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. Name: The doctor or hospital that is part of the CCP network. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). Humboldt Select HealthcareServices of the specified type. It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. SHALL: An absolute requirement for all implementations. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. County: CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. Select HealthcareServices available at the specified location. You are now being transferred to the CCA corporate website. 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. 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). GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? Merced Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. 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. Health and Wellness Rewards 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. Accepting new patients: The doctor is taking new patients. Glenn FAQs, Case Studies, Issue Briefs, and more. Who is CenCal Health/What is a Local Health Plan? 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. Search for providers using a specific location or your current location. Click to see Board of Directors Meeting Schedule/Upcoming Agenda. A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. They might also work in different offices or clinics. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. 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. 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. 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]. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Operating rule development for these transactions is currently underway. Taiwanese San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. Sometimes CCP does not receive a notice that the information has changed. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. This is not a guarantee they will be available to accept additional patients at the time you contact them. GET [base]/Location? A Decrease font size. Butte Operating rule development for these transactions is currently underway. Benefits of CCAH Provider Portal [parameter=value]&_include=Organization:partof, GET [base]/Organization? Interpreter services are available at all CCHP points of contact where members may reasonably need such services. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. Mono Yolo , California View Urgent Visit Access Offices in Merced County. You are now being transferred to the CCA corporate website. Select HealthcareServices providing the specified category of services. Select organizations with the specified address (matches any of the string elements of an address). The hospital reports the safety and quality of its care. *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. Hmong New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. 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. GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. 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 ACA has taken operating rules to a new level. Laotian 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. See our linguistic access and accessibility policy. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. Implements RESTful behaviors according to the FHIR specification. Kings 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. 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. General Practitioner Siskiyou [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. 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. All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. **In Dukes and Nantucket Counties: CCA health plans are not yet available. Some doctors might have all the patients they can fit in, while still giving you the best care. 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. If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? Hospitals: The network hospitals a doctor can see their patients in. 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. Step 3a: Hours: When the office or hospital is open to see 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. 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 GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? An example is a doctor who works only with the heart, cancer, or bones. Our Provider and Pharmacy Directory make it easy to find the care you need. San Bernardino Accessible with a Wheelchair: The office is handicap accessible. Llame al 866-610-2273 (TTY 711). Large healthcare providers may achieve CORE Certification. We share our providers dedication to assuring the highest levels of care and service for people with complex health needs. 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. Tulare You can also use the filters to search for more specific information. As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. Frequently Asked Questions, GRIEVANCE FORM 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 Vietnamese Certificate. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. InsureKidsNow Search. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! Lassen 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. Del Norte 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. Call 866-610-2273 (TTY 711). All Rights Reserved. CCA Senior Care Options, CCA Medicare Value, and CCA Medicare Preferred are available in 10 counties in Massachusetts: Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. Sometimes, there is not a needed provider close enough. If you are a solo practitioner, enter your name in the box above. Select roles offered by the specified organization. A Reset font size. * Translation services available for most languages. Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. 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. 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. The RESTful capabilities are discussed in further detail below. Sierra Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. Tuolumne Select insurance plans of the specified type. As of January 2013, all HIPAA-covered entities must adhere to the federally mandated Phase I and II CAQH CORE Operating Rules, which relate to patient eligibility and claim status. Medi-Cal Dental Program. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? 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. Prosthodontist Select products that are offered in the specified location. Select Practitioners with the specified family name. 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. Downloadable PDF Directories Registered Dental Hygienists in Alternative Practice. 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. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022, 8:00 am to 6:00 pm, Monday through Friday, Superior patient experiences and improved clinical outcomes, Optimal access, responsiveness, transparency, and timeliness in all our communications, Operational excellence and strong analytics and reporting that support provider performance. English Member Handbook Select Organizations with the specified name. CCHP discourages the use of family members, friends or minors to interpret or translate materials. Gender: A doctors sex, either Male or Female. Select PractitionerRoles providing the specified service. Select Locations with the specified city address. 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). 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. 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. You can also access the Kaiser online directory. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. 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. 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. Spanish Select Organizations of the specified type. Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. Tagalog For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. PCP's are not required to have hospital privileges. [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. A Increase font size. The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. Frequently Asked Questions, GRIEVANCE FORM Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. 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 online Beacon Provider Directory can be found at the link below. View Urgent Visit Access Offices in Monterey County. Armenian 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. 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. Enrollment for these plans ends December 7. The FHIR server must return this data. Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. 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). Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. Most hospitals in Contra Costa County and the immediate surrounding area are participants. 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. Providers in the CCRMC network are certified in languages spoken in addition to English. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Language Assistance Placer Please select the county where you live. The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. 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. Alliance Care IHSS Price Transparency Tool. Updates will be posted at cchealth.org. Solano CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. 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 Select roles filled by the specified practitioner. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? 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. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. 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. 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. 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. We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. ASL Interpreter Available: The office can translate into American Sign Language.
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