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? 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. This is not a guarantee they will be available to accept additional patients at the time you contact them. Select services associated with the specified specialty. Frequently Asked Questions, GRIEVANCE FORM Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? Search - Provider Directory What care are you looking for? Select PractitionerRoles associated with the specified specialty. Accepting New Patients: This provider accepts both new and existing patients. The call is free. The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. Farsi Updates will be posted at cchealth.org. Search by plan name, specialty, location, or provider name. Medi-Cal Dental Program. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? Then click the magenta Get Location button. This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. Sacramento The number to call in each county is. Results are as of 12/1/2020 unless otherwise noted. A Increase font size. To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. . Glenn Downloadable PDF Directories Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. Select Locations that are part of the specified location. Frequently Asked Questions, GRIEVANCE FORM 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). Hospital information is verified by viewing the information listed on their website. The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. Endodontist 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. On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. Preferred Provider: A doctor that meets strict quality standards. Lake For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. CCHP discourages the use of family members, friends or minors to interpret or translate materials. A Increase font size. Sometimes, there is not a needed provider close enough. The online search engine updates nightly based on information entered that day. 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. This network contains both primary and specialty care providers to choose from. San Francisco 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). Contra Costa SHOULD: A best practice or recommendation for the implementation. 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. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. Mendocino 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. 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. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. 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. Ventura The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Accepting new patients: The doctor is taking new patients. Select HealthcareServices providing the specified category of services. In those situations, CenCal Health can still get you care. Specialty: A provider's specialty is identified when they join the health plan network. Merced General Practitioner Authentication is not required to access the Conformance resource. CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. Sometimes CCP does not receive a notice that the information has changed. Board certifications for most Doctors of Osteopathic Medicine (D.O.) Step 3a: Operating rule development for these transactions is currently underway. + Decrease font size. Use the Provider Directory Information Update Form to alert us to any changes to your provider information. Korean Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. 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 doctor provides an excellent patient experience. [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? Member Handbook Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. Select PractitionerRoles with the specified role. CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. San Diego English [parameter=value]&_include=Organization:partof, GET [base]/Organization? This is not a guarantee they will be available to accept additional patients at the time you contact them. [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. 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. 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. Select Organizations of the specified type. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. 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). [parameter=value]&_include=Location:partof, GET [base]/Location? 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. CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. The doctor or hospital gives CCP this information on their application when they join the health plan. Select PractitionerRoles available at the specified organization. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? This directory is for informational use only. 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. Alliance members must use a pharmacy that works with MedImpact. Mandarin Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. View Urgent Visit Access Offices in Merced County. Adoption Directory Please indicate below any changes to the directory listing for the practice listed above. A Decrease font size. Dental Clinics Serving Medi-Cal Members. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 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). Hmong [parameter=value]&_include=Location:organization, GET [base]/Location? 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. Lassen Location Name: Name of the doctor's office or hospital address. Please select a county Santa Clara The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. Most hospitals in Contra Costa County and the immediate surrounding area are participants. Yuba, Specialty: CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. 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. We are dedicated to providing the highest quality of care for your furry family members. The RESTful capabilities are discussed in further detail below. Select Practitioners with the specified family name. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. 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. Stanislaus Certified Orthodontist Dont miss our bimonthly newsletter for community partners. Chinese [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. The FHIR server may return the data, but there is no requirement to do so. Del Norte Kings Santa Cruz Languages: The languages a doctor speaks. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. 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. Medi-Cal Dental Provider Directory Search. Facility: CCHP updates facility information daily as changes are reported by the facility. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. 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? If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. FAQs, Case Studies, Issue Briefs, and more. Yolo 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. Plumas Fresno For more information, please call the doctors office. Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. A Reset font size. Alliance. Laotian Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. They might also work in different offices or clinics. Sierra 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. Documents will be mailed within five (5) business days of receiving request. Nurse Advice Line Select products that are offered in the specified location. Select Locations with the specified postal code address. Thank you for the opportunity to partner with you. Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. InsureKidsNow Search. Our directories are printed by county. Alliance Care IHSS Price Transparency Tool. . The most current board certification status can be verified at The American Board of Medical Specialties website. 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. 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.
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