In those situations, CenCal Health can still get you care. [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? Marin Lake Tehama Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. Public Health, * Language: 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. Select HealthcareServices available at the specified location. This information is subject to change without notice. English [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. Humboldt Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. 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. If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. By entering an e-mail in this field I am confirming that the e-mail provided is intended for patient communication and is regularly monitored and maintained in a manner consistent with State and Federal laws. The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. Our Provider and Pharmacy Directory make it easy to find the care you need. CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. San Bernardino 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. Authentication is not required to access the Conformance resource. Please indicate below any changes to the directory listing for the practice listed above. Oral Surgeon Del Norte Amador **In Dukes and Nantucket Counties: CCA health plans are not yet available. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. Butte Mendocino Select PractitionerRoles associated with the specified specialty. You can get these documents for free in other formats, such as large print, braille, or audio. Hospital Quality: The hospitals performance rating. Adoption Directory If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Telephone wait time for practice/plan to answer: within 10 minutes, Telephone call back wait time practice/provider office: by the end of the next business day, Telephone call back wait time triage: within 30 minutes. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. Napa A Reset font size. Riverside [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. 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. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022, 8:00 am to 6:00 pm, Monday through Friday, Superior patient experiences and improved clinical outcomes, Optimal access, responsiveness, transparency, and timeliness in all our communications, Operational excellence and strong analytics and reporting that support provider performance. View Urgent Visit Access Offices in Merced County. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? Hospital information is verified by viewing the information listed on their website. 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. Select Locations with the specified address. Specialty: A provider's specialty is identified when they join the health plan network. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? Select Practitioners with the specified given name. Sonoma The doctor provides an excellent patient experience. Select products that are owned by the specified organization. Hospitals: The network hospitals a doctor can see their patients in. Who are Providers? Los Angeles If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Accessible with a Wheelchair: The office is handicap accessible. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Select services available in a region described by the specified location. [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. Some doctors might have all the patients they can fit in, while still giving you the best care. 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 The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. See our linguistic access and accessibility policy. Santa Clara Korean [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? For more information, please call the doctors office. 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. At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. Select products that are administered by the specified organization. Alliance. Alliance Care IHSS Price Transparency Tool. As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. Sometimes, there is not a needed provider close enough. Language Assistance Select PractitionerRoles with the specified role. 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. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Only submit information below that needs to be changed in the directory. Medi-Cal Dental Program. Connecting, solving and transforming healthcare business challenges. Select Locations with the specified postal code address. 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. 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. *In Barnstable and Berkshire Counties: CCA One Care is available; CCA Senior Care Options, CCA Medicare Value, and CCA Medicare Preferred are not yet available. [parameter=value]&_include=Location:partof, GET [base]/Location? Shasta Kings Frequently Asked Questions, GRIEVANCE FORM Online Provider Directory http://www.ccah-alliance.org/providerdirectory.html Click on Provider Directory Search Effective January 2015 CENTRAL CALIFORNIA ALLIANCE FOR HEALTH Provider Directory / Gua de Proveedores / Phau Ntawv Teev Cov Kws Khomob A.2 Primary Care Physicians/ Doctores de Cuidado Primario/ Cov Thawj Kws Khomob CCHP does not verify these skills. [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. Specialty: The area of medicine the doctor provides care to patients. The most current board certification status can be verified at The American Board of Medical Specialties website. Thank you for the opportunity to partner with you. 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. Orange Learn best practices and earn CBI payments for ACE screenings at your practice. Japanese Facilities may also notify us at any time regarding changes to their accreditation status. Sometimes, there is not a needed provider close enough. Updates will be posted at cchealth.org. El Dorado Select OrganizationAffiliations available at the specified location. 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. On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. Farsi Please select a language Hmong 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. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. 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. Then click the magenta Get Location button. Dont miss our bimonthly newsletter for community partners. Found inside - Page 57. MAY: An optional inclusion for the implementation; not a requirement. After reviewing the listing for your practice that you received via email or fax, please confirm that all information is correct, or indicate any changes for each provider in your practice (including mid-level practitioners). [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. Learn More. Placer Siskiyou [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? Medi-Cal Dental Provider Directory Search. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. Sutter 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. 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. In those situations, CenCal Health can still get you care. Certified Orthodontist Member Handbook Select roles where the organization is a member of the specified health insurance provider network. Board certifications for most Doctors of Osteopathic Medicine (D.O.) 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 [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? Our directories are printed by county. 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. 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 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. 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. San Benito can be viewed free at osteopathic.org. This is not a guarantee they will be available to accept additional patients at the time you contact them. . [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. 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? 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. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). Armenian Click to see Board of Directors Meeting Schedule/Upcoming Agenda. Together, we can bring uncommon care to more people with significant needs. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. Website: The internet address that the doctor and practice information can be found. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? We can explain what hospitals are near you. Hindi The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. A doctor may work with other doctors. Select OrganizationAffiliations providing the specified service. 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. An example is a doctor who works only with the heart, cancer, or bones. Trinity By entering a hospital name, the accreditation status and quality measures are listed. Sacramento The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. Board Certifications: A doctor gets a certificate after completing extra training in their specialty. Facility: CCHP updates facility information daily as changes are reported by the facility. Board Certification: Information on board certification is verified at the time of credentialing and re-verified at least every three years at the time of re-credentialing. Santa Cruz 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. Below we describe the information in the fields in the provider directory. Tuolumne Select roles offered by the specified organization. Madera Providers in the CCRMC network are certified in languages spoken in addition to English. 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. A Increase font size. Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. 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. Select Locations with the specified city address. Hours: When the office or hospital is open to see patients. Who is CenCal Health/What is a Local Health Plan? CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. General Practitioner Locations can range in scope from a room in a building to a geographic region/area. Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. Name: The doctor or hospital that is part of the CCP network. Learn best practices and earn CBI payments for ACE screenings at your practice. Operating rule development for these transactions is currently underway. Yolo 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. The hospital reports the safety and quality of its care. Health and Wellness Rewards Cambodian The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? 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. SHALL: An absolute requirement for all implementations. CCP checks this information at least every 3 years. A Decrease font size. The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line Providers must document this choice in the member's medical record. Select HealthcareServices with the specified name. Mono Office of Licensing and Monitoring Provider Directories It should be noted that this is an all-inclusive resource directory of DHS licensed programs; however, not every provider listed is contracted with DHS to provide services to youth in placement.

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