Dental Clinics Serving Medi-Cal Members. CCHA | Find a Provider - Colorado Community Health Alliance If you are a solo practitioner, enter your name in the box above. 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. Found inside - Page 57. [parameter=value]&_include=Location:partof, GET [base]/Location? This information is subject to change without notice. Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. San Mateo 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. 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. You are now being transferred to the CCA corporate website. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. Provider Directories - Maryland Department of Human Services All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. 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 General Practitioner [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? We are dedicated to providing the highest quality of care for your furry family members. 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. Fresno Select PractitionerRoles with the specified role. CCHP does not verify these skills. [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? Location Name: Name of the doctor's office or hospital address. ccah provider directory MAY: An optional inclusion for the implementation; not a requirement. Merced San Benito Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. Sometimes CCP does not receive a notice that the information has changed. Select HealthcareServices available at the specified location. CCHP discourages the use of family members, friends or minors to interpret or translate materials. [parameter=value]&_include=Organization:partof, GET [base]/Organization? Del Norte Select Locations with the specified city address. Providers must document this choice in the member's medical record. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. Santa Clara You are now being transferred to the CCA corporate website. 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. Most hospitals in Contra Costa County and the immediate surrounding area are participants. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Specialty: A provider's specialty is identified when they join the health plan network. Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. The call is free. Medi-Cal Dental Provider Directory Search. Search for providers using a specific location or your current location. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? 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. The online search engine updates nightly based on information entered that day. Location: The doctors office or hospital address. To change your primary care provider or get detailed information about your healthcare benefits and prior authorization requirements, call our Member Services team at 866-610-2273(TTY 711). Then click the magenta Get Location button. Nurse Advice Line Tuolumne Riverside Klinikum Altmhlfranken Gunzenhausen reviews | Best Hospitals in 2020 K Street, NW - Suite 660 Washington, D.C. 20006. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? **In Dukes and Nantucket Counties: CCA health plans are not yet available. Groups: The practice a doctor works in. Facilities may also notify us at any time regarding changes to their accreditation status. 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). Taiwanese Sierra Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. Ventura If you are a member or potential member it is important for you to understand how our two networks are organized. [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. Providers in the CCRMC network are certified in languages spoken in addition to English. The doctor provides an excellent patient experience. To report any errors, click on the link below. Stanislaus The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Select HealthcareServices providing the specified category of services. Documents will be mailed within five (5) business days of receiving request. 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. Frequently Asked Questions, GRIEVANCE FORM Select PractitionerRoles available at the specified location. CORE Certification Please indicate the name of your practice in the box above. Health and Wellness Rewards Tehama Language Assistance Providers | CAQH Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. CCP checks this information at least every 3 years. A Decrease font size. Select OrganizationAffiliations providing the specified service. The CAQH CORE Phase III Operating Rules for EFT & ERA have been mandated by HHS and since January 2014 any provider should be asking forthe streamlined electronic transactions that can result due to these operating rules and their affiliated standards. For more information, please call the doctors office. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? See our linguistic access and accessibility policy. *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. Select PractitionerRoles associated with the specified specialty. 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. Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. Select OrganizationAffiliations associated with the specified specialty. The ACA has taken operating rules to a new level. Members - Medi-Cal Dental - Find-A-Dentist - California Mongolian Vietnamese 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. 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. Alpine Board certifications for most Doctors of Osteopathic Medicine (D.O.) Orange [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. 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. 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. [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. Only submit information below that needs to be changed in the directory. Solano Learn best practices and earn CBI payments for ACE screenings at your practice. 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. 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. To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. 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). To set your current location, click the green Use Current Location button. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. Alliance Care IHSS Price Transparency Tool. Select PractitionerRoles providing the specified service. + Reset font size. 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? You can also access the Kaiser online directory. 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. CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. 734-436-0455 Calaveras CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. Accepting new patients: The doctor is taking new patients. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. Select Locations managed by the specified organization. Monterey Adoption Directory Interpreter services are available at all CCHP points of contact where members may reasonably need such services. Mendocino Santa Barbara Tagalog Alliance. Search - Provider Directory * 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. Please select a language All Rights Reserved. This directory is for informational use only. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line Members have the choice to refuse professional interpreters and use adult family members or friends. Cantonese. CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. 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. 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. . Name: The doctor or hospital that is part of the CCP network. 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. [parameter=value]&_revinclude=PractitionerRole:network, GET [base]/Organization?[parameter=value]&_revinclude=OrganizationAffiliation:participating-organization. Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. Oral Surgeon 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. We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. Our directories are printed by county. The number to call in each county is. San Bernardino Provider Search - CCHP Health Plan Please select a county Hindi Alliance members must use a pharmacy that works with MedImpact. Please select a specialty English Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. 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. Select services associated with the specified specialty. Select products that are offered in the specified location. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. A doctor may work with other doctors. Certified Orthodontist Together, we can bring uncommon care to more people with significant needs. Kings 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. Oral Pathologist Frequently Asked Questions, GRIEVANCE FORM Select roles filled by the specified practitioner. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. In those situations, CenCal Health can still get you care. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. View Urgent Visit Access Offices in Merced County. Dont miss our bimonthly newsletter for community partners. 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. If you want to check to see if your doctor is board certified go to CertificationMatters.org, DoctorsThatDo.org, or call 1-866-ASK-ABMS (275-2267). The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. 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. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. 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. CCA will not contact you unless we have questions about your request. Updates will be posted at cchealth.org. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. A Reset font size. Website: The internet address that the doctor and practice information can be found. We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. 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. Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. can be viewed free at osteopathic.org. Trinity Thai Inyo Select products with the specified identifier. 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. Santa Cruz Select health insurance provider networks available in a region described by the specified location. Select products that are administered by the specified organization. InsureKidsNow Search. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. 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. 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. Select roles where the practitioner is a member of the specified health insurance provider network. Russian A Increase font size. CCAH , California Alliance Provider Directory - provider.portal.ccah-alliance.org + Increase font size. Language Assistance [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? Who is CenCal Health/What is a Local Health Plan? Napa County: Operating rule development for these transactions is currently underway. Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. Authentication is not required to access the Conformance resource. 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. 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. Sutter Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. Certificate. Operating rule development for these transactions is currently underway. GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. Provider Directory for Members - CenCal Health If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. There are more protections for immigrants and their families to use public benefits. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. It requires CenCal Health to meet both time and distance standards based on county population density. Select PractitionerRoles available at the specified organization. The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. Please indicate below any changes to the directory listing for the practice listed above. Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. Colusa Dont miss our bimonthly newsletter for community partners. Placer Arabic San Diego Kern 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. Provider Directory - Community Behavioral Health Select organizations with the specified address (matches any of the string elements of an address). Select Practitioners with the specified family name. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. Sonoma This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. 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. Showing of [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. Alliance Care IHSS Price Transparency Tool. A Increase font size. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. 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. . Madera CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. Los Angeles 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.
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