County: Cantonese. Results are as of 12/1/2020 unless otherwise noted. PDF Monterey and Santa Cruz Medi-Cal Provider Directory Gua de Proveedores Alliance Care IHSS Price Transparency Tool. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? Select Organizations of the specified type. An example is a doctor who works only with the heart, cancer, or bones. Find-A-Dentist. Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? 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. A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. 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. English Oral Surgeon SHALL: An absolute requirement for all implementations. 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. 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. Korean 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. This information is subject to change without notice. Select OrganizationAffiliations associated with the specified specialty. The doctor or hospital gives CCP this information on their application when they join the health plan. [parameter=value]&_revinclude=PractitionerRole:network, GET [base]/Organization?[parameter=value]&_revinclude=OrganizationAffiliation:participating-organization. Sutter 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 Network refers to a health care provider insurance network. [parameter=value]&_include=Location:organization, GET [base]/Location? For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Then click the magenta Get Location button. Select roles offered by the specified organization. Only submit information below that needs to be changed in the directory. Mariposa View rating by specialty and compare nearby hospitals. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. [parameter=value]&_include=Organization:partof, GET [base]/Organization? 2020 K Street, NW - Suite 660 Washington, D.C. 20006. Healthcare Provider Directory | Commonwealth Care Alliance MA Please indicate below any changes to the directory listing for the practice listed above. Select roles where the organization is a member of the specified health insurance provider network. ASL Interpreter Available: The office can translate into American Sign Language. Provider Directories - Maryland Department of Human Services 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. We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. Select Locations with the specified city address. * 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. Provider Directory - Central California Alliance for Health Locations can range in scope from a room in a building to a geographic region/area. Hospital Quality: The hospitals performance rating. CCP checks this information at least every 3 years. 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. Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. Laotian Nevada Medical group: This information is collected from the group at the time they initially join the network. The RESTful capabilities are discussed in further detail below. Adoption Directory 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. A Reset font size. Website: The internet address that the doctor and practice information can be found. 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. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Tuolumne 734-436-0455 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. ccah provider directory400,000 mile ecoboost. The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. Select roles filled by the specified practitioner. You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . Hmong can be viewed free at osteopathic.org. CCHP does not verify these skills. 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. CCHA | Find a Provider - Colorado Community Health Alliance Santa Clara Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. Select Practitioners with the specified given name. You can also use the filters to search for more specific information. Select Locations with the specified postal code address. Dont miss our bimonthly newsletter for community partners. Alliance members must use a pharmacy that works with MedImpact. Amador 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. CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. Select products that are administered by the specified organization. Timely Access to Care: The California Department of Managed Health Care (DMHC) has regulations set forth in Title 28, Section 1300.67.2.2 for health plans to provide timely access to care for our members. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). Documents will be mailed within five (5) business days of receiving request. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Armenian We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. The doctor provides an excellent patient experience. Sometimes, there is not a needed provider close enough. 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. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. This makes sure that Medi-Cal members have access to covered services. Search - Provider Directory What care are you looking for? 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. The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. 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. CORE Certification Japanese Select OrganizationAffiliations providing the specified service. HL7 FHIR DaVinci PDEX Payer Network (Plan-Net) Implementation Guide Version 1.0.0, HL7 FHIR DaVinci PDEX Plan-Net Profiles, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Endpoint, DaVinci PDEX Plan-Net HealthcareService profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-HealthcareService, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/HealthcareServiceCategoryCS, DaVinci PDEX Plan-Net InsurancePlan profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-InsurancePlan, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsurancePlanTypeCS, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsuranceProductTypeCS, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Location, http://terminology.hl7.org/CodeSystem/v3-RoleCode, DaVinci PDEX Plan-Net Organization profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Organization, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/OrgTypeCS, DaVinci PDEX Plan-Net OrganizationAffiliation profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-OrganizationAffiliation, DaVinci PDEX Plan-Net Practitioner profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Practitioner, DaVinci PDEX Plan-Net PractitionerRole profile. Pedodontist Select PractitionerRoles providing the specified service. The online Beacon Provider Directory can be found at the link below. CCA Provider Homepage | Commonwealth Care Alliance MA GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. Select HealthcareServices available at the specified location. CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. These are the resources and the endpoints available with the Alliance Provider Directory API. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. Select Organizations with the specified name. [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. MAY: An optional inclusion for the implementation; not a requirement. Plumas + Increase font size. 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. Dont miss our bimonthly newsletter for community partners. Provider Search - CCHP Health Plan Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. We are dedicated to providing the highest quality of care for your furry family members. Select roles where the practitioner is a member of the specified health insurance provider network. [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? A doctor may work with other doctors. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? 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. Russian . Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. San Luis Obispo Klinikum Altmhlfranken Gunzenhausen reviews | Best Hospitals in 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. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? We can explain what hospitals are near you. Nurse Advice Line The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. Provider Directory for Members - CenCal Health It requires CenCal Health to meet both time and distance standards based on county population density. Glenn Select HealthcareServices providing the specified category of services. Fresno On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. Select HealthcareServices provided by the specified organization. San Francisco The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. This directory is for informational use only. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? 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. In those situations, CenCal Health can still get you care. You can also access the Kaiser online directory. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! The most current board certification status can be verified at The American Board of Medical Specialties website. Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. Gender: A doctors sex, either Male or Female. Select Practitioners with the specified family name. Accessibility Providers in the CCRMC network are certified in languages spoken in addition to English. 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). Location: The doctors office or hospital address. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Specialty: The area of medicine the doctor provides care to patients. 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. 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? Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. Provider Directory - Community Behavioral Health This is not a guarantee they will be available to accept additional patients at the time you contact them. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Taiwanese 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. FAQs, Case Studies, Issue Briefs, and more. [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? Select Locations with the specified address. To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. Providers must document this choice in the member's medical record. Benefits of CCAH Provider Portal 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. Most hospitals in Contra Costa County and the immediate surrounding area are participants. 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. General Practitioner CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. 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. CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. The hospital reports the safety and quality of its care. Arabic Select HealthcareServices of the specified type. Santa Cruz 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. Thai 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. CCAH Provider Portal - provider.portal.ccah-alliance.org Found inside - Page 57. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Santa Barbara Languages: The languages a doctor speaks. This network contains both primary and specialty care providers to choose from. The call is free. Please Note: Be sure to include your full address with City, State, and ZIP. It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. Certificate. You are now being transferred to the CCA corporate website. . In those situations, CenCal Health can still get you care. 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. 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). Shasta 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 products with the specified identifier. Sacramento 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. Butte Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. GET [base]/Location? [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? Select PractitionerRoles associated with the specified specialty. Thank you for the opportunity to partner with you. Search by plan name, specialty, location, or provider name. 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. Location Name: Name of the doctor's office or hospital address. Search for providers using a specific location or your current location. Learn best practices and earn CBI payments for ACE screenings at your practice. A Increase font size. Calaveras Llame al 866-610-2273 (TTY 711). Provider Directory :: Health Plan :: Contra Costa Health Services Contra Costa A profile is a set of rules which allows a resource to be constrained, or to include extensions, so the resource can add additional attributes. [parameter=value]&_include=Location:partof, GET [base]/Location? 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. The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. Sierra [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. Prosthodontist GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? 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. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. Together, we can bring uncommon care to more people with significant needs. [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line Accepting new patients: The doctor is taking new patients. InsureKidsNow Search. Mongolian 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? Please select the county where you live. 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. Select products that are owned by the specified organization. Language Assistance All Rights Reserved. Preferred Provider: A doctor that meets strict quality standards. 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 have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer specialist. You are now being transferred to the CCA corporate website. Select PractitionerRoles with the specified role. CCAH Provider Directory | Community Cares Plan 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 or potential member it is important for you to understand how our two networks are organized. **In Dukes and Nantucket Counties: CCA health plans are not yet available. SHOULD: A best practice or recommendation for the implementation.
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