Napa Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. To select the Kaiser Permanente Medical Group as your PCP for Medi-Cal, you must have been a recent Kaiser member or meet other criteria to qualify. Select Locations that are part of the specified location. Step 3a: Select HealthcareServices with the specified name. Santa Barbara Siskiyou ccah provider directory400,000 mile ecoboost. Los Angeles Select HealthcareServices available at the specified location. 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. You are now being transferred to the CCA corporate website. They will be able to assist you in making the best health plan choice for you. Preferred Provider: A doctor that meets strict quality standards. CCA Senior Care Options, CCA Medicare Value, and CCA Medicare Preferred are available in 10 counties in Massachusetts: Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. Nevada 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. Select insurance plans of the specified type. 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. 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. Implements RESTful behaviors according to the FHIR specification. [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. Colusa CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. Our Provider and Pharmacy Directory make it easy to find the care you need. Location Name: Name of the doctor's office or hospital address. Select PractitionerRoles available at the specified location. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. 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. As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. Most hospitals in Contra Costa County and the immediate surrounding area are participants. The CCAH provider portal gives you the information, tools and resources you need to support the day-to-day needs of your patients and office. PCP's are not required to have hospital privileges. GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. Dental Clinics Serving Medi-Cal Members. Authentication is not required to access the Conformance resource. The online search engine updates nightly based on information entered that day. Mandarin 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. Vietnamese Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. Prosthodontist Certified Orthodontist Click to see Board of Directors Meeting Schedule/Upcoming Agenda. The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. Benefits of CCAH Provider Portal Timely Access to Care: The California Department of Managed Health Care (DMHC) has regulations set forth in Title 28, Section 1300.67.2.2 for health plans to provide timely access to care for our members. A health care provider insurance network is an aggregation of organizations and individuals that deliver a set of services across a geography through health insurance products/plans. 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. Russian Tehama Accepting new patients: The doctor is taking new patients. Public Health, * Language: * 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. Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. San Luis Obispo A Network refers to a health care provider insurance network. Select Practitioners with the specified family name. Select HealthcareServices of the specified type. 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. Mono Were committed to achieving: Partnering with you to keep your patients living safely and independently in their homes and communities is at the heart of our mission. Sacramento 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. Select roles filled by the specified organization. **In Dukes and Nantucket Counties: CCA health plans are not yet available. Sometimes CCP does not receive a notice that the information has changed. Select HealthcareServices providing the specified category of services. Select Locations with the specified postal code address. CORE Certification To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. Madera Orange The ACA has taken operating rules to a new level. 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 Member Services staff can help you find and select a doctor from the Provider Directory for Members. 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. Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. If you are a member or potential member it is important for you to understand how our two networks are organized. Operating rule development for these transactions is currently underway. This is not a guarantee they will be available to accept additional patients at the time you contact them. Select OrganizationAffiliations associated with the specified specialty. [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. We share our providers dedication to assuring the highest levels of care and service for people with complex health needs. Marin Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. Farsi The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. There are more protections for immigrants and their families to use public benefits. Facilities may also notify us at any time regarding changes to their accreditation status. County: Name: The doctor or hospital that is part of the CCP network. San Diego Thank you for the opportunity to partner with you. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. 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 CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. We can explain what hospitals are near you. Korean Select Practitioners with the specified given name. The call is free. Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. 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. Specialty: A provider's specialty is identified when they join the health plan network. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. Board certifications for most Doctors of Osteopathic Medicine (D.O.) Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? Taiwanese Cantonese. 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. Connecting, solving and transforming healthcare business challenges. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? Plumas 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]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? Sometimes, there is not a needed provider close enough. , California Find-A-Dentist. 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 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). Select organizations with the specified address (matches any of the string elements of an address). Specialty: The area of medicine the doctor provides care to patients. 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. Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. 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. Medi-Cal Dental Provider Directory Search. Select roles where the practitioner is a member of the specified health insurance provider network. ProcessLogoff - provider.portal.ccah-alliance.org [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? + Reset font size. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. 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. Found inside - Page 57. View Urgent Visit Access Offices in Monterey County. Frequently Asked Questions, GRIEVANCE FORM English Chinese 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 Sometimes, there is not a needed provider close enough. Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. Website: The internet address that the doctor and practice information can be found. Del Norte [parameter=value]&_include=Location:partof, GET [base]/Location? A Decrease font size. 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. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. 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]. Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Yuba, Specialty: Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. Select HealthcareServices provided by the specified organization. SHALL: An absolute requirement for all implementations. You can get these documents for free in other formats, such as large print, braille, or audio. Oral Surgeon Select PractitionerRoles providing the specified service. Shasta 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. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. The number to call in each county is. A network is typically owned by a payer. Please select a language Location: The doctors office or hospital address. [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. Please select a county 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. Select PractitionerRoles with the specified role. Thai 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. Butte The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? 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. 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. All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. Search by plan name, specialty, location, or provider name. CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. Contra Costa 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). Language Assistance CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. Select Locations with the specified state address. Only submit information below that needs to be changed in the directory. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. Learn More. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? Showing of Alliance Care IHSS Price Transparency Tool. Please indicate the name of your practice in the box above. Select OrganizationAffiliations available at the specified location. 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? You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). Registered Dental Hygienists in Alternative Practice. Learn best practices and earn CBI payments for ACE screenings at your practice. The hospital gets reviewed by national organizations to see if they meet these standards. Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. Search - Provider Directory What care are you looking for? 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. + Increase font size. Facility: CCHP updates facility information daily as changes are reported by the facility. Hospital Quality: The hospitals performance rating. Spanish There are more protections for immigrants and their families to use public benefits. Kern [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? Select Organizations of the specified type. Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. We are dedicated to providing the highest quality of care for your furry family members. For more information, please call the doctors office. To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. 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. At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. The online Beacon Provider Directory can be found at the link below. [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService?

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