ccah provider directory ccah provider directory

View Urgent Visit Access Offices in Santa Cruz County. Orange San Bernardino 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). Sometimes CCP does not receive a notice that the information has changed. CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. 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. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. In addition, on a quarterly basis, CCHP emails a Network Update link to each facility to report any changes to the information CCHP has on file. Whether or not a member is assigned to the RMC or the CPN network, if specialty care is not available in their assigned network, CCHP and the assigned primary care provider (PCP) may arrange for whatever referrals, authorizations, and treatments necessary to see a specialist in a non-assigned network. Los Angeles 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. Select Organizations that are part of the specified organization. You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . Inyo Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. Contra Costa The FHIR server may return the data, but there is no requirement to do so. Kern Dont miss our bimonthly newsletter for community partners. County: Certified Orthodontist Public Health, * Language: 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. Mendocino 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. Tehama Step 3a: Mongolian Stanislaus Santa Barbara Downloadable PDF Directories Select services available in a region described by the specified location. Click to see Board of Directors Meeting Schedule/Upcoming Agenda. Japanese 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? Follow-up on missed appointments: Providers are expected to review all members that do not show up for scheduled appointments and to identify those requiring follow-up, based on their medical condition. Providers must document this choice in the member's medical record. Amador Please select a specialty PCP's are not required to have hospital privileges. InsureKidsNow Search. Alliance. Health and Wellness Rewards Who are Providers? The call is free. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. This is not a guarantee they will be available to accept additional patients at the time you contact them. Registered Dental Hygienists in Alternative Practice. Location: The doctors office or hospital address. Marin San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Select organizations with the specified address (matches any of the string elements of an address). In those situations, CenCal Health can still get you care. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. A Increase font size. + Increase font size. Select Organizations of the specified type. MAY: An optional inclusion for the implementation; not a requirement. The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. Armenian You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). [parameter=value]&_include=Location:organization, GET [base]/Location? [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? 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. [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? Providers in the CCRMC network are certified in languages spoken in addition to English. See our linguistic access and accessibility policy. [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole: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. 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. Pedodontist We can assist you with your selection for primary care provider. CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. Punjabi They might also work in different offices or clinics. It requires CenCal Health to meet both time and distance standards based on county population density. Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. [parameter=value]&_include=Location:partof, GET [base]/Location? If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. If you are a solo practitioner, enter your name in the box above. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. There are more protections for immigrants and their families to use public benefits. Together, we can bring uncommon care to more people with significant needs. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. 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. CCHP does not verify these skills. Farsi [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. Chinese If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. The ACA has taken operating rules to a new level. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. Operating rule development for these transactions is currently underway. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. Select products that are offered in the specified location. Select PractitionerRoles available at the specified organization. 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. Accessible with a Wheelchair: The office is handicap accessible. Members are entitled to receive full and equal access to covered service including members with disabilities as required under the American with Disabilities Act of 1990 in section 504 of the Rehabilitation Act of 1973. Medical group: This information is collected from the group at the time they initially join the network. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). Nurse Advice Line Merced 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. Member Handbook Taiwanese Provider Directory Information Update Form, Merced County Medi-Cal Provider Directory, Monterey and Santa Cruz Medi-Cal Provider Directory, Alliance Care IHSS Health Plan Provider Directory. There are more protections for immigrants and their families to use public benefits. Select insurance plans of the specified type. Preferred Provider: A doctor that meets strict quality standards. 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. Select OrganizationAffiliations available at the specified location. Nevada 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 The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Learn More. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? Select services associated with the specified specialty. Monterey Search by plan name, specialty, location, or provider name. 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? If you are a member or potential member it is important for you to understand how our two networks are organized. , California 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. 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. [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? This network contains both primary and specialty care providers to choose from. The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. Locations can range in scope from a room in a building to a geographic region/area. can be viewed free at osteopathic.org. Updates will be posted at cchealth.org. Only submit information below that needs to be changed in the directory. Members have the choice to refuse professional interpreters and use adult family members or friends. We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. CCHP discourages the use of family members, friends or minors to interpret or translate materials. 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. 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. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. Arabic 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. