* Translation services available for most languages. Learn best practices and earn CBI payments for ACE screenings at your practice. Alliance Care IHSS Price Transparency Tool. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. Monterey The FHIR server may return the data, but there is no requirement to do so. 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. Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. Specialty: The area of medicine the doctor provides care to patients. This is not a guarantee they will be available to accept additional patients at the time you contact them. Santa Clara Select roles where the organization is a member of the specified health insurance provider network. Butte Some doctors might have all the patients they can fit in, while still giving you the best care. + Decrease font size. Tuolumne View Urgent Visit Access Offices in Merced County. To report any errors, click on the link below. Please Note: Be sure to include your full address with City, State, and ZIP. Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. 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. 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). The doctor or hospital gives CCP this information on their application when they join the health plan. An example is a doctor who works only with the heart, cancer, or bones. 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 Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. Select Practitioners with the specified family name. A network is typically owned by a payer. [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? Alliance Care IHSS Price Transparency Tool. 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. Select OrganizationAffiliations providing the specified service. 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. 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. Preferred Provider: A doctor that meets strict quality standards. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. Enrollment for these plans ends December 7. Select services associated with the specified specialty. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. 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. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. 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. Who are Providers? Arabic This is not a guarantee they will be available to accept additional patients at the time you contact them. The RESTful capabilities are discussed in further detail below. Solano [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. ccah provider directory 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. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? Members have the choice to refuse professional interpreters and use adult family members or friends. We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. Mandarin A Decrease font size. Select PractitionerRoles providing the specified service. Endodontist 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. Hindi Plumas Mono GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? Select Locations with the specified state 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. 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. To set your current location, click the green Use Current Location button. 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. 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. 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. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. Select products that are administered by the specified organization. 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. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? Select Locations managed by the specified organization. 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. A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. The hospital reports the safety and quality of its care. Shasta Results are as of 12/1/2020 unless otherwise noted. ccah provider directory400,000 mile ecoboost. [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. ASL Interpreter Available: The office can translate into American Sign Language. Please indicate the name of your practice in the box above. You can also use the filters to search for more specific information. InsureKidsNow Search. 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 Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? + Increase font size. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. 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. 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. 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. Oral Surgeon If you are a member or potential member it is important for you to understand how our two networks are organized. Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. Select organizations with the specified address (matches any of the string elements of an address). To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. CCHP does not verify these skills. Frequently Asked Questions, GRIEVANCE FORM Imperial It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. Select products with the specified identifier. View Urgent Visit Access Offices in Monterey County. The FHIR server is recommended to return this data. Showing of A Network refers to a health care provider insurance network. Medi-Cal Dental Program. 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. San Benito MAY: An optional inclusion for the implementation; not a requirement. On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. 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. 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. Modoc Health and Wellness Rewards Together, we can bring uncommon care to more people with significant needs. Laotian 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. 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]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. Select services available in a region described by the specified location. CCP checks this information at least every 3 years. Lassen Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. View rating by specialty and compare nearby hospitals. CCA will not contact you unless we have questions about your request. 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. Russian There are more protections for immigrants and their families to use public benefits. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. . If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. A Increase font size. Please select a specialty Select Locations with the specified city address. Adoption Directory 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. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Cambodian You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. 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. Mariposa In those situations, CenCal Health can still get you care. This network contains both primary and specialty care providers to choose from. Placer You can also access the Kaiser online directory. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. Fresno 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. This certificate expires, so CCP checks it at least every 3 years. To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. Select health insurance provider networks available in a region described by the specified location. Authentication is not required to access the Conformance resource. SHOULD: A best practice or recommendation for the implementation. Implements RESTful behaviors according to the FHIR specification. *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. Hospital Quality: The hospitals performance rating. 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. The ACA has taken operating rules to a new level. 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. Taiwanese The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. The online search engine updates nightly based on information entered that day. Pedodontist Select PractitionerRoles associated with the specified specialty. Alliance. We can explain what hospitals are near you. Search for providers using a specific location or your current location. General Practitioner [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? Select insurance plans of the specified type. Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. 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. Spanish Calaveras A Reset font size. Certificate. Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. 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). The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. This information is subject to change without notice. [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. 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. Member Handbook Operating rule development for these transactions is currently underway. Tehama Select OrganizationAffiliations with the specified role. Del Norte 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.
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