[parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? Alliance Care IHSS Price Transparency Tool. Accessibility Potential members may contact our Marketing Department at 1-877-661-6230 option 6. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. If you are a member or potential member it is important for you to understand how our two networks are organized. Select products with the specified identifier. 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. Llame al 866-610-2273 (TTY 711). ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 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. Member Handbook To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. 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 providerrelations@cchealth.org or by calling 1-877-800-7423 option 6. 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]. 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. As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. If you are a solo practitioner, enter your name in the box above. There are more protections for immigrants and their families to use public benefits. Nurse Advice Line 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. Endodontist Tagalog Location Name: Name of the doctor's office or hospital address. Napa Operating rule development for these transactions is currently underway. You are now being transferred to the CCA corporate website. Select roles where the practitioner is a member of the specified health insurance provider network. 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. This is not a guarantee they will be available to accept additional patients at the time you contact them. Sacramento You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . Learn best practices and earn CBI payments for ACE screenings at your practice. You are now being transferred to the CCA corporate website. Hmong Spanish 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. *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. Santa Clara Language Assistance Select roles filled by the specified organization. Frequently Asked Questions, GRIEVANCE FORM [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? Hospitals: The network hospitals a doctor can see their patients in. Language Assistance [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? These are the resources and the endpoints available with the Alliance Provider Directory API. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. Select PractitionerRoles available at the specified organization. Select Locations managed by the specified organization. View Urgent Visit Access Offices in Monterey County. 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. Members have the choice to refuse professional interpreters and use adult family members or friends. The FHIR server may return the data, but there is no requirement to do so. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. 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. Chinese You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. Search by plan name, specialty, location, or provider name. Cantonese. GET [base]/Location? 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. [parameter=value]&_include=Location:organization, GET [base]/Location? Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. Step 3a: Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. Groups: The practice a doctor works in. Learn best practices and earn CBI payments for ACE screenings at your practice. Prosthodontist 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. 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. Mariposa Medi-Cal Dental Provider Directory Search. CORE Certification 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). [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? Kings Del Norte Select HealthcareServices providing the specified category of services. Please indicate the name of your practice in the box above. 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. Select HealthcareServices with the specified name. Certificate. A network is typically owned by a payer. Most hospitals in Contra Costa County and the immediate surrounding area are participants. Website: The internet address that the doctor and practice information can be found. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. Please select the county where you live. Cambodian CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. Select roles where the organization is a member of the specified health insurance provider network. Medi-Cal Dental Program. Yolo + Reset font size. Certified Orthodontist Punjabi We are dedicated to providing the highest quality of care for your furry family members. Inpatient mental health services and services for the treatment of severe mental health conditions continue to be covered through county mental health departments, not the Alliance. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? 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. Laotian Lake Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. Select health insurance provider networks available in a region described by the specified location. If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. Please Note: Be sure to include your full address with City, State, and ZIP. Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. can be viewed free at osteopathic.org. The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. 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. Pedodontist Mandarin Board certifications for most Doctors of Osteopathic Medicine (D.O.) Imperial Humboldt 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 PractitionerRoles with the specified role. Tehama + Decrease font size. CCHP does not verify these skills. Sometimes CCP does not receive a notice that the information has changed. Providers in the CCRMC network are certified in languages spoken in addition to English. Stanislaus 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 OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. We can assist you with your selection for primary care provider. [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? In the CCHP provider online search engine above you can search for providers that participate with CCHP's two networks consisting of over 5,000 primary care providers and specialists. All Rights Reserved. Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. 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. Providers must document this choice in the member's medical record. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? Select Locations that are part of the specified location. 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. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. The RESTful capabilities are discussed in further detail below. A Decrease font size. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Select products that are administered by the specified organization. Select Locations with the specified address. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. Los Angeles CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. The online search engine updates nightly based on information entered that day. There are more protections for immigrants and their families to use public benefits. The FHIR server must return this data. InsureKidsNow Search. If you cannot find a dentist in your area who is accepting new patients, please contact the Medi-Cal Telephone Service Center for additional help at 1-800-322-6384. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! The doctor provides an excellent patient experience. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. 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. 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. This directory is for informational use only. This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. Select HealthcareServices available at the specified location. 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. 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. Marin Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. + Increase font size. 734-436-0455 The online Beacon Provider Directory can be found at the link below. Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. Please select a language Please select a county Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. 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. Nevada Select Practitioners with the specified family name. Merced We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. 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. Showing of 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. Learn More. Enrollment for these plans ends December 7. Location: The doctors office or hospital address. A Network refers to a health care provider insurance network. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. Siskiyou The hospital gets reviewed by national organizations to see if they meet these standards. Results are as of 12/1/2020 unless otherwise noted. [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? 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? Registered Dental Hygienists in Alternative Practice. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? Select products that are owned by the specified organization. Select OrganizationAffiliations providing the specified service. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? Tulare 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 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. Who is CenCal Health/What is a Local Health Plan? [parameter=value]&_include=Organization:partof, GET [base]/Organization? Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. Ventura Accepting new patients: The doctor is taking new patients. Select Organizations that are part of the specified organization. ccah provider directory400,000 mile ecoboost. 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 It requires CenCal Health to meet both time and distance standards based on county population density. 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. Call 866-610-2273 (TTY 711). Oral Surgeon Sutter Plumas The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. MAY: An optional inclusion for the implementation; not a requirement. Select OrganizationAffiliations associated with the specified specialty. 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. The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. English Dental Clinics Serving Medi-Cal Members. Hindi Select PractitionerRoles providing the specified service. 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. Accessible with a Wheelchair: The office is handicap accessible. San Benito 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. Tuolumne Select PractitionerRoles available at the specified location. Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. Please select a specialty If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Found inside - Page 57. We share our providers dedication to assuring the highest levels of care and service for people with complex health needs. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. Korean Select OrganizationAffiliations available at the specified location.