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! 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. FAQs, Case Studies, Issue Briefs, and more. We are dedicated to providing the highest quality of care for your furry family members. A Reset font size. Sonoma Select Practitioners with the specified family name. Oral Pathologist Select products with the specified identifier. Dental Clinics Serving Medi-Cal Members. Telephone wait time for practice/plan to answer: within 10 minutes, Telephone call back wait time practice/provider office: by the end of the next business day, Telephone call back wait time triage: within 30 minutes. Lake Accessibility Santa Cruz CORE Certification Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. Cambodian Siskiyou Madera The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. Please indicate below any changes to the directory listing for the practice listed above. A Decrease font size. A network is typically owned by a payer. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. We can explain what hospitals are near you. Showing of [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line Select HealthcareServices providing the specified category of services. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. A Increase font size. Accepting new patients: The doctor is taking new patients. Facilities may also notify us at any time regarding changes to their accreditation status. [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? Specialty: A provider's specialty is identified when they join the health plan network. Butte Hindi Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Benefits of CCAH Provider Portal The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. 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. Large healthcare providers may achieve CORE Certification. 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. Some doctors might have all the patients they can fit in, while still giving you the best care. 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. Medi-Cal Dental Program. This certificate expires, so CCP checks it at least every 3 years. 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. Health and Wellness Rewards 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 Ventura 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. Thai The RESTful capabilities are discussed in further detail below. This makes sure that Medi-Cal members have access to covered services. 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. * Translation services available for most languages. Found inside - Page 57. This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. The number to call in each county is. Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. General Practitioner Select HealthcareServices available at the specified location. Adoption Directory Sutter GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? Sometimes, there is not a needed provider close enough. Tulare To select the Kaiser Permanente Medical Group as your PCP for Medi-Cal, you must have been a recent Kaiser member or meet other criteria to qualify. Groups: The practice a doctor works in. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. Enrollment for these plans ends December 7. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Please indicate the name of your practice in the box above. Oral Surgeon ProcessLogoff - provider.portal.ccah-alliance.org Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. Languages: The languages a doctor speaks. View Urgent Visit Access Offices in Merced County. You can also use the filters to search for more specific information. Board certifications for most Doctors of Osteopathic Medicine (D.O.) CCHP Medi-Cal members should contact the DHCS Medi-Cal Rx Help Line for any pharmacy questions (1-800-977-2273, TTY 1-800-430-7077). Select Locations with the specified state address. A Network refers to a health care provider insurance network. Llame al 866-610-2273 (TTY 711). SHOULD: A best practice or recommendation for the implementation. Riverside Glenn The doctor provides an excellent patient experience. Select Locations with the specified city address. 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. Yuba, Specialty: Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. 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. 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. Select OrganizationAffiliations providing the specified service. Plumas The hospital gets reviewed by national organizations to see if they meet these standards. At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. San Joaquin Cantonese. You are now being transferred to the CCA corporate website. Modoc The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. Hmong 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. Tuolumne Select OrganizationAffiliations associated with the specified specialty. . The FHIR server must return this data. Select roles where the practitioner is a member of the specified health insurance provider network. Language Assistance Must contain at least 1 character from each of the following four groups: Uppercase letters Lowercase letters Numbers Special Characters May not contain your username May not be any of your last 10 passwords Please contact the Provider Services at (831) 430-5518 with any questions. Search - Provider Directory What care are you looking for? Russian 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. Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. Humboldt Alameda 734-436-0455 You can also access the Kaiser online directory. 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. Mono Alliance Care IHSS Price Transparency Tool. Select Locations that are part of the specified location. You are now being transferred to the CCA corporate website. [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? Find-A-Dentist. Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. Facility: CCHP updates facility information daily as changes are reported by the facility. ccah provider directory400,000 mile ecoboost. Periodontist 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 + Decrease font size. 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. Select PractitionerRoles providing the specified service. Learn best practices and earn CBI payments for ACE screenings at your practice. In those situations, CenCal Health can still get you care. Member Handbook [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. 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. Use the Provider Directory Information Update Form to alert us to any changes to your provider information. Select Organizations with the specified name. Select PractitionerRoles available at the specified location. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Imperial CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. Shasta These are the resources and the endpoints available with the Alliance Provider Directory API. Please select a county Connecting, solving and transforming healthcare business challenges. 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. Hospital Quality: The hospitals performance rating. [parameter=value]&_include=Organization:partof, GET [base]/Organization? Sierra View Urgent Visit Access Offices in Monterey County. San Luis Obispo Medi-Cal Dental Provider Directory Search. Vietnamese 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.