Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. 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. 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. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. Select roles filled by the specified organization. Found inside - Page 57. Arabic Click to see Board of Directors Meeting Schedule/Upcoming Agenda. Select Locations with the specified address. 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. This certificate expires, so CCP checks it at least every 3 years. The doctor or hospital gives CCP this information on their application when they join the health plan. Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. 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 directoryupdates@cchealth.org or by calling 1-877-800-7423 option 6. Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. Name: The doctor or hospital that is part of the CCP network. County: 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. [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? Thai Select roles where the practitioner is a member of the specified health insurance provider network. 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. Only submit information below that needs to be changed in the directory. 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. Select Organizations that are part of the specified organization. Lake Sometimes, there is not a needed provider close enough. Russian 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. 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]. 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. A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. Calaveras Member Handbook Hindi [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. There are more protections for immigrants and their families to use public benefits. Select roles offered by the specified organization. Please indicate the name of your practice in the box above. Thank you for the opportunity to partner with you. 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. . Riverside Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. Sonoma Select OrganizationAffiliations with the specified role. [parameter=value]&_include=Location:partof, GET [base]/Location? Tehama Select roles where the organization is a member of the specified health insurance provider network. An example is a doctor who works only with the heart, cancer, or bones. Alpine 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. A Reset font size. 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. 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. Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. Punjabi + Increase font size. Operating rule development for these transactions is currently underway. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. Our directories are printed by county. The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. Hospital information is verified by viewing the information listed on their website. 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 Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. Accepting new patients: The doctor is taking new patients. Select organizations with the specified address (matches any of the string elements of an address). This is not a guarantee they will be available to accept additional patients at the time you contact them. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? Health and Wellness Rewards Find-A-Dentist. Providers must document this choice in the member's medical record. Tagalog Amador Groups: The practice a doctor works in. Select insurance plans of the specified type. This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. You are now being transferred to the CCA corporate website. [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? Merced 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. For more information, please call the doctors office. English CCP checks this information at least every 3 years. Solano Please select the county where you live. Llame al 866-610-2273 (TTY 711). 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. Frequently Asked Questions, GRIEVANCE FORM The call is free. Napa Medi-Cal Dental Provider Directory Search. Kern Preferred Provider: A doctor that meets strict quality standards. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Tulare All Rights Reserved. Select products that are owned by the specified organization. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. Shasta 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. Accessibility We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. 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. 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. Accessible with a Wheelchair: The office is handicap accessible. The RESTful capabilities are discussed in further detail below. Certificate. 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. 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 Care IHSS Price Transparency Tool. Siskiyou Contra Costa San Benito Pedodontist To verify the current status of a hospital visit jointcommission.org. Providers in the CCRMC network are certified in languages spoken in addition to English. The number to call in each county is. Mongolian Enrollment for these plans ends December 7. Please select a language 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. Current time in Gunzenhausen is now 07:51 PM (Saturday). + Decrease font size. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). Select Organizations with the specified name. InsureKidsNow Search. Specialty: A provider's specialty is identified when they join the health plan network. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. 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. Butte Please select a specialty Dental Clinics Serving Medi-Cal Members. Gender: A doctors sex, either Male or Female. Oral Pathologist MAY: An optional inclusion for the implementation; not a requirement. Los Angeles 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. The Healthcare Service resource typically describes services offered by an organization/practitioner at a 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. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. Phone Number: The doctors office or hospital phone number. Provider Directory Information Update Form Provider Directory Information Update Form 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. Select HealthcareServices of the specified type. Call 866-610-2273 (TTY 711). 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. Certified Orthodontist 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. Cambodian We are dedicated to providing the highest quality of care for your furry family members. The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. View Urgent Visit Access Offices in Merced County. Sometimes CCP does not receive a notice that the information has changed. At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Alliance Care IHSS Price Transparency Tool. Monterey Languages: The languages a doctor speaks. Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. GET [base]/Location? 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. You can also access the Kaiser online directory. * Translation services available for most languages. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! A Reset font size. Select PractitionerRoles available at the specified organization. . Downloadable PDF Directories Specialty: The area of medicine the doctor provides care to patients. Location Name: Name of the doctor's office or hospital address. CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. Alameda Operating rule development for these transactions is currently underway. The hospital reports the safety and quality of its care. Accepting New Patients: This provider accepts both new and existing patients. Authentication is not required to access the Conformance resource. 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. Lassen Select Practitioners with the specified given name. Results are as of 12/1/2020 unless otherwise noted. These are the resources and the endpoints available with the Alliance Provider Directory API. 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. SHOULD: A best practice or recommendation for the implementation. Hospitals: The network hospitals a doctor can see their patients in. 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. 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. [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. 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. The FHIR server must return this data. 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. 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. Large healthcare providers may achieve CORE Certification. 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. Select Practitioners with the specified family name. Select PractitionerRoles available at the specified location. You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? 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 San Mateo Search - Provider Directory What care are you looking for? [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? Select Locations with the specified city address. Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. Step 3a: In those situations, CenCal Health can still get you care. Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. Documents will be mailed within five (5) business days of receiving request. Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. Please select a county On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. Learn best practices and earn CBI payments for ACE screenings at your practice. Facility: CCHP updates facility information daily as changes are reported by the facility. 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 Learn More. 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). CCA will not contact you unless we have questions about your request. Sometimes, there is not a needed provider close enough. View Urgent Visit Access Offices in Santa Cruz County. Santa Cruz CORE Certification 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.