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19 Apr 2023

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. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? Please select the county where you live. Alliance. You can get these documents for free in other formats, such as large print, braille, or audio. We can assist you with your selection for primary care provider. 2020 K Street, NW - Suite 660 Washington, D.C. 20006. SHALL: An absolute requirement for all implementations. Language Assistance Japanese 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. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Click to see Board of Directors Meeting Schedule/Upcoming Agenda. CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. Authentication is not required to access the Conformance resource. Madera 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). This network contains both primary and specialty care providers to choose from. *In Barnstable and Berkshire Counties: CCA One Care is available; CCA Senior Care Options, CCA Medicare Value, and CCA Medicare Preferred are not yet available. 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. [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? Facilities may also notify us at any time regarding changes to their accreditation status. To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. Tehama Interpreter services are available at all CCHP points of contact where members may reasonably need such services. Select roles where the organization is a member of the specified health insurance provider network. Orange Groups: The practice a doctor works in. Lake + Reset font size. Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. Call 866-610-2273 (TTY 711). Members have the choice to refuse professional interpreters and use adult family members or friends. Alameda Results are as of 12/1/2020 unless otherwise noted. Sierra Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. 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). CCHP does not verify these skills. Select products that are administered by the specified organization. The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. * 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. Please indicate the name of your practice in the box above. CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. Sometimes CCP does not receive a notice that the information has changed. Registered Dental Hygienists in Alternative Practice. Name: The doctor or hospital that is part of the CCP network. Farsi 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. 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. 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 DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. Search by plan name, specialty, location, or provider name. Then click the magenta Get Location button. 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. Select OrganizationAffiliations with the specified role. Updates will be posted at cchealth.org. 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). San Mateo Who are Providers? Hmong 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. For more information, please call the doctors office. 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. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. [parameter=value]&_include=Location:organization, GET [base]/Location? Please Note: Be sure to include your full address with City, State, and ZIP. Preferred Provider: A doctor that meets strict quality standards. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. Enrollment for these plans ends December 7. As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. 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. Search - Provider Directory What care are you looking for? Languages: The languages a doctor speaks. 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. Phone Number: The doctors office or hospital phone number. In those situations, CenCal Health can still get you care. This is not a guarantee they will be available to accept additional patients at the time you contact them. The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. 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. Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. FAQs, Case Studies, Issue Briefs, and more. This directory is for informational use only. This is not a guarantee they will be available to accept additional patients at the time you contact them. The online search engine updates nightly based on information entered that day. Select roles offered by the specified organization. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. Lassen Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. Documents will be mailed within five (5) business days of receiving request. Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. Select Locations that are part of the specified location. Accessibility CCHP discourages the use of family members, friends or minors to interpret or translate materials. . GET [base]/Location? Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. 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. 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 This makes sure that Medi-Cal members have access to covered services. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. An example is a doctor who works only with the heart, cancer, or bones. Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. 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. 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.

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