Select PractitionerRoles with the specified role. Member Handbook Alliance. Select roles filled by the specified organization. Select PractitionerRoles providing the specified service. 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. FAQs, Case Studies, Issue Briefs, and more. The doctor or hospital gives CCP this information on their application when they join the health plan. Select Locations with the specified postal code address. Select Locations managed by the specified organization. A Reset font size. Language Assistance 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. 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. Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. Our Provider and Pharmacy Directory make it easy to find the care you need. If you are a solo practitioner, enter your name in the box above. [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/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. You can also access the Kaiser online directory. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. Frequently Asked Questions, GRIEVANCE FORM 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. Vietnamese A doctor may work with other doctors. Search for providers using a specific location or your current 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. ProcessLogoff - provider.portal.ccah-alliance.org Specialty: A provider's specialty is identified when they join the health plan network. Japanese 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. Oral Pathologist 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. This network contains both primary and specialty care providers to choose from. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. Operating rule development for these transactions is currently underway. A Increase font size. Laotian They might also work in different offices or clinics. Benefits of CCAH Provider Portal Public Health, * Language: GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? Frequently Asked Questions, GRIEVANCE FORM Select Locations that are part of the specified location. Tuolumne Taiwanese Select insurance plans of the specified type. Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. A Increase font size. Sierra View rating by specialty and compare nearby hospitals. There are more protections for immigrants and their families to use public benefits. The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? , California Riverside Certified Orthodontist 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. Mariposa Select PractitionerRoles available at the specified organization. Select organizations with the specified address (matches any of the string elements of an address). Learn best practices and earn CBI payments for ACE screenings at your practice. 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. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. This is not a guarantee they will be available to accept additional patients at the time you contact them. Select HealthcareServices providing the specified category of services. This information is subject to change without notice. Mandarin Select roles filled by the specified practitioner. 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. . These are the resources and the endpoints available with the Alliance Provider Directory API. 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. 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. Select Organizations with the specified name. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. The call is free. GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. Accessible with a Wheelchair: The office is handicap accessible. To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. Calaveras This directory is for informational use only. San Bernardino Documents will be mailed within five (5) business days of receiving request. Certificate. Mongolian 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. Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. Please select a specialty 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. Board Certifications: A doctor gets a certificate after completing extra training in their specialty. Select roles where the organization is a member of the specified health insurance provider network. This program arms you with the information to reduce your toxic exposure, increase your liver's biotransformation of toxins, and to enhance your elimination of these transformed toxins from your body. Select services associated with the specified specialty. Fresno The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. 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). 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. [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? A Network refers to a health care provider insurance network. Alliance members must use a pharmacy that works with MedImpact. To report any errors, click on the link below. [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. 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. CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. Cambodian 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. Step 3a: This is not a guarantee they will be available to accept additional patients at the time you contact them. For further assistance, members can contact Member Services at 1-877-661-6230 option 2 and providers can access interpreter services at 1-877-800-7423 option 4 or directly at 1-866-874-3972. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. Most hospitals in Contra Costa County and the immediate surrounding area are participants. View Urgent Visit Access Offices in Merced County. 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? Armenian GET [base]/Location? 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. Please select a language [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? If you are a member or potential member it is important for you to understand how our two networks are organized. Nevada 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. Butte 2020 K Street, NW - Suite 660 Washington, D.C. 20006. Please Note: Be sure to include your full address with City, State, and ZIP. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? Select services available in a region described by the specified location. 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. *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. Waiting time in provider office: within 45 minutes or less from the time of the patients appointment until they are taken to the exam room. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. 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. Arabic SHALL: An absolute requirement for all implementations. Santa Cruz 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). Chinese Kings This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. The RESTful capabilities are discussed in further detail below. Pedodontist Accepting New Patients: This provider accepts both new and existing patients. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! . You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). Dont miss our bimonthly newsletter for community partners. Select products that are owned by the specified organization. Website: The internet address that the doctor and practice information can be found. Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. Please select a county [parameter=value]&_include=Organization:partof, GET [base]/Organization? Hospital information is verified by viewing the information listed on their website. Implements RESTful behaviors according to the FHIR specification. 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. Spanish Potential members may contact our Marketing Department at 1-877-661-6230 option 6. At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. Medical group: This information is collected from the group at the time they initially join the network. San Francisco We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. Alpine Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. Accepting new patients: The doctor is taking new patients. CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. Select products that are offered in the specified location. [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? Adults Children/ Adolescents Step 2: Please enter your address to determine the closest 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. 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). Select PractitionerRoles available at the specified location. Oral Surgeon You can get these documents for free in other formats, such as large print, braille, or audio. 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. can be viewed free at osteopathic.org. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Marin The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. It mandated healthcare operating rules for HIPAA claims-related electronic transactions, and CAQH CORE was named by the Secretary of Health and Human Services (HHS) as the authoring entity of these operating rules. Click to see Board of Directors Meeting Schedule/Upcoming Agenda. + Reset 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. Select products with the specified identifier. Locations can range in scope from a room in a building to a geographic region/area. Connecting, solving and transforming healthcare business challenges. 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. 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. 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 New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. Humboldt Alliance Care IHSS Price Transparency Tool. The online Beacon Provider Directory can be found at the link below. It requires CenCal Health to meet both time and distance standards based on county population density. By entering an e-mail in this field I am confirming that the e-mail provided is intended for patient communication and is regularly monitored and maintained in a manner consistent with State and Federal laws. 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). Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. Select HealthcareServices available at the specified location. Select HealthcareServices of the specified type. Board certifications for most Doctors of Osteopathic Medicine (D.O.) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? Shasta Yolo 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. Hindi Lake 734-436-0455 Office of Licensing and Monitoring Provider Directories It should be noted that this is an all-inclusive resource directory of DHS licensed programs; however, not every provider listed is contracted with DHS to provide services to youth in placement. Operating rule development for these transactions is currently underway. Downloadable PDF Directories Kern The hospital reports the safety and quality of its care. The Provider Directory API supports the following FHIR approved implementation guide, and supports the following profiles: The base URL for each endpoint: [The Provider Directory platform is being retooled and this link will be available soon], [The Provider Directory platform is being retooled and this link will be available soon]. 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 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.
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