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. [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. Select roles offered by the specified organization. Then click the magenta Get Location button. CCHP discourages the use of family members, friends or minors to interpret or translate materials. El Dorado Tuolumne 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. English 734-436-0455 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. Please select a specialty [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? Sometimes CCP does not receive a notice that the information has changed. CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. To set your current location, click the green Use Current Location button. At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. Hmong CORE Certification Laotian Public Health, * Language: Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. Alliance Care IHSS Price Transparency Tool. ProcessLogoff - provider.portal.ccah-alliance.org CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. Riverside CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. Select Practitioners with the specified given name. Updates will be posted at cchealth.org. Showing of Frequently Asked Questions, GRIEVANCE FORM A Reset font size. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. PCP's are not required to have hospital privileges. Language Assistance Inyo + Increase font size. Chinese For more information, please call the doctors office. 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. For further assistance, members can contact Member Services at 1-877-661-6230 option 2 and providers can access interpreter services at 1-877-800-7423 option 4 or directly at 1-866-874-3972. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? Select insurance plans of the specified type. Who are Providers? 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. 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. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. Below we describe the information in the fields in the provider directory. 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. 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. 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. You are now being transferred to the CCA corporate website. Please indicate the name of your practice in the box above. By entering a hospital name, the accreditation status and quality measures are listed. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). **In Dukes and Nantucket Counties: CCA health plans are not yet available. Location Name: Name of the doctor's office or hospital address. 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. Select Locations managed by the specified organization. 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. , California To report any errors, click on the link below. 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. A Network refers to a health care provider insurance network. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. SHALL: An absolute requirement for all implementations. Vietnamese Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. SHOULD: A best practice or recommendation for the implementation. [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? The online Beacon Provider Directory can be found at the link below. Select products with the specified identifier. 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. Groups: The practice a doctor works in. We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. Thai [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. Farsi 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. If you are a member or potential member it is important for you to understand how our two networks are organized. This is not a guarantee they will be available to accept additional patients at the time you contact them. View Urgent Visit Access Offices in Santa Cruz County. In those situations, CenCal Health can still get you care. Colusa Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. [parameter=value]&_include=Organization:partof, GET [base]/Organization? + Decrease font size. 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. Kern [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? The FHIR server is recommended to return this data. Select products that are administered by the specified organization. Select Locations that are part of the specified 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. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. Languages: The languages a doctor speaks. [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? Imperial Del Norte Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. It requires CenCal Health to meet both time and distance standards based on county population density. Thank you for the opportunity to partner with you. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Humboldt can be viewed free at osteopathic.org. 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. * 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. See our linguistic access and accessibility policy. Language Assistance 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 Select OrganizationAffiliations associated with the specified specialty. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Tagalog The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. If you are a solo practitioner, enter your name in the box above. The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. 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. Select Organizations that are part of the specified organization. Authentication is not required to access the Conformance resource. Select HealthcareServices of the specified type. 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. Select PractitionerRoles associated with the specified specialty. This certificate expires, so CCP checks it at least every 3 years. Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. MAY: An optional inclusion for the implementation; not a requirement. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Facilities may also notify us at any time regarding changes to their accreditation status. Select Locations with the specified city address. Select OrganizationAffiliations available at the specified location. 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. Found inside - Page 57. Fresno Alliance Care IHSS Price Transparency Tool. Please select a language GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. Russian GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? They might also work in different offices or clinics. Learn best practices and earn CBI payments for ACE screenings at your practice. Operating rule development for these transactions is currently underway. San Francisco The ACA has taken operating rules to a new level. Napa Spanish Placer . [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. Tulare The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. The number to call in each county is. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! Merced Select HealthcareServices available at the specified location. Accessibility Marin View Urgent Visit Access Offices in Merced County. Oral Pathologist [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. Member Handbook GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. If you have a timely access concern, you can contact CCHP's Utilization Management at 1-877-661-6230 option 4 or file a complaint with the California Department of Managed Health Care by calling the DMHC Toll-free provider complaint line at: 1-877-525-1295. Our Provider and Pharmacy Directory make it easy to find the care you need. We can assist you with your selection for primary care provider. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. Please select a county 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). Current time in Gunzenhausen is now 07:51 PM (Saturday). 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. 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 You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. 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. Stanislaus The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. Select HealthcareServices with the specified name. Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. Search by plan name, specialty, location, or provider name. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. Oral Surgeon The FHIR server may return the data, but there is no requirement to do so. Accepting New Patients: This provider accepts both new and existing patients. 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. 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. Specialty: The area of medicine the doctor provides care to patients. We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. Select Practitioners with the specified family name. 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. Siskiyou Mandarin 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. This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. We are dedicated to providing the highest quality of care for your furry family members. Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. 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. 2020 K Street, NW - Suite 660 Washington, D.C. 20006. Los Angeles Locations can range in scope from a room in a building to a geographic region/area. Hospital Quality: The hospitals performance rating. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? All Rights Reserved. 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. Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. The hospital gets reviewed by national organizations to see if they meet these standards. Pedodontist 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. 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. This makes sure that Medi-Cal members have access to covered services. 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. Please Note: Be sure to include your full address with City, State, and ZIP. 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. Hours: When the office or hospital is open to see patients. If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. Large healthcare providers may achieve CORE Certification. Sometimes, there is not a needed provider close enough. [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. 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. Yolo You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). Medi-Cal Dental Provider Directory Search. . Nurse Advice Line The online search engine updates nightly based on information entered that day. Learn best practices and earn CBI payments for ACE screenings at your practice. Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. A Increase font size. Name: The doctor or hospital that is part of the CCP network. An example is a doctor who works only with the heart, cancer, or bones. Lake Phone Number: The doctors office or hospital phone number. [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. Member Handbook The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Select products that are offered in the specified location. You can also use the filters to search for more specific information. Availability of Hard Copy Directories: Members may request printed directories or have web pages printed and mailed to them by clicking on the link below. Select Locations with the specified state address. Use the Provider Directory Information Update Form to alert us to any changes to your provider information. Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. Members have the choice to refuse professional interpreters and use adult family members or friends. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? Most hospitals in Contra Costa County and the immediate surrounding area are participants. CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. 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. Implements RESTful behaviors according to the FHIR specification. Only submit information below that needs to be changed in the directory. CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. Languages Spoken: These abilities are self-reported by the providers in the CPN network when the provider joins the network and at the time of recredentialing. The 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]. 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. Registered Dental Hygienists in Alternative Practice. 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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