Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. Languages: The languages a doctor speaks. Dental Clinics Serving Medi-Cal Members. Please select a specialty Together, we can bring uncommon care to more people with significant needs. Please select the county where you live. Select HealthcareServices with the specified name. Language Assistance 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. Mandarin 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. Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. Lassen Select HealthcareServices provided by the specified organization. Medi-Cal Dental Provider Directory Search. Yuba, Specialty: *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. Location: The doctors office or hospital address. The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. SHOULD: A best practice or recommendation for the implementation. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. 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. To set your current location, click the green Use Current Location button. Arabic [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? Fresno Alliance. The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. Inyo The doctor provides an excellent patient experience. 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. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? 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. El Dorado 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. Sacramento Select roles offered by the specified organization. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. 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. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. Endodontist The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Hours: When the office or hospital is open to see patients. 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 Contra Costa Select products that are administered by the specified organization. CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. 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. Sonoma Amador Select HealthcareServices providing the specified category of services. 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). Colusa 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. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. SHALL: An absolute requirement for all implementations. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. Santa Barbara **In Dukes and Nantucket Counties: CCA health plans are not yet available. Please indicate the name of your practice in the box above. San Francisco Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. 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). 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 search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. Learn More. 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. Showing of CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. See our linguistic access and accessibility policy. The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. 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. Tulare Board Certifications: A doctor gets a certificate after completing extra training in their specialty. San Bernardino All Rights Reserved. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. Member Handbook 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. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. Step 3a: The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. Member Handbook Select services available in a region described by the specified location. Downloadable PDF Directories Solano A Increase font size. These are the resources and the endpoints available with the Alliance Provider Directory API. Benefits of CCAH Provider Portal CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. 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. On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. Groups: The practice a doctor works in. Sometimes, there is not a needed provider close enough. We can explain what hospitals are near you. Select roles filled by the specified practitioner. 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. Select roles filled by the specified organization. In those situations, CenCal Health can still get you care. There are more protections for immigrants and their families to use public benefits. Nevada GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? Operating rule development for these transactions is currently underway. 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 Hmong You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. 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. View Urgent Visit Access Offices in Santa Cruz County. Adoption Directory Alameda Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. Then click the magenta Get Location button. [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? 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. San Diego Accessibility A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. + Increase font size. View Urgent Visit Access Offices in Merced County. We share our providers dedication to assuring the highest levels of care and service for people with complex health needs. 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. 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. Our Provider and Pharmacy Directory make it easy to find the care you need. A Increase font size. Some doctors might have all the patients they can fit in, while still giving you the best care. [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. Find-A-Dentist. Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. 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. 734-436-0455 A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. Imperial Del Norte Preferred Provider: A doctor that meets strict quality standards. Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. Madera Cambodian This certificate expires, so CCP checks it at least every 3 years. Kings 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. , California Select Practitioners with the specified given name. This information is subject to change without notice. A network is typically owned by a payer. Russian Enrollment for these plans ends December 7. 1 Percent of ICO + SCO members weighted together who have at least one qualifying touch by a care team member within a given month (Rolling three-month average, 7/2021), 2Combined CCA ICO + SCO rate per 1,000 members; hospitalization rates are consistently below the per capita averages during COVID-19 pandemic. 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. Search - Provider Directory What care are you looking for? Alpine Nurse Advice Line Hospitals: The network hospitals a doctor can see their patients in. Periodontist 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. CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. Select Organizations of the specified type. InsureKidsNow Search. The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. . 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. [parameter=value]&_include=Location:organization, GET [base]/Location? [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. 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. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. [parameter=value]&_include=Organization:partof, GET [base]/Organization? Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. 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. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. GET [base]/Location? Found inside - Page 57. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. The ACA has taken operating rules to a new level. Our directories are printed by county. Updates will be posted at cchealth.org. The online Beacon Provider Directory can be found at the link below. CORE Certification General Practitioner Language Assistance Napa Tuolumne Accessible with a Wheelchair: The office is handicap accessible. CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. 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. Los Angeles ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? Please select a language A Decrease font size. Select OrganizationAffiliations with the specified role. [parameter=value]&_include=Location:partof, GET [base]/Location? 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. Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. Select PractitionerRoles associated with the specified specialty. Medi-Cal Dental Program. 2020 K Street, NW - Suite 660 Washington, D.C. 20006. Name: The doctor or hospital that is part of the CCP network. Butte [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? Click to see Board of Directors Meeting Schedule/Upcoming Agenda. [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. 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. Select OrganizationAffiliations associated with the specified specialty. Select Locations with the specified address. [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line Resources in the Conformance category are used to represent metadata about the datatypes, resources, and CCAH Provider Directory API features of the FHIR specification and can be used to create derived specifications. Learn best practices and earn CBI payments for ACE screenings at your practice. 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. Current time in Gunzenhausen is now 07:51 PM (Saturday). The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. Sierra This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. English Dont miss our bimonthly newsletter for community partners. We can assist you with your selection for primary care provider. This is not a guarantee they will be available to accept additional patients at the time you contact them. Select organizations with the specified address (matches any of the string elements of an address). Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. 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. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Only submit information below that needs to be changed in the directory. Learn best practices and earn CBI payments for ACE screenings at your practice. You can also use the filters to search for more specific information. Plumas By entering an e-mail in this field I am confirming that the e-mail provided is intended for patient communication and is regularly monitored and maintained in a manner consistent with State and Federal laws. Spanish To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. 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? Search for providers using a specific location or your current location. This makes sure that Medi-Cal members have access to covered services. Who is CenCal Health/What is a Local Health Plan? 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. [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? Who are Providers? We are dedicated to providing the highest quality of care for your furry family members. Providers in the CCRMC network are certified in languages spoken in addition to English. [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. You can get these documents for free in other formats, such as large print, braille, or audio. Trinity Select products with the specified identifier. 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. The hospital gets reviewed by national organizations to see if they meet these standards. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. Connecting, solving and transforming healthcare business challenges. 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 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). Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. 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. Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. If you are a member and would like to choose one of our PCPs, please contact our Member Services department at 1-877-661-6230 option 2. CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. Certificate. Placer They will be able to assist you in making the best health plan choice for you. 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. Alliance Care IHSS Price Transparency Tool. [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. 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.
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