ccah provider directory ccah provider directory

Connecting, solving and transforming healthcare business challenges. View Urgent Visit Access Offices in Monterey County. This network contains both primary and specialty care providers to choose from. 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. Learn best practices and earn CBI payments for ACE screenings at your practice. A doctor may work with other doctors. Who are Providers? 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. 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. Colusa Mendocino Results are as of 12/1/2020 unless otherwise noted. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. The online Beacon Provider Directory can be found at the link below. 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. Tehama Nevada Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. 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. Arabic 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. The call is free. Health and Wellness Rewards This information is subject to change without notice. A Network refers to a health care provider insurance network. CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. Cantonese. Providers must document this choice in the member's medical record. 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. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. 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. Select OrganizationAffiliations available at the specified location. Stanislaus Implements RESTful behaviors according to the FHIR specification. Alameda Chinese Glenn This certificate expires, so CCP checks it at least every 3 years. Ventura Yolo 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. Trinity This is not a guarantee they will be available to accept additional patients at the time you contact them. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? If you are a solo practitioner, enter your name in the box above. GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. CCA will not contact you unless we have questions about your request. The FHIR server may return the data, but there is no requirement to do so. Oral Surgeon 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. 1 Percent of ICO + SCO members weighted together who have at least one qualifying touch by a care team member within a given month (Rolling three-month average, 7/2021), 2Combined CCA ICO + SCO rate per 1,000 members; hospitalization rates are consistently below the per capita averages during COVID-19 pandemic. 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. CORE Certification Solano Select Locations that are part of the specified location. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? 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. The doctor or hospital gives CCP this information on their application when they join the health plan. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. Alliance Care IHSS Price Transparency Tool. Please Note: Be sure to include your full address with City, State, and ZIP. Please indicate below any changes to the directory listing for the practice listed above. San Joaquin Lake This makes sure that Medi-Cal members have access to covered services. This is not a guarantee they will be available to accept additional patients at the time you contact them. A Decrease font size. Llame al 866-610-2273 (TTY 711). Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. Russian PCP's are not required to have hospital privileges. Alliance Care IHSS Price Transparency Tool. Riverside Public Health, * Language: 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. San Diego The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? The local timezone is named Europe / Berlin with an UTC offset of 2 hours. 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 [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? Accessibility Who is CenCal Health/What is a Local Health Plan? The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. 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. [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? Tulare Select OrganizationAffiliations with the specified role. We can explain what hospitals are near you. Select services associated with the specified specialty. Specialty: The area of medicine the doctor provides care to patients. You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. Select roles where the organization is a member of the specified health insurance provider network. View Urgent Visit Access Offices in Santa Cruz County. Hospital information is verified by viewing the information listed on their website. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? Below we describe the information in the fields in the provider directory. Korean [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? Select HealthcareServices providing the specified category of services. You can also access the Kaiser online directory. Los Angeles Spanish [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? CCHP discourages the use of family members, friends or minors to interpret or translate materials. CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. Armenian Search for providers using a specific location or your current location. Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. Most hospitals in Contra Costa County and the immediate surrounding area are participants. Select OrganizationAffiliations associated with the specified specialty. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. Alpine [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? Frequently Asked Questions, GRIEVANCE FORM Select Locations with the specified postal code address. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? Health and Wellness Rewards Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. San Benito 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 To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. Medical group: This information is collected from the group at the time they initially join the network. 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. Modoc Found inside - Page 57. . 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. Language Assistance [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line Select roles where the practitioner is a member of the specified health insurance provider network. * Translation services available for most languages. Plumas Select Practitioners with the specified given name. Dont miss our bimonthly newsletter for community partners. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. **In Dukes and Nantucket Counties: CCA health plans are not yet available. Select organizations with the specified address (matches any of the string elements of an address). Search - Provider Directory What care are you looking for? 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. Mariposa Preferred Provider: A doctor that meets strict quality standards. 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. The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. Registered Dental Hygienists in Alternative Practice. This directory is for informational use only. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. 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. 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 products that are offered in the specified location. 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. Insurance Plan describes a health insurance offering comprised of a list of covered benefits (for example: the product), costs associated with those benefits (for example: the plan) and additional information about the offering, such as who it is owned and administered by, a coverage area, contact information, etc. On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. 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. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Please select a specialty The ACA has taken operating rules to a new level. Santa Barbara Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. Updates will be posted at cchealth.org. 2020 K Street, NW - Suite 660 Washington, D.C. 20006. 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. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. Learn More. Prosthodontist 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. To set your current location, click the green Use Current Location button. [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. Certificate. Name: The doctor or hospital that is part of the CCP network. Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. Large healthcare providers may achieve CORE Certification. Select roles filled by the specified practitioner. A Decrease font size. To verify the current status of a hospital visit jointcommission.org. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. They might also work in different offices or clinics. Documents will be mailed within five (5) business days of receiving request. Tagalog Hindi SHOULD: A best practice or recommendation for the implementation. Select PractitionerRoles associated with the specified specialty. Hmong Yuba, Specialty: 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. Our Provider and Pharmacy Directory make it easy to find the care you need. GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? [parameter=value]&_include=Location:partof, GET [base]/Location? Locations can range in scope from a room in a building to a geographic region/area. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. . + Reset font size. [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? 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. 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. [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. The FHIR server must return this data. Select Locations managed by the specified organization. Tuolumne Select products that are administered by the specified organization. Select PractitionerRoles available at the specified organization. Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. El Dorado Please indicate the name of your practice in the box above. Alliance members must use a pharmacy that works with MedImpact. 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 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). If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. InsureKidsNow Search. 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? A Increase font size. 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 providerrelations@cchealth.org or by calling 1-877-800-7423 option 6. Member Handbook [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. Facilities may also notify us at any time regarding changes to their accreditation status. Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. + Decrease font size. Pedodontist 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. Select Organizations that are part of the specified organization. Kern Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. San Luis Obispo It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. The hospital gets reviewed by national organizations to see if they meet these standards. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? Lassen Hospitals: The network hospitals a doctor can see their patients in. There are more protections for immigrants and their families to use public benefits. Japanese Select HealthcareServices available at the specified location. To report any errors, click on the link below. Select insurance plans of the specified type. Languages: The languages a doctor speaks. Board Certifications: A doctor gets a certificate after completing extra training in their specialty. 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. 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. 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. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? The Central California Alliance for Health (the Alliance) is an award-winning regional Medi-Cal managed care plan that provides health insurance for children, adults, seniors. [parameter=value]&_include=Location:organization, GET [base]/Location? The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules.