ccah provider directory ccah provider directory

[parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. Most hospitals in Contra Costa County and the immediate surrounding area are participants. Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. 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. Medi-Cal Dental Dental Portal - California CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. 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. . 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. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. PDF Medi-Cal Merced Provider Directory - ccah-alliance.org Specialty: A provider's specialty is identified when they join the health plan network. Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. Provider Directory - Central California Alliance for Health English Sometimes, there is not a needed provider close enough. Provider Directory :: Health Plan :: Contra Costa Health Services Mandarin The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. The doctor provides an excellent patient experience. We can assist you with your selection for primary care provider. This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. San Benito These are the resources and the endpoints available with the Alliance Provider Directory API. Certified Orthodontist [parameter=value]&_revinclude=PractitionerRole:network, GET [base]/Organization?[parameter=value]&_revinclude=OrganizationAffiliation:participating-organization. A doctor may work with other doctors. Hospital information is verified by viewing the information listed on their website. 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. Santa Cruz Select roles where the practitioner is a member of the specified health insurance provider network. 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. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Spanish You can get these documents for free in other formats, such as large print, braille, or audio. 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. 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. Destination Guide: Gunzenhausen (Bavaria, Regierungsbezirk [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. Select PractitionerRoles available at the specified location. Select products that are offered in the specified location. Santa Barbara ASL Interpreter Available: The office can translate into American Sign Language. CCAH Merced San Diego Select Practitioners with the specified family name. Select services available in a region described by the specified location. * 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. Select HealthcareServices provided by the specified organization. Select Practitioners with the specified given name. We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? MAY: An optional inclusion for the implementation; not a requirement. The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. Alliance Care IHSS Price Transparency Tool. **In Dukes and Nantucket Counties: CCA health plans are not yet available. Laotian This directory is for informational use only. Call 866-610-2273 (TTY 711). Los Angeles Please select a language Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. 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]&_include=Location:organization, GET [base]/Location? Please select the county where you live. Yolo 734-436-0455 View Urgent Visit Access Offices in Santa Cruz County. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. [parameter=value]&_include=Organization:partof, GET [base]/Organization? GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? 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. CCHP discourages the use of family members, friends or minors to interpret or translate materials. Ventura Riverside San Luis Obispo CCAH Provider Portal - provider.portal.ccah-alliance.org Gunzenhausen in Regierungsbezirk Mittelfranken (Bavaria) with it's 16,477 habitants is a city located in Germany about 262 mi (or 422 km) south-west of Berlin, the country's capital town. You are now being transferred to the CCA corporate website. Yuba, Specialty: Board Certifications: A doctor gets a certificate after completing extra training in their specialty. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. You are now being transferred to the CCA corporate website. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line . Select Organizations of the specified type. Locations can range in scope from a room in a building to a geographic region/area. 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. We can explain what hospitals are near you. The FHIR server may return the data, but there is no requirement to do so. [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? Sutter , California Select roles offered by the specified organization. [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? Vietnamese Downloadable PDF Directories CCA will not contact you unless we have questions about your request. Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. 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. View Urgent Visit Access Offices in Monterey County. 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. 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. 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. Japanese Trinity [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Updates will be posted at cchealth.org. Sierra In those situations, CenCal Health can still get you care. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. Select products with the specified identifier. The hospital reports the safety and quality of its care. Arabic CCHP does not verify these skills. [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? The ACA has taken operating rules to a new level. Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. [parameter=value]&_include=Location:partof, GET [base]/Location? CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. Sometimes CCP does not receive a notice that the information has changed. GET [base]/Location? 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. Glenn View Urgent Visit Access Offices in Merced County. Hmong + Reset font size. If you are a member or potential member it is important for you to understand how our two networks are organized. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. There are more protections for immigrants and their families to use public benefits. Select products that are owned by the specified organization. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? A Decrease font size. Fresno CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Medical group: This information is collected from the group at the time they initially join the network. Solano 2020 K Street, NW - Suite 660 Washington, D.C. 20006. 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). 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. 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. Providers | CAQH 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 PractitionerRoles providing the specified service. This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. Search - Provider Directory A Increase font size. GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Nevada Marin Full Print Version of the CBH Provider Directory (Updated 1/3/2023) Step 1: Are you looking for a provider that services adults or children/adolescents? CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. 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. Mendocino 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 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. + Decrease font size. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. Provider Directory - Community Behavioral Health Select roles where the organization is a member of the specified health insurance provider network. The number to call in each county is. 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 Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. Please select a specialty Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. Russian Learn best practices and earn CBI payments for ACE screenings at your practice. The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. CCHA | Find a Provider - Colorado Community Health Alliance Large healthcare providers may achieve CORE Certification. CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. Who are Providers? Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. Golden Road 365 Detox - Transform Your Health in 21 Days can be viewed free at osteopathic.org. CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. Select HealthcareServices available at the specified location. InsureKidsNow Search. 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. Health and Wellness Rewards 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. Tagalog The FHIR server is recommended to return this data. Lassen Implements RESTful behaviors according to the FHIR specification. A Reset font size. They might also work in different offices or clinics. 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. Member Handbook 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. This is not a guarantee they will be available to accept additional patients at the time you contact them. 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). A Decrease font size. Learn More. Member Handbook The FHIR server must return this data. Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. Accessible with a Wheelchair: The office is handicap accessible. Language Assistance It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. Tehama Select PractitionerRoles associated with the specified specialty. Select HealthcareServices of the specified type. 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. Facilities may also notify us at any time regarding changes to their accreditation status. Calaveras [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. Select health insurance provider networks available in a region described by the specified location. 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. 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. [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? 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. Providers in the CCRMC network are certified in languages spoken in addition to English. Oral Surgeon Select Locations with the specified city address. Below we describe the information in the fields in the provider directory. 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. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. 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. Butte Enrollment for these plans ends December 7. Preferred Provider: A doctor that meets strict quality standards. 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. There are more protections for immigrants and their families to use public benefits. Languages: The languages a doctor speaks. Who is CenCal Health/What is a Local Health Plan? Provider Search - CCHP Health Plan Alliance Provider Portal Search for providers using a specific location or your current location. The online search engine updates nightly based on information entered that day. [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? Stanislaus The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. The resource may be used to encompass a variety of services covering the entire health care spectrum, including promotion, prevention, diagnostics, hospital and ambulatory care, home care, long-term care and other health-related and community services. Found inside - Page 57. San Francisco Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. Groups: The practice a doctor works in. Accepting new patients: The doctor is taking new patients. 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). ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 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. Results are as of 12/1/2020 unless otherwise noted. The online Beacon Provider Directory can be found at the link below. Health and Wellness Rewards General Practitioner The call is free. Search by plan name, specialty, location, or provider name. 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.