Hours: When the office or hospital is open to see patients. By entering a hospital name, the accreditation status and quality measures are listed. 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. Select roles offered by the specified organization. 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. 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. 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. El Dorado Facilities may also notify us at any time regarding changes to their accreditation status. Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. Health and Wellness Rewards Colusa 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. Then click the magenta Get Location button. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? Shasta Ventura Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. 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. Napa A Increase font size. 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. It requires CenCal Health to meet both time and distance standards based on county population density. Japanese Nevada Thai 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. San Diego [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. Search by plan name, specialty, location, or provider name. Call 866-610-2273 (TTY 711). Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. Specialty: A provider's specialty is identified when they join the health plan network. Select services available in a region described by the specified location. Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. 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. Select Organizations of the specified type. Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. A network is typically owned by a payer. Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. Select HealthcareServices with the specified name. Updates will be posted at cchealth.org. Alliance members must use a pharmacy that works with MedImpact. CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. Member Handbook 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. **In Dukes and Nantucket Counties: CCA health plans are not yet available. A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. Tehama [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? These are the resources and the endpoints available with the Alliance Provider Directory API. A Reset font size. Punjabi The call is free. Member Handbook Potential members may contact our Marketing Department at 1-877-661-6230 option 6. Who are Providers? + Decrease font size. This is not a guarantee they will be available to accept additional patients at the time you contact them. Showing of 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. Adoption Directory Select Locations with the specified address. Sierra Search for providers using a specific location or your current location. , California 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 Organizations that are part of the specified organization. Mono Phone Number: The doctors office or hospital phone number. A Reset font size. 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]. To find a pharmacy, use Medi-Cal Rx's online pharmacy directory using the link below: The Central California Alliance for Health (the Alliance) contracts with a company called MedImpact to provide pharmacy services. Select organizations with the specified address (matches any of the string elements of an address). Thank you for the opportunity to partner with you. Sonoma CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. You can also use the filters to search for more specific information. We are dedicated to providing the highest quality of care for your furry family members. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. This information is subject to change without notice. Select Locations with the specified postal code address. Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. You can get these documents for free in other formats, such as large print, braille, or audio. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. View Urgent Visit Access Offices in Monterey County. * Translation services available for most languages. In those situations, CenCal Health can still get you care. Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. The online search engine updates nightly based on information entered that day. Please Note: Be sure to include your full address with City, State, and ZIP. Learn best practices and earn CBI payments for ACE screenings at your practice. [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. Learn best practices and earn CBI payments for ACE screenings at your practice. Select PractitionerRoles associated with the specified specialty. This makes sure that Medi-Cal members have access to covered services. GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. Medi-Cal Dental Program. 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. Solano 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. Yuba, Specialty: A Network refers to a health care provider insurance network. * 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. Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. Use the Provider Directory Information Update Form to alert us to any changes to your provider information. Select OrganizationAffiliations available at the specified location. Accepting new patients: The doctor is taking new patients. San Joaquin The RESTful capabilities are discussed in further detail below. 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. Groups: The practice a doctor works in. Llame al 866-610-2273 (TTY 711). Providers in the CCRMC network are certified in languages spoken in addition to English. 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 with the specified name. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. The FHIR server is recommended to return this data. Certified Orthodontist Mariposa Tagalog You can also access the Kaiser online directory. 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. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. 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. Accessibility We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. can be viewed free at osteopathic.org. The ACA has taken operating rules to a new level. 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. CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. 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. Mendocino Fresno Select Locations with the specified state address. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? Lassen There are more protections for immigrants and their families to use public benefits. Dental Clinics Serving Medi-Cal Members. Contra Costa The Central California Alliance for Health (the Alliance) is an award-winning regional Medi-Cal managed care plan that provides health insurance for children, adults, seniors. 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 Language Assistance
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