ccah provider directory

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. Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. The FHIR server is recommended to return this data. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. Select OrganizationAffiliations associated with the specified specialty. [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. Napa Current time in Gunzenhausen is now 07:51 PM (Saturday). Select products that are offered in the specified location. 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. A network is typically owned by a payer. Yolo Find-A-Dentist. Select roles where the organization is a member of the specified health insurance provider network. 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. 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. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. If you are a member or potential member it is important for you to understand how our two networks are organized. By entering a hospital name, the accreditation status and quality measures are listed. 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 can also access the Kaiser online directory. Riverside 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. Adoption Directory [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. ASL Interpreter Available: The office can translate into American Sign Language. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? Medi-Cal Dental Provider Directory Search. Search for providers using a specific location or your current location. This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. Together, we can bring uncommon care to more people with significant needs. Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. Below we describe the information in the fields in the provider directory. By entering an e-mail in this field I am confirming that the e-mail provided is intended for patient communication and is regularly monitored and maintained in a manner consistent with State and Federal laws. Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. 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. Frequently Asked Questions, GRIEVANCE FORM CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. 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. 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. Our directories are printed by county. The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. Language Assistance 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. Specialty: A provider's specialty is identified when they join the health plan network. Contra Costa 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). Lassen Registered Dental Hygienists in Alternative Practice. Found inside - Page 57. Name: The doctor or hospital that is part of the CCP network. Select roles offered by the specified organization. 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. Public Health, * Language: 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. The online Beacon Provider Directory can be found at the link below. Provider Directory Welcome to Contra Costa Health Plan's Provider Online Search Engine Begin Your Search Here Request Printed Copy of Provider Directory Or call: 1-877-661-6230 (Option 2) Or write: Contra Costa Health Plan Attn: Member Services 595 Center Avenue, Suite 100 Martinez, CA 94553 View/Download Copy of Provider Directory 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. Santa Clara [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? CCP checks this information at least every 3 years. Select products that are administered by the specified organization. All Rights Reserved. Showing of The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. 2020 K Street, NW - Suite 660 Washington, D.C. 20006. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. + Increase font size. Accepting new patients: The doctor is taking new patients. The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? The Alliance FHIR server SHALL be capable of returning a HealthcareService resource using: The Alliance FHIR server SHOULD be capable of returning a HealthcareService resource using: The Alliance FHIR server SHALL be capable of supporting the following _include parameters: The Alliance FHIR server SHALL be capable of supporting the following _revinclude parameters: The Alliance FHIR server SHALL be capable of returning an InsurancePlan resource using: The Alliance FHIR server SHOULD be capable of returning an InsurancePlan resource using: The Alliance FHIR server SHALL be capable of returning a Location resource using: The Alliance FHIR server SHOULD be capable of returning an Organization resource using: The Alliance FHIR server SHALL be capable of returning an Organization resource using: The Alliance FHIR server SHALL be capable of returning an OrganizationAffiliation resource using: The Alliance FHIR server SHOULD be capable of returning an OrganizationAffiliation resource using: The Alliance FHIR server SHALL be capable of returning a Practitioner resource using: The Alliance FHIR server SHOULD be capable of returning a Practitioner resource using: The Alliance FHIR server SHALL be capable of supporting the following _revinclude parameter: The Alliance FHIR server SHALL be capable of returning a PractitionerRole resource using. Facilities may also notify us at any time regarding changes to their accreditation status. GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? Alameda [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? You can get these documents for free in other formats, such as large print, braille, or audio. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Specialty: The area of medicine the doctor provides care to patients. Hmong Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. The number to call in each county is. Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. 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. San Luis Obispo Sierra Fresno [parameter=value]&_include=Organization:partof, GET [base]/Organization? If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. 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. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. 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. They will be able to assist you in making the best health plan choice for you. Sonoma CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. Select OrganizationAffiliations available at the specified location. Farsi A Increase font size. 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. Cambodian The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. Board Certifications: A doctor gets a certificate after completing extra training in their specialty. Please indicate the name of your practice in the box above. Dont miss our bimonthly newsletter for community partners. Select insurance plans of the specified type. Website: The internet address that the doctor and practice information can be found. Documents will be mailed within five (5) business days of receiving request. * Translation services available for most languages. Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. Frequently Asked Questions, GRIEVANCE FORM Tagalog CORE Certification Siskiyou [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? 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. CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. 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. View Urgent Visit Access Offices in Santa Cruz County. + Decrease font size. These are the resources and the endpoints available with the Alliance Provider Directory API. 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 HealthcareServices of the specified type. 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. Monterey Inyo Operating rule development for these transactions is currently underway. [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. Sometimes CCP does not receive a notice that the information has changed. You are now being transferred to the CCA corporate website. The doctor or hospital gives CCP this information on their application when they join the health plan. Operating rule development for these transactions is currently underway. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Imperial As of Feb. 24, Medi-Cal Rx PA requirements reinstated for 46 Standard Therapeutic Classes, COVID-19 Therapeutics Warmline and treatment webinars, Thursday training for Adverse Childhood Experiences (ACEs) screening. Waiting time in provider office: within 45 minutes or less from the time of the patients appointment until they are taken to the exam room. Medical group: This information is collected from the group at the time they initially join the network. 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. , California Phone Number: The doctors office or hospital phone number. Prosthodontist Select Organizations of the specified type. can be viewed free at osteopathic.org. To set your current location, click the green Use Current Location button. Nurse Advice Line Mariposa To verify the current status of a hospital visit jointcommission.org. CCA Senior Care Options Directory by County (2023) view: Bristol, Norfolk, Plymouth Essex Franklin, Hampden, Hampshire Middlesex Suffolk Worcester CCA Senior Care Options Directory by County - Spanish (2023) view: Bristol, Norfolk, Plymouth-Spanish Essex-Spanish Franklin, Hampden, Hampshire-Spanish Middlesex-Spanish Suffolk-Spanish Armenian The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. A Reset font size. This is not a guarantee they will be available to accept additional patients at the time you contact them. San Benito 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. Llame al 866-610-2273 (TTY 711). Our Provider and Pharmacy Directory make it easy to find the care you need. Providers must document this choice in the member's medical record. Potential members may contact our Marketing Department at 1-877-661-6230 option 6.

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