ccah provider directory ccah provider directory

Chinese Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. Then click the magenta Get Location button. Tulare A Increase font size. Certified Orthodontist Kings Public Health, * Language: Japanese 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). 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). Most hospitals in Contra Costa County and the immediate surrounding area are participants. Learn best practices and earn CBI payments for ACE screenings at your practice. Madera We are dedicated to providing the highest quality of care for your furry family members. This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. 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. The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. Select services available in a region described by the specified location. Specialty: The area of medicine the doctor provides care to patients. Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. [parameter=value]&_include=Location:organization, GET [base]/Location? Oral Pathologist By entering a hospital name, the accreditation status and quality measures are listed. CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. 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. Hospital information is verified by viewing the information listed on their website. CCA will not contact you unless we have questions about your request. The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. The most current board certification status can be verified at The American Board of Medical Specialties website. This makes sure that Medi-Cal members have access to covered services. Solano Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. Provider Directory Welcome to Contra Costa Health Plan's Provider Online Search Engine Begin Your Search Here Request Printed Copy of Provider Directory Or call: 1-877-661-6230 (Option 2) Or write: Contra Costa Health Plan Attn: Member Services 595 Center Avenue, Suite 100 Martinez, CA 94553 View/Download Copy of Provider Directory Vietnamese 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. Lake [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. 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. 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. CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. Alpine Select products with the specified identifier. CCHP does not verify these skills. [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? Providers in the CCRMC network are certified in languages spoken in addition to English. 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. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? Ventura Select HealthcareServices of the specified type. Select roles filled by the specified organization. Locations can range in scope from a room in a building to a geographic region/area. This network contains both primary and specialty care providers to choose from. 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. The doctor or hospital gives CCP this information on their application when they join the health plan. A doctor may work with other doctors. Search - Provider Directory What care are you looking for? Select Practitioners with the specified family name. Punjabi Siskiyou Select HealthcareServices provided by the specified organization. Results are as of 12/1/2020 unless otherwise noted. MAY: An optional inclusion for the implementation; not a requirement. Select products that are owned by the specified organization. Please select the county where you live. 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. We share our providers dedication to assuring the highest levels of care and service for people with complex health needs. There are more protections for immigrants and their families to use public benefits. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. An example is a doctor who works only with the heart, cancer, or bones. Sacramento Stanislaus can be viewed free at osteopathic.org. 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. CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. To report any errors, click on the link below. 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. San Benito All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. Mono 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. Hmong For more information, please call the doctors office. Please select a county They might also work in different offices or clinics. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. Website: The internet address that the doctor and practice information can be found. On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. Alliance Care IHSS Price Transparency Tool. To set your current location, click the green Use Current Location button. [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? Frequently Asked Questions, GRIEVANCE FORM Sometimes CCP does not receive a notice that the information has changed. 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. 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. This certificate expires, so CCP checks it at least every 3 years. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. Select Locations with the specified city address. Butte Modoc 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. The hospital reports the safety and quality of its care. [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? Medi-Cal Dental Provider Directory Search. 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. Sometimes, there is not a needed provider close enough. Sutter Mariposa Select OrganizationAffiliations associated with the specified specialty. The doctor provides an excellent patient experience. You can also access the Kaiser online directory. Tuolumne English SHALL: An absolute requirement for all implementations. The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. 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. Thank you for the opportunity to partner with you. Sonoma 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. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. Our Provider and Pharmacy Directory make it easy to find the care you need. * Translation services available for most languages. We can assist you with your selection for primary care provider. 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. As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. Hours: When the office or hospital is open to see patients. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. Medical group: This information is collected from the group at the time they initially join the network. These are the resources and the endpoints available with the Alliance Provider Directory API. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. San Bernardino El Dorado 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. [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. Calaveras The number to call in each county is. You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. Please select a language Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. We can explain what hospitals are near you.