[parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? 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. Select OrganizationAffiliations providing the specified service. CCA will not contact you unless we have questions about your request. Hospital information is verified by viewing the information listed on their website. 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. CCHP discourages the use of family members, friends or minors to interpret or translate materials. [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? 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. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. Find-A-Dentist. MAY: An optional inclusion for the implementation; not a requirement. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. By entering a hospital name, the accreditation status and quality measures are listed. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? The online Beacon Provider Directory can be found at the link below. View Urgent Visit Access Offices in Monterey County. Medi-Cal Dental Program. 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. Languages: The languages a doctor speaks. Select Practitioners with the specified family name. CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. A Reset font size. 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. [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? 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 San Luis Obispo Shasta Yuba, Specialty: 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). Chinese 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. Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. Who are Providers? Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. 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. 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. Select Organizations of the specified type. [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? Napa Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. Ventura Alameda 734-436-0455 Select products that are offered in the specified location. If you are a solo practitioner, enter your name in the box above. This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. Specialty: The area of medicine the doctor provides care to patients. Select PractitionerRoles with the specified role. Periodontist Specialty: A provider's specialty is identified when they join the health plan network. As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. Select HealthcareServices provided by the specified organization. The doctor or hospital gives CCP this information on their application when they join the health plan. Please select a language Operating rule development for these transactions is currently underway. Del Norte The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. Downloadable PDF Directories Found inside - Page 57. 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. Search for providers using a specific location or your current location. Contra Costa San Francisco Adoption Directory It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. A doctor may work with other doctors. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? Calaveras 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. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. Select OrganizationAffiliations with the specified role. Groups: The practice a doctor works in. They might also work in different offices or clinics. Gender: A doctors sex, either Male or Female. 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). Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Tuolumne In addition, on a quarterly basis, CCHP emails a Network Update link to each provider, provider group or facility to report any changes to the information CCHP has on file. You can get these documents for free in other formats, such as large print, braille, or audio. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? County: Location: The doctors office or hospital address. Cantonese. 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. The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. Merced 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. El Dorado 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. General Practitioner 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. The FHIR server must return this data. 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. 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 Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. GET [base]/Location? CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. Vietnamese This certificate expires, so CCP checks it at least every 3 years. Health and Wellness Rewards Accepting New Patients: This provider accepts both new and existing patients. Farsi You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). To verify the current status of a hospital visit jointcommission.org. You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . Humboldt **In Dukes and Nantucket Counties: CCA health plans are not yet available. [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. Arabic 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. Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. We can explain what hospitals are near you. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. They will be able to assist you in making the best health plan choice for you. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? The online search engine updates nightly based on information entered that day. This is not a guarantee they will be available to accept additional patients at the time you contact them. San Mateo Solano [parameter=value]&_include=Location:organization, GET [base]/Location? GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. 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. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. These are the resources and the endpoints available with the Alliance Provider Directory API. This directory is for informational use only. , California FAQs, Case Studies, Issue Briefs, and more. Inyo 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. 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. Certificate. All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. Use the Provider Directory Information Update Form to alert us to any changes to your provider information. Select OrganizationAffiliations associated with the specified specialty. Enrollment for these plans ends December 7. 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. Sierra It requires CenCal Health to meet both time and distance standards based on county population density. Siskiyou You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. Laotian Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. We share our providers dedication to assuring the highest levels of care and service for people with complex health needs. Cambodian 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]. Lake Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. Select HealthcareServices available at the specified location. Butte CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. We can assist you with your selection for primary care provider. 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. Member Handbook Amador Name: The doctor or hospital that is part of the CCP network. 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. Hmong Showing of Los Angeles View rating by specialty and compare nearby hospitals. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. Hindi 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. Please select a specialty Japanese The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Authentication is not required to access the Conformance resource. Oral Surgeon Thank you for the opportunity to partner with you. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Sometimes, there is not a needed provider close enough. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. To set your current location, click the green Use Current Location button. Call 866-610-2273 (TTY 711). Mendocino This makes sure that Medi-Cal members have access to covered services. Facilities may also notify us at any time regarding changes to their accreditation status. Medical group: This information is collected from the group at the time they initially join the network. Who is CenCal Health/What is a Local Health Plan? For more information, please call the doctors office. GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? 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? Llame al 866-610-2273 (TTY 711). Current time in Gunzenhausen is now 07:51 PM (Saturday). The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. Select HealthcareServices with the specified name. Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. See our linguistic access and accessibility policy. Glenn Please Note: Be sure to include your full address with City, State, and ZIP. The DaVinci PDEX Plan-Net Network profile is based on the core FHIR Organization resource, and the DaVinci PDEX Plan-Net Organization profile is based on the core FHIR US Core Organization resource. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. To report any errors, click on the link below. Select HealthcareServices providing the specified category of services. Select PractitionerRoles available at the specified organization. [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? The most current board certification status can be verified at The American Board of Medical Specialties website. 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. Select Locations with the specified state address. The FHIR server is recommended to return this data. Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. Hours: When the office or hospital is open to see patients. San Benito The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. Orange You can also access the Kaiser online directory. The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. Board Certifications: A doctor gets a certificate after completing extra training in their specialty. Alliance Care IHSS Price Transparency Tool. Select Locations that are part of the specified location. Frequently Asked Questions, GRIEVANCE FORM GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? 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. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. A Reset font size. Operating rule development for these transactions is currently underway. San Diego Phone Number: The doctors office or hospital phone number. Nurse Advice Line ASL Interpreter Available: The office can translate into American Sign Language. 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. [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. 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. 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. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. There are more protections for immigrants and their families to use public benefits. The RESTful capabilities are discussed in further detail below. Select roles where the organization is a member of the specified health insurance provider network. Select roles filled by the specified practitioner. Marin A Network refers to a health care provider insurance network. Select PractitionerRoles available at the specified location. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Most hospitals in Contra Costa County and the immediate surrounding area are participants. Korean The number to call in each county is. CORE Certification ProcessLogoff - provider.portal.ccah-alliance.org 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. + Decrease font size. View Urgent Visit Access Offices in Merced County. 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. Language Assistance 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. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. In those situations, CenCal Health can still get you care. Medi-Cal Dental Provider Directory Search. Fresno Some doctors might have all the patients they can fit in, while still giving you the best care. Stanislaus Select organizations with the specified address (matches any of the string elements of an address). To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. The call is free. Select Practitioners with the specified given name. Tulare [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? Kings 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. Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. 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. We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. The resource may be used to encompass a variety of services covering the entire health care spectrum, including promotion, prevention, diagnostics, hospital and ambulatory care, home care, long-term care and other health-related and community services.
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