ccah provider directory
* 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. Oral Pathologist Armenian A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. Alpine The ACA has taken operating rules to a new level. Oral Surgeon 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. We share our providers dedication to assuring the highest levels of care and service for people with complex health needs. This network contains both primary and specialty care providers to choose from. Endodontist We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. 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. San Francisco Marin 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. 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). Select HealthcareServices with the specified name. Nevada View Urgent Visit Access Offices in Merced County. Enrollment for these plans ends December 7. Select Practitioners with the specified family name. CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. We can assist you with your selection for primary care provider. 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. Location: The doctors office or hospital address. There are more protections for immigrants and their families to use public benefits. General Practitioner We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. + Reset font size. Together, we can bring uncommon care to more people with significant needs. Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. FAQs, Case Studies, Issue Briefs, and more. Stanislaus Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. Frequently Asked Questions, GRIEVANCE FORM Select products with the specified identifier. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. Search - Provider Directory What care are you looking for? 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]. 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. Select roles filled by the specified organization. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Yuba, Specialty: 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. Tulare You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. View rating by specialty and compare nearby hospitals. English Board certifications for most Doctors of Osteopathic Medicine (D.O.) 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. Merced Found inside - Page 57. 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. You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). Select Practitioners with the specified given name. Hospital Quality: The hospitals performance rating. Contra Costa We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. We can explain what hospitals are near you. Select OrganizationAffiliations providing the specified service. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. 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. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. Accepting new patients: The doctor is taking new patients. Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. The online search engine updates nightly based on information entered that day. San Bernardino 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 CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. 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. Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. Sometimes, there is not a needed provider close enough. Tagalog County: Only submit information below that needs to be changed in the directory. 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. Public Health, * Language: Kings 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. Members have the choice to refuse professional interpreters and use adult family members or friends. A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. 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. Please select a county A Increase font size. 2020 K Street, NW - Suite 660 Washington, D.C. 20006. Select Organizations that are part of the specified organization. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. Mongolian Lake 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). 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. In addition, on a quarterly basis, CCHP emails a Network Update link to each provider, provider group or facility to report any changes to the information CCHP has on file. The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. 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 section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. Select roles where the organization is a member of the specified health insurance provider network. CCA will not contact you unless we have questions about your request. can be viewed free at osteopathic.org. Select products that are offered in the specified location. Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. Calaveras To verify the current status of a hospital visit jointcommission.org. Trinity 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. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. Operating rule development for these transactions is currently underway. Tuolumne Hmong 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. Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Downloadable PDF Directories **In Dukes and Nantucket Counties: CCA health plans are not yet available. [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. A doctor may work with other doctors. Search by plan name, specialty, location, or provider name. 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 Alliance members must use a pharmacy that works with MedImpact. Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. Learn best practices and earn CBI payments for ACE screenings at your practice. 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. Search from our 29,112 In-network providers, 5,058 primary care providers State (Required) * Location (Required) * Provider Name Optional Search Criteria Plan Name Specialty For Dentist, select "General Dentistry" in specialty drop down box above Need more specialty options? Sutter 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. 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. CCP checks this information at least every 3 years. Name: The doctor or hospital that is part of the CCP network. Select PractitionerRoles available at the specified location. Select Locations with the specified postal code address. 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. The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. This certificate expires, so CCP checks it at least every 3 years. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! Potential members may contact our Marketing Department at 1-877-661-6230 option 6. In those situations, CenCal Health can still get you care. Member Handbook A Increase font size. Connecting, solving and transforming healthcare business challenges. Amador For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Los Angeles GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? Periodontist 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. * Translation services available for most languages. [parameter=value]&_revinclude=PractitionerRole:network, GET [base]/Organization?[parameter=value]&_revinclude=OrganizationAffiliation:participating-organization. Taiwanese 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. Placer Select Locations with the specified city address. 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. Dont miss our bimonthly newsletter for community partners. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? 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 online Beacon Provider Directory can be found at the link below. Specialty: A provider's specialty is identified when they join the health plan network. Select HealthcareServices provided by the specified 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. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? 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. Select PractitionerRoles associated with the specified specialty. Select Organizations with the specified name. 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. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. You can also access the Kaiser online directory. Select roles where the practitioner is a member of the specified health insurance provider network. Santa Clara 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. Butte 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. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. They might also work in different offices or clinics. Kern San Mateo 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]&_include=Location:organization, GET [base]/Location? The FHIR server may return the data, but there is no requirement to do so. 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. 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. Use the Provider Directory Information Update Form to alert us to any changes to your provider information. Locations can range in scope from a room in a building to a geographic region/area. Learn best practices and earn CBI payments for ACE screenings at your practice. The doctor provides an excellent patient experience. 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. Below we describe the information in the fields in the provider directory. Call 866-610-2273 (TTY 711). CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. 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. Learn More. CCHP does not verify these skills. Select OrganizationAffiliations associated with the specified specialty. Please select the county where you live. Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. Fresno 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. Member Handbook CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. The number to call in each county is. CORE Certification 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. ccah provider directory400,000 mile ecoboost. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. A network is typically owned by a payer. CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? 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. Riverside 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. Mendocino The FHIR server is recommended to return this data. [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? PCP's are not required to have hospital privileges. Cambodian Operating rule development for these transactions is currently underway. We are dedicated to providing the highest quality of care for your furry family members. You can also use the filters to search for more specific information. Alliance Care IHSS Price Transparency Tool. 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. Please Note: Be sure to include your full address with City, State, and ZIP. Ventura Accessible with a Wheelchair: The office is handicap accessible. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. GET [base]/Location?