GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? Select Locations with the specified city address. 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. Japanese Members have the choice to refuse professional interpreters and use adult family members or friends. View Urgent Visit Access Offices in Monterey County. 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 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. 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 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. 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 Del Norte Kern Provider Directory Information Update Form, Merced County Medi-Cal Provider Directory, Monterey and Santa Cruz Medi-Cal Provider Directory, Alliance Care IHSS Health Plan Provider Directory. Alliance members and Primary Care Providers (PCPs) may access Beacon Health Options 24 hours a day, 365 days a year via a toll-free line. All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. 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. 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. Cantonese. CORE Certification [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line A Network refers to a health care provider insurance network. San Francisco 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). 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. Select products that are administered by the specified organization. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. 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. Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. 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). 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. Select OrganizationAffiliations providing the specified service. 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. By entering a hospital name, the accreditation status and quality measures are listed. Lassen 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. 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. Select Locations with the specified postal code address. Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. Select HealthcareServices of the specified type. 2020 K Street, NW - Suite 660 Washington, D.C. 20006. A Increase font size. If you are a solo practitioner, enter your name in the box above. Trinity Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. There are more protections for immigrants and their families to use public benefits. Merced 734-436-0455 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. Select roles offered by the specified organization. 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. 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? Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. Select organizations with the specified address (matches any of the string elements of an address). Operating rule development for these transactions is currently underway. Armenian Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. Sometimes, there is not a needed provider close enough. + Reset font size. The call is free. These are the resources and the endpoints available with the Alliance Provider Directory API. A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. Select HealthcareServices available at the specified location. 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. Amador 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. Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Llame al 866-610-2273 (TTY 711). Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. Together, we can bring uncommon care to more people with significant needs. Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. To set your current location, click the green Use Current Location button. Accepting new patients: The doctor is taking new patients. Select roles where the practitioner is a member of the specified health insurance provider network. The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. MAY: An optional inclusion for the implementation; not a requirement. * Translation services available for most languages. An example is a doctor who works only with the heart, cancer, or bones. Periodontist CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. Please indicate the name of your practice in the box above. Hospitals: The network hospitals a doctor can see their patients in. Hours: When the office or hospital is open to see patients. 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. This certificate expires, so CCP checks it at least every 3 years. If you want to check to see if your doctor is board certified go to CertificationMatters.org, DoctorsThatDo.org, or call 1-866-ASK-ABMS (275-2267). Potential members may contact our Marketing Department at 1-877-661-6230 option 6. Russian If you are a member or potential member it is important for you to understand how our two networks are organized. Oral Pathologist You are now being transferred to the CCA corporate website. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. See our linguistic access and accessibility policy. Please Note: Be sure to include your full address with City, State, and ZIP. Location Name: Name of the doctor's office or hospital address. Health and Wellness Rewards Select roles filled by the specified practitioner. This information is subject to change without notice. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. The hospital gets reviewed by national organizations to see if they meet these standards. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. A Decrease font size. 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. Sacramento Please select a language GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? Website: The internet address that the doctor and practice information can be found. Step 3a: Select PractitionerRoles providing the specified service. Providers must document this choice in the member's medical record. We are dedicated to providing the highest quality of care for your furry family members. Glenn 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. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. View Urgent Visit Access Offices in Merced County. Select OrganizationAffiliations associated with the specified specialty. To report any errors, click on the link below. Pedodontist [parameter=value]&_include=Location:organization, GET [base]/Location? Specialty: A provider's specialty is identified when they join the health plan network. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. can be viewed free at osteopathic.org. There are more protections for immigrants and their families to use public benefits. 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. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Nevada San Joaquin 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. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. We share our providers dedication to assuring the highest levels of care and service for people with complex health needs. 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. [parameter=value]&_revinclude=PractitionerRole:network, GET [base]/Organization?[parameter=value]&_revinclude=OrganizationAffiliation:participating-organization. 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. Language Assistance Providers in the CCRMC network are certified in languages spoken in addition to English. Select Organizations with the specified name. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. CCHP does not verify these skills. This directory is for informational use only. Siskiyou Board Certifications: A doctor gets a certificate after completing extra training in their specialty. You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . Mono 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. Imperial San Bernardino Learn best practices and earn CBI payments for ACE screenings at your practice. Tulare Facility: CCHP updates facility information daily as changes are reported by the facility. Documents will be mailed within five (5) business days of receiving request. It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. A Reset font size. Prosthodontist This makes sure that Medi-Cal members have access to covered services. FAQs, Case Studies, Issue Briefs, and 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. 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. The ACA has taken operating rules to a new level. [parameter=value]&_include=Organization:partof, GET [base]/Organization? Select roles where the organization is a member of the specified health insurance provider network. Below we describe the information in the fields in the provider directory. They will be able to assist you in making the best health plan choice for you. Chinese Locations can range in scope from a room in a building to a geographic region/area. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. Alameda El Dorado English Select Organizations of the specified type. Current time in Gunzenhausen is now 07:51 PM (Saturday). A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. 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).
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