CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. CORE Certification The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. Below we describe the information in the fields in the provider directory. Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. Llame al 866-610-2273 (TTY 711). If you are a solo practitioner, enter your name in the box above. The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. Sometimes, there is not a needed provider close enough. All Rights Reserved. Nevada The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. Alpine 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. Found inside - Page 57. Current time in Gunzenhausen is now 07:51 PM (Saturday). Hmong Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. 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. Documents will be mailed within five (5) business days of receiving request. 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. 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. 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. 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. ASL Interpreter Available: The office can translate into American Sign Language. 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 Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Location: The doctors office or hospital address. Preferred Provider: A doctor that meets strict quality standards. The most current board certification status can be verified at The American Board of Medical Specialties website. Thank you for the opportunity to partner with you. See our linguistic access and accessibility policy. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? Select products that are offered in the specified location. Japanese Select OrganizationAffiliations providing the specified service. Butte Search - Provider Directory What care are you looking for? 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. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. + Decrease font size. [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? Farsi Select Practitioners with the specified family name. 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. 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. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. 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. A Increase font size. Armenian 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. 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. Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. Operating rule development for these transactions is currently underway. Facilities may also notify us at any time regarding changes to their accreditation status. Ventura 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. Accessible with a Wheelchair: The office is handicap accessible. Registered Dental Hygienists in Alternative Practice. [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? Medical group: This information is collected from the group at the time they initially join the network. At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. Select roles filled by the specified practitioner. 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. Napa If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. Select Locations with the specified city address. 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. * Translation services available for most languages. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. Chinese [parameter=value]&_include=Location:partof, GET [base]/Location? Sonoma 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 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. [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. A Increase font size. 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 select a language Select PractitionerRoles associated with the specified specialty. Who are Providers? In addition, on a quarterly basis, CCHP emails a Network Update link to each provider to report any changes to the information CCHP has on file. Taiwanese Dont miss our bimonthly newsletter for community partners. Specialty: The area of medicine the doctor provides care to patients. Orange 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. Korean Contra Costa An example is a doctor who works only with the heart, cancer, or bones. 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. Select HealthcareServices providing the specified category of services. Please Note: Be sure to include your full address with City, State, and ZIP. 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. You can also access the Kaiser online directory. Yuba, Specialty: Hospitals: The network hospitals a doctor can see their patients in. View rating by specialty and compare nearby hospitals. Select PractitionerRoles providing the specified service. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Tagalog Lassen Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. Santa Barbara Tuolumne can be viewed free at osteopathic.org. 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. This is not a guarantee they will be available to accept additional patients at the time you contact them. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. Public Health, * Language: Select Organizations of the specified type. The FHIR server must return this data. 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). 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. This is not a guarantee they will be available to accept additional patients at the time you contact them. Click to see Board of Directors Meeting Schedule/Upcoming Agenda. Frequently Asked Questions, GRIEVANCE FORM Certificate. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? Fresno A Decrease font size. Mandarin Connecting, solving and transforming healthcare business challenges.
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