ProcessLogoff - provider.portal.ccah-alliance.org Sonoma CCHP does not verify these skills. The RESTful capabilities are discussed in further detail below. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Phone Number: The doctors office or hospital phone number. Provider Directory - Central California Alliance for Health Accessible with a Wheelchair: The office is handicap accessible. Select PractitionerRoles available at the specified organization. Select PractitionerRoles available at the specified location. Taiwanese Placer The doctor or hospital gives CCP this information on their application when they join the health plan. 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. [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? PDF Medi-Cal Merced Provider Directory - ccah-alliance.org County: 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. San Francisco The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. Dental Clinics Serving Medi-Cal Members. 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. Search by plan name, specialty, location, or provider name. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. You can also use the filters to search for more specific information. Click to see Board of Directors Meeting Schedule/Upcoming Agenda. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. 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. [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? If you are a member or potential member it is important for you to understand how our two networks are organized. Below we describe the information in the fields in the provider directory. There are more protections for immigrants and their families to use public benefits. To verify the current status of a hospital visit jointcommission.org. Mariposa San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Select roles where the organization is a member of the specified health insurance provider network. FAQs, Case Studies, Issue Briefs, and more. Certificate. + Decrease font size. Select insurance plans of the specified type. Location Name: Name of the doctor's office or hospital address. Dont miss our bimonthly newsletter for community partners. View Urgent Visit Access Offices in Monterey County. Yolo 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. The online Beacon Provider Directory can be found at the link below. Orange Japanese PCP's are not required to have hospital privileges. San Benito 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. Showing of Cantonese. Please indicate the name of your practice in the box above. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. Lake Select health insurance provider networks available in a region described by the specified location. You are now being transferred to the CCA corporate website. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. See our linguistic access and accessibility policy. 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. 734-436-0455 Authentication is not required to access the Conformance resource. Vietnamese Select PractitionerRoles with the specified role. Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. 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. All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. The hospital gets reviewed by national organizations to see if they meet these standards. Please select the county where you live. [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? The doctor provides an excellent patient experience. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! Nurse Advice Line 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? The FHIR server may return the data, but there is no requirement to do so. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? Facilities may also notify us at any time regarding changes to their accreditation status. Tehama CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. . CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Select products that are offered in the specified location. This is not a guarantee they will be available to accept additional patients at the time you contact them. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. Public Health, * Language: San Joaquin Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. Provider Directory - Central California Alliance for Health Del Norte Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. Monterey Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. 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). All Rights Reserved. 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. 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. Chinese English [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? You are now being transferred to the CCA corporate website. Periodontist Only submit information below that needs to be changed in the directory. 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? Accessibility [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? 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. 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. Hindi [parameter=value]&_revinclude=PractitionerRole:network, GET [base]/Organization?[parameter=value]&_revinclude=OrganizationAffiliation:participating-organization. Select products that are administered by the specified organization. Siskiyou 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. Member Handbook Calaveras Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. [parameter=value]&_include=Organization:partof, GET [base]/Organization? ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 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. [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. The number to call in each county is. Sierra Registered Dental Hygienists in Alternative Practice. Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. Facility: CCHP updates facility information daily as changes are reported by the facility. Inyo Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. Select OrganizationAffiliations associated with the specified specialty. Provider Directory for Members - CenCal Health The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. Search - Provider Directory Merced Alliance Care IHSS Price Transparency Tool. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Hospitals: The network hospitals a doctor can see their patients in. Hospital information is verified by viewing the information listed on their website. , California 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. Fresno 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]&_include=Location:organization, GET [base]/Location? Butte Locations can range in scope from a room in a building to a geographic region/area. 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. 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. Thai Humboldt The ACA has taken operating rules to a new level. [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? Ventura Select Locations with the specified city address. Hmong Lassen Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. 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. This network contains both primary and specialty care providers to choose from. View rating by specialty and compare nearby hospitals. To set your current location, click the green Use Current Location button. San Luis Obispo 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. 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. [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? ccah provider directory The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. 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. 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. Healthcare Provider Directory | Commonwealth Care Alliance MA CCHP Medi-Cal members should contact the DHCS Medi-Cal Rx Help Line for any pharmacy questions (1-800-977-2273, TTY 1-800-430-7077). [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. 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. Board Certifications: A doctor gets a certificate after completing extra training in their specialty. Alpine The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. San Mateo 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. Location: The doctors office or hospital address. 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. Los Angeles Connecting, solving and transforming healthcare business challenges. Large healthcare providers may achieve CORE Certification. 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 Select HealthcareServices available at the specified location. Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. Kern Alliance Provider Portal They might also work in different offices or clinics. Frequently Asked Questions, GRIEVANCE FORM Medi-Cal Dental Provider Directory Search. Hospital Quality: The hospitals performance rating. Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. 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. Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. Laotian [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? Contra Costa Gender: A doctors sex, either Male or Female. 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. Find-A-Dentist. Operating rule development for these transactions is currently underway. 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. SHALL: An absolute requirement for all implementations. Select HealthcareServices of the specified type. GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? 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. Alliance members must use a pharmacy that works with MedImpact. Solano Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. Frequently Asked Questions, GRIEVANCE FORM Our directories are printed by county.
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