Stanislaus We can explain what hospitals are near you. SHALL: An absolute requirement for all implementations. As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. 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. We share our providers dedication to assuring the highest levels of care and service for people with complex health needs. 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. Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. Sometimes, there is not a needed provider close enough. InsureKidsNow Search. Endodontist For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. 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. Select HealthcareServices providing the specified category of services. Cantonese. 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. Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. [parameter=value]&_include=Organization:partof, GET [base]/Organization? Thai 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. Siskiyou Board certifications for most Doctors of Osteopathic Medicine (D.O.) 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. El Dorado Alliance Care IHSS Price Transparency Tool. CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. Frequently Asked Questions, GRIEVANCE FORM 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. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? 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. Punjabi [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? Search - Provider Directory Provider Directory - Central California Alliance for Health These are the resources and the endpoints available with the Alliance Provider Directory API. Learn best practices and earn CBI payments for ACE screenings at your practice. San Benito Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. 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. The hospital reports the safety and quality of its care. Select roles where the organization is a member of the specified health insurance provider network. Imperial Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. Members have the choice to refuse professional interpreters and use adult family members or friends. Please select a language Alameda CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. Select products that are administered by the specified organization. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? Select PractitionerRoles available at the specified organization. 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. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. This information is subject to change without notice. Amador 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. Large healthcare providers may achieve CORE Certification. Members - Medi-Cal Dental - Find-A-Dentist - California Provider Directory - Central California Alliance for Health 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. Select Organizations with the specified name. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. Pedodontist 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. By entering a hospital name, the accreditation status and quality measures are listed. , California 2020 K Street, NW - Suite 660 Washington, D.C. 20006. Periodontist GET [base]/Location? Russian [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. Together, we can bring uncommon care to more people with significant needs. If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. 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. Alpine Los Angeles 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. See our linguistic access and accessibility policy. This is not a guarantee they will be available to accept additional patients at the time you contact them. Accepting new patients: The doctor is taking new patients. In those situations, CenCal Health can still get you care. Monterey 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. Cambodian can be viewed free at osteopathic.org. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. CCHP does not verify these skills. Location Name: Name of the doctor's office or hospital address. San Mateo Only submit information below that needs to be changed in the directory. 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. Sometimes CCP does not receive a notice that the information has changed. We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. 6HUYLFHV GHSDUWPHQW DW HPDLO directory@ccah-alliance.org RU VHQG D UHTXHVW E\ PDLO WR Central California Alliance for Health Attn: Member Services 1600 Green Hills Road Suite 101 Scotts Valley, CA 95066 If you are a provider or member of the public and would like a printed copy of the provider directory, please call (877) 778-3915. Tuolumne Accessible with a Wheelchair: The office is handicap accessible. A doctor may work with other doctors. Resources in the Conformance category are used to represent metadata about the datatypes, resources, and CCAH Provider Directory API features of the FHIR specification and can be used to create derived specifications. The ACA has taken operating rules to a new level. Select OrganizationAffiliations with the specified role. Provider Directory :: Health Plan :: Contra Costa Health Services Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. 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. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. This certificate expires, so CCP checks it at least every 3 years. Select organizations with the specified address (matches any of the string elements of an address). [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? Select Locations with the specified address. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. 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. View Urgent Visit Access Offices in Santa Cruz County. Select health insurance provider networks available in a region described by the specified location. 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.