ccah provider directory

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. CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. You can also use the filters to search for more specific information. You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). 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. Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. Together, we can bring uncommon care to more people with significant needs. [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. San Francisco [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? 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. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. Glenn The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. Thai 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 specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. 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? Provider Directory - Central California Alliance for Health Board Certifications: A doctor gets a certificate after completing extra training in their specialty. [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. 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. 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. It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. Select PractitionerRoles available at the specified organization. Select roles offered by the specified organization. Provider Search - CCHP Health Plan 734-436-0455 Armenian Korean 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. 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. 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. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. Some doctors might have all the patients they can fit in, while still giving you the best care. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. Language Assistance Select Locations with the specified state address. SHOULD: A best practice or recommendation for the implementation. An example is a doctor who works only with the heart, cancer, or bones. Learn best practices and earn CBI payments for ACE screenings at your practice. 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. Who is CenCal Health/What is a Local Health Plan? Select Practitioners with the specified given 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. Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. This network contains both primary and specialty care providers to choose from. Hours: When the office or hospital is open to see patients. The doctor or hospital gives CCP this information on their application when they join the health plan. 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. Search - Provider Directory Thank you for the opportunity to partner with you. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). Plumas We are dedicated to providing the highest quality of care for your furry family members. Medi-Cal Dental Program. Arabic Mendocino Please select a county Frequently Asked Questions, GRIEVANCE FORM CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. The FHIR server may return the data, but there is no requirement to do so. Please indicate below any changes to the directory listing for the practice listed above. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. . Select products with the specified identifier. At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. Our Provider and Pharmacy Directory make it easy to find the care you need. 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. Search for providers using a specific location or your current location. Tehama Del Norte Oral Surgeon Select PractitionerRoles providing the specified service. A Decrease font size. Hospital information is verified by viewing the information listed on their website. Locations can range in scope from a room in a building to a geographic region/area. Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. Modoc Tuolumne They will be able to assist you in making the best health plan choice for you. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. Humboldt 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. Butte We can assist you with your selection for primary care provider. 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. Providers | CAQH Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. Kern Medi-Cal Dental Provider Directory Search. Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. Current time in Gunzenhausen is now 07:51 PM (Saturday). 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. Ventura If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. Members - Medi-Cal Dental - Find-A-Dentist - California A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. Farsi Colusa Nevada Shasta Tagalog GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. This is not a guarantee they will be available to accept additional patients at the time you contact them. Preferred Provider: A doctor that meets strict quality standards. Sometimes CCP does not receive a notice that the information has changed. Russian We can explain what hospitals are near you. 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. Location Name: Name of the doctor's office or hospital address. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. In those situations, CenCal Health can still get you care. These are the resources and the endpoints available with the Alliance Provider Directory API. Registered Dental Hygienists in Alternative Practice. Amador Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Chinese 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. Implements RESTful behaviors according to the FHIR specification. + Reset font size. [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . 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. Step 3a: Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. Yolo 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. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. A Increase font size. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? Select organizations with the specified address (matches any of the string elements of an address). [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? Select Organizations of the specified type. CCHP does not verify these skills. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Periodontist Search - Provider Directory What care are you looking for? GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? The call is free. FAQs, Case Studies, Issue Briefs, and more. Provider Directory | Community Cares Plan Select products that are offered in the specified location. On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. Connecting, solving and transforming healthcare business challenges. Select Locations managed by the specified organization. Lassen Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. CCA will not contact you unless we have questions about your request. The RESTful capabilities are discussed in further detail below. Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? Provider Directory - Central California Alliance for Health A Decrease font size. Alliance members must use a pharmacy that works with MedImpact. . [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? A Network refers to a health care provider insurance network. [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. CORE Certification Los Angeles 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]&_revinclude=HealthcareService:location, GET [base]/Location? Punjabi 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. All Rights Reserved. [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? + Increase font size. * 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. CCAH Enrollment for these plans ends December 7. You can also access the Kaiser online directory. To report any errors, click on the link below. Location: The doctors office or hospital address. Select OrganizationAffiliations with the specified role. CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. 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. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. 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. Member Handbook [parameter=value]&_include=Organization:partof, GET [base]/Organization? Cambodian Updates will be posted at cchealth.org. Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. 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 Central California Alliance for Health (the Alliance) is an award-winning regional Medi-Cal managed care plan that provides health insurance for children, adults, seniors. 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. Select Locations with the specified address. Select health insurance provider networks available in a region described by the specified location. , California For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. County: PDF Monterey and Santa Cruz Medi-Cal Provider Directory Gua de Proveedores A doctor may work with other doctors. 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. Specialty: A provider's specialty is identified when they join the health plan network. Facility: CCHP updates facility information daily as changes are reported by the facility. Provider Directories - Maryland Department of Human Services For more information, please call the doctors office. Certificate. Members have the choice to refuse professional interpreters and use adult family members or friends. Select Practitioners with the specified family name. Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. can be viewed free at osteopathic.org. 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). 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. 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. Medi-Cal Dental Dental Portal - California We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. Vietnamese InsureKidsNow Search. 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. 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 If you are a solo practitioner, enter your name in the box above. ProcessLogoff - provider.portal.ccah-alliance.org Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. Select Organizations that are part of the specified organization. Select Locations with the specified city address. 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. The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. Phone Number: The doctors office or hospital phone number. 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. Select services associated with the specified specialty. 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. Alliance Provider Directory - provider.portal.ccah-alliance.org Select products that are owned by the specified organization. Below we describe the information in the fields in the provider directory. The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. PCP's are not required to have hospital privileges. Monterey All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. San Bernardino Orange Select insurance plans of the specified type. 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. Medical group: This information is collected from the group at the time they initially join the network. Large healthcare providers may achieve CORE Certification. 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. Find-A-Dentist. Please indicate the name of your practice in the box above. Hmong Golden Road 365 Detox - Transform Your Health in 21 Days CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. Language Assistance Calaveras Accepting New Patients: This provider accepts both new and existing patients. 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 Downloadable PDF Directories Sometimes, there is not a needed provider close enough. GET [base]/Location? Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. Nurse Advice Line GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? Please Note: Be sure to include your full address with City, State, and ZIP. CCHA | Find a Provider - Colorado Community Health Alliance 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. The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. Contra Costa Specialty: The area of medicine the doctor provides care to patients. 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. View Urgent Visit Access Offices in Merced County. CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. Cantonese. Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. 2020 K Street, NW - Suite 660 Washington, D.C. 20006. You can get these documents for free in other formats, such as large print, braille, or audio. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? Sonoma Select HealthcareServices provided by the specified organization. They might also work in different offices or clinics. View Urgent Visit Access Offices in Santa Cruz County. 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. Tulare Website: The internet address that the doctor and practice information can be found. Alpine The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. Results are as of 12/1/2020 unless otherwise noted. Riverside 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. The FHIR server must return this data. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Accepting new patients: The doctor is taking new patients. 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.

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