In those situations, CenCal Health can still get you care. [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. Find-A-Dentist. [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? Humboldt A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. 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. Select health insurance provider networks available in a region described by the specified location. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. This is not a guarantee they will be available to accept additional patients at the time you contact them. Medi-Cal Dental Program. Adoption Directory Japanese Benefits of CCAH Provider Portal This information is subject to change without notice. [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. Results are as of 12/1/2020 unless otherwise noted. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Plumas Updates will be posted at cchealth.org. 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. San Joaquin The hospital gets reviewed by national organizations to see if they meet these standards. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. Marin Select PractitionerRoles available at the specified location. 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. 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. 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 You can also use the filters to search for more specific information. 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. Calaveras Facility: CCHP updates facility information daily as changes are reported by the facility. Please select a language 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 PractitionerRole profile is based on the core FHIR PractitionerRole resource. Location: The doctors office or hospital address. Shasta Orange In the CCHP provider online search engine above you can search for providers that participate with CCHP's two networks consisting of over 5,000 primary care providers and specialists. 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. Authentication is not required to access the Conformance resource. County: To select the Kaiser Permanente Medical Group as your PCP for Medi-Cal, you must have been a recent Kaiser member or meet other criteria to qualify. Amador Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. 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. They will be able to assist you in making the best health plan choice for you. Sometimes, there is not a needed provider close enough. 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. Accessibility CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. Lake Sacramento Call 866-610-2273 (TTY 711). 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. Select Organizations that are part of the specified organization. Some doctors might have all the patients they can fit in, while still giving you the best care. To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. Colusa Hospital information is verified by viewing the information listed on their website. CCA will not contact you unless we have questions about your request. General Practitioner 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 PractitionerRoles with the specified role. Oral Pathologist We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. The online Beacon Provider Directory can be found at the link below. A Increase font size. Stanislaus ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Select OrganizationAffiliations with the specified role. 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. Modoc 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. Alliance Care IHSS Price Transparency Tool. Please select a county Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? Medical group: This information is collected from the group at the time they initially join the network. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! [parameter=value]&_include=Location:organization, GET [base]/Location? 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 HealthcareServices available at the specified location. Endodontist Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. + Increase font size. Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. Select Locations with the specified postal code address. 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). . Found inside - Page 57. Gunzenhausen in Regierungsbezirk Mittelfranken (Bavaria) with it's 16,477 habitants is a city located in Germany about 262 mi (or 422 km) south-west of Berlin, the country's capital town. 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. 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. CCP checks this information at least every 3 years. Mariposa Thank you for the opportunity to partner with you. 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. This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. As of Feb. 24, Medi-Cal Rx PA requirements reinstated for 46 Standard Therapeutic Classes, COVID-19 Therapeutics Warmline and treatment webinars, Thursday training for Adverse Childhood Experiences (ACEs) screening. 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. Gender: A doctors sex, either Male or Female. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. San Benito Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Select Organizations of the specified type. Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. Glenn Accepting New Patients: This provider accepts both new and existing patients. 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. You can get these documents for free in other formats, such as large print, braille, or audio. CCHP does not verify these skills. Implements RESTful behaviors according to the FHIR specification. [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? SHOULD: A best practice or recommendation for the implementation. We can explain what hospitals are near you. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Contra Costa 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. Specialty: The area of medicine the doctor provides care to patients. San Diego + Reset font size. This network contains both primary and specialty care providers to choose from. Select OrganizationAffiliations available at the specified location. 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. Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. Members have the choice to refuse professional interpreters and use adult family members or friends. We are dedicated to providing the highest quality of care for your furry family members. [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. 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. Please indicate the name of your practice in the box above. Then click the magenta Get Location button. Select Locations with the specified state address. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Please select the county where you live. A doctor may work with other doctors. Inyo Tehama The FHIR server is recommended to return this data. 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. Los Angeles A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. Armenian * 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. 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. Certified Orthodontist It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? MAY: An optional inclusion for the implementation; not a requirement. Languages: The languages a doctor speaks. Please select a specialty [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? 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. CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. Farsi Select Locations with the specified city address. The call is free.

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