ccah provider directory
[parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? 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 Please select a county Japanese 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. Tehama Placer 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. The ACA has taken operating rules to a new level. 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 Below we describe the information in the fields in the provider directory. This certificate expires, so CCP checks it at least every 3 years. [parameter=value]&_include=Location:partof, GET [base]/Location? Spanish CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. CCHP does not verify these skills. CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. 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. [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? 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. At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Select OrganizationAffiliations with the specified role. CCHP discourages the use of family members, friends or minors to interpret or translate materials. 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. 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. Providers must document this choice in the member's medical record. Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. Preferred Provider: A doctor that meets strict quality standards. By entering a hospital name, the accreditation status and quality measures are listed. It requires CenCal Health to meet both time and distance standards based on county population density. 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 roles filled by the specified organization. * Translation services available for most languages. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. 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 DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. Select OrganizationAffiliations providing the specified service. Most hospitals in Contra Costa County and the immediate surrounding area are participants. Search by plan name, specialty, location, or provider name. Arabic [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. Nurse Advice Line Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). 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. Vietnamese Adoption Directory The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. Select Locations managed by the specified organization. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. A Reset font size. Select PractitionerRoles available at the specified location. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Mono There are more protections for immigrants and their families to use public benefits. 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. Health and Wellness Rewards 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. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. Alliance Care IHSS Price Transparency Tool. Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. CCP checks this information at least every 3 years. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. 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. Public Health, * Language: CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. This network contains both primary and specialty care providers to choose from. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. Facility: CCHP updates facility information daily as changes are reported by the facility. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. Our Provider and Pharmacy Directory make it easy to find the care you need. Stanislaus Select products that are offered in the specified location. Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Accessibility You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . Found inside - Page 57. , California The doctor provides an excellent patient experience. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Connecting, solving and transforming healthcare business challenges. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. 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. To report any errors, click on the link below. Dental Clinics Serving Medi-Cal Members. The hospital gets reviewed by national organizations to see if they meet these standards. Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. Santa Clara Select services available in a region described by the specified location. Health and Wellness Rewards 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. Cantonese. 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. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. 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. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. You can also access the Kaiser online directory. [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. Select Organizations that are part of the specified organization. Trinity Nevada A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. All Rights Reserved. The online search engine updates nightly based on information entered that day. 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. 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. Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. 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. 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. 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. View Urgent Visit Access Offices in Monterey County. Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. Member Handbook GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. Siskiyou Providers in the CCRMC network are certified in languages spoken in addition to English. Hospital information is verified by viewing the information listed on their website. Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. Medi-Cal Dental Program. 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. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? Please indicate the name of your practice in the box above. 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. View Urgent Visit Access Offices in Merced County. Chinese The FHIR server may return the data, but there is no requirement to do so. Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. Select Practitioners with the specified family name. 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). 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. Santa Barbara 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. Select Locations with the specified address. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. Colusa *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. Language Assistance New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. Members have the choice to refuse professional interpreters and use adult family members or friends. View Urgent Visit Access Offices in Santa Cruz County. You are now being transferred to the CCA corporate website. Select roles filled by the specified practitioner. 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. Orange Sometimes, there is not a needed provider close enough. Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. San Benito Select roles offered by the specified organization. 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. Llame al 866-610-2273 (TTY 711). [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? Select Locations with the specified city address. Fresno Select products with the specified identifier. 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]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. Periodontist Authentication is not required to access the Conformance resource. Riverside Lake CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. Hospitals: The network hospitals a doctor can see their patients in. 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).