ccah provider directory

A Network refers to a health care provider insurance network. Locations can range in scope from a room in a building to a geographic region/area. San Diego Please select a language View Urgent Visit Access Offices in Santa Cruz County. 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 Santa Cruz 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 Los Angeles Select products with the specified identifier. Website: The internet address that the doctor and practice information can be found. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Then click the magenta Get Location button. Operating rule development for these transactions is currently underway. Mendocino There are more protections for immigrants and their families to use public benefits. Accessibility Select Locations that are part of the specified location. View rating by specialty and compare nearby hospitals. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. Vietnamese Inyo [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. Sonoma Frequently Asked Questions, GRIEVANCE FORM Select Practitioners with the specified family name. It requires CenCal Health to meet both time and distance standards based on county population density. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. 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. Glenn Our Provider and Pharmacy Directory make it easy to find the care you need. Mongolian Most hospitals in Contra Costa County and the immediate surrounding area are participants. Spanish InsureKidsNow Search. SHOULD: A best practice or recommendation for the implementation. Language Assistance [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? 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. CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. 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. Select Locations with the specified city address. *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. Found inside - Page 57. Contra Costa 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). Accepting new patients: The doctor is taking new patients. You can also access the Kaiser online directory. Sometimes, there is not a needed provider close enough. Downloadable PDF Directories The call is free. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? Select HealthcareServices providing the specified category of services. CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. We can explain what hospitals are near you. Please select a specialty Select PractitionerRoles providing the specified service. Accessible with a Wheelchair: The office is handicap accessible. 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. Hospitals: The network hospitals a doctor can see their patients in. 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). We can assist you with your selection for primary care provider. Please select a county [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. Select services associated with the specified specialty. CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? Select Locations with the specified state address. Marin 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. Merced Alliance Care IHSS Price Transparency Tool. [parameter=value]&_include=Organization:partof, GET [base]/Organization? Sutter Kings Specialty: The area of medicine the doctor provides care to patients. Providers must document this choice in the member's medical record. A Reset font size. + Increase font size. 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. The hospital gets reviewed by national organizations to see if they meet these standards. If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. By entering a hospital name, the accreditation status and quality measures are listed. 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. Select roles filled by the specified practitioner. Resources in the Conformance category are used to represent metadata about the datatypes, resources, and CCAH Provider Directory API features of the FHIR specification and can be used to create derived specifications. ccah provider directory400,000 mile ecoboost. [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? 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. 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. Languages: The languages a doctor speaks. Select PractitionerRoles available at the specified organization. We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. Search by plan name, specialty, location, or provider name. A Decrease font size. [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? 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. To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. This information is subject to change without notice. In those situations, CenCal Health can still get you care. 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. Monterey This directory is for informational use only. Dont miss our bimonthly newsletter for community partners. Alliance. [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? 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. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. Tulare Name: The doctor or hospital that is part of the CCP network. Medi-Cal Dental Program. 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. 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. [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? County: You are now being transferred to the CCA corporate website. Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. 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 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. Phone Number: The doctors office or hospital phone number. The number to call in each county is. Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. Select roles filled by the specified organization. Sierra [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? 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. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. 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. 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. The hospital reports the safety and quality of its care. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. 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. GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . 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. 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. A network is typically owned by a payer. CORE Certification 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. Health and Wellness Rewards GET [base]/Location? Step 3a: 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. View Urgent Visit Access Offices in Merced County. Hmong [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? For more information, please call the doctors office. Gender: A doctors sex, either Male or Female. Member Handbook can be viewed free at osteopathic.org. 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. Preferred Provider: A doctor that meets strict quality standards. Santa Clara 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. PCP's are not required to have hospital privileges. Use the Provider Directory Information Update Form to alert us to any changes to your provider information. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. Alliance members must use a pharmacy that works with MedImpact. You are now being transferred to the CCA corporate website. 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. Accepting New Patients: This provider accepts both new and existing patients. Prosthodontist All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Click to see Board of Directors Meeting Schedule/Upcoming Agenda. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? Select OrganizationAffiliations with the specified role. 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. It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. Public Health, * Language: Board Certifications: A doctor gets a certificate after completing extra training in their specialty. A doctor may work with other doctors. Mariposa El Dorado Select roles offered by the specified organization. Farsi 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. Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. Large healthcare providers may achieve CORE Certification. This network contains both primary and specialty care providers to choose from. Laotian * 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. This makes sure that Medi-Cal members have access to covered services. Riverside + Decrease font size. The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. Lassen Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. San Francisco 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. 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. Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. Orange There are more protections for immigrants and their families to use public benefits. Please indicate the name of your practice in the box above. Arabic All Rights Reserved. Benefits of CCAH Provider Portal For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. 734-436-0455 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. Thai 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. [parameter=value]&_include=Location:organization, GET [base]/Location? 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).

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