Location Name: Name of the doctor's office or hospital address. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? Chinese The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? Member Handbook Search for providers using a specific location or your current location. A health care provider insurance network is an aggregation of organizations and individuals that deliver a set of services across a geography through health insurance products/plans. Website: The internet address that the doctor and practice information can be found. Sonoma To report any errors, click on the link below. Alliance. Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? Use the Provider Directory Information Update Form to alert us to any changes to your provider information. 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. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? Select PractitionerRoles with the specified role. Butte Yuba, Specialty: Select roles offered by the specified organization. There are more protections for immigrants and their families to use public benefits. 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). Select services associated with the specified specialty. 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). Lake 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. 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. Sometimes CCP does not receive a notice that the information has changed. Specialty: A provider's specialty is identified when they join the health plan network. Please select the county where you live. Language Assistance You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. Authentication is not required to access the Conformance resource. San Benito Large healthcare providers may achieve CORE Certification. 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. 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. Medi-Cal Dental Program. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. 2020 K Street, NW - Suite 660 Washington, D.C. 20006. Provider Directories - Maryland Department of Human Services As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. Select Locations with the specified state address. In those situations, CenCal Health can still get you care. It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. Hmong Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. Tulare Select roles filled by the specified organization. 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. Los Angeles Benefits of CCAH Provider Portal Monterey Select PractitionerRoles associated with the specified specialty. Medical group: This information is collected from the group at the time they initially join the network. 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 doctor or hospital gives CCP this information on their application when they join the health plan. Tuolumne 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. Alliance members must use a pharmacy that works with MedImpact. CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. Search - Provider Directory What care are you looking for? Select HealthcareServices of the specified type. If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. Please indicate the name of your practice in the box above. Mendocino Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. 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. We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. Golden Road 365 Detox - Transform Your Health in 21 Days Calaveras + Increase font size. 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. Enrollment for these plans ends December 7. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. Select OrganizationAffiliations available at the specified location. Select products that are administered by the specified organization. Alliance Provider Portal Cambodian Amador Select Locations with the specified city address. View Urgent Visit Access Offices in Santa Cruz County. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. San Francisco ASL Interpreter Available: The office can translate into American Sign Language. The hospital reports the safety and quality of its care. SHALL: An absolute requirement for all implementations. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. Documents will be mailed within five (5) business days of receiving request. Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. 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. Connecting, solving and transforming healthcare business challenges. Select services available in a region described by the specified location. Select PractitionerRoles available at the specified organization. Select Locations with the specified postal code address. 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. County: Merced 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. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. Health and Wellness Rewards 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. Current time in Gunzenhausen is now 07:51 PM (Saturday). Periodontist [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? It mandated healthcare operating rules for HIPAA claims-related electronic transactions, and CAQH CORE was named by the Secretary of Health and Human Services (HHS) as the authoring entity of these operating rules. Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. Placer Languages: The languages a doctor speaks. The doctor provides an excellent patient experience. Provider Search - CCHP Health Plan Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. Fresno Preferred Provider: A doctor that meets strict quality standards. Provider Directory - Central California Alliance for Health You can get these documents for free in other formats, such as large print, braille, or audio. 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. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? Board Certifications: A doctor gets a certificate after completing extra training in their specialty. Select Locations managed by the specified organization. InsureKidsNow Search. Results are as of 12/1/2020 unless otherwise noted. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. Select HealthcareServices available at the specified location. Humboldt For more information, please call the doctors office. Hindi Select organizations with the specified address (matches any of the string elements of an address). Marin The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. 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. [parameter=value]&_include=Location:partof, GET [base]/Location? Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. We can explain what hospitals are near you. 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. 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. 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. [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line Sometimes, there is not a needed provider close enough. You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer specialist. A Reset font size. 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. You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. Operating rule development for these transactions is currently underway. Select OrganizationAffiliations providing the specified service. To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. Thai This network contains both primary and specialty care providers to choose from. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Hospital information is verified by viewing the information listed on their website. 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. View Urgent Visit Access Offices in Monterey County. Russian Korean Prosthodontist Select products that are offered in the specified location. Alliance Care IHSS Price Transparency Tool. ccah provider directory400,000 mile ecoboost. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. Select Practitioners with the specified given name. Registered Dental Hygienists in Alternative Practice. San Luis Obispo 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. Siskiyou View Urgent Visit Access Offices in Merced County. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. CCP checks this information at least every 3 years. 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. Our directories are printed by county. Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. A Reset font size. 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? If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Modoc CCHP discourages the use of family members, friends or minors to interpret or translate materials. 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 Sutter [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. This directory gives members, potential members and providers access to our two networks (Regional Medical Center (RMC) and the Community Provider Network (CPN) of physicians, pharmacies, hospitals and ancillary providers. Select PractitionerRoles providing the specified service. English Provider Directory :: Health Plan :: Contra Costa Health Services Providers | CAQH We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. Please select a language GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? * 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. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. This program arms you with the information to reduce your toxic exposure, increase your liver's biotransformation of toxins, and to enhance your elimination of these transformed toxins from your body. Glenn An example is a doctor who works only with the heart, cancer, or bones. CCA will not contact you unless we have questions about your request.
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