A Decrease font size. 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. MAY: An optional inclusion for the implementation; not a requirement. This makes sure that Medi-Cal members have access to covered services. [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? PCP's are not required to have hospital privileges. Alliance members must use a pharmacy that works with MedImpact. ASL Interpreter Available: The office can translate into American Sign Language. Specialty: A provider's specialty is identified when they join the health plan network. [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? Alameda The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Laotian You are now being transferred to the CCA corporate website. CCP checks this information at least every 3 years. The doctor provides an excellent patient experience. *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. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. View rating by specialty and compare nearby hospitals. Modoc Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. Select Organizations that are part of the specified organization. You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). FAQs, Case Studies, Issue Briefs, and more. CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? . Mandarin The ACA has taken operating rules to a new level. Sacramento Kern GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? Periodontist Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. Select PractitionerRoles with the specified role. 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. Monterey Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. Search - Provider Directory What care are you looking for? 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. Select HealthcareServices provided by the specified organization. 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. The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. Hours: When the office or hospital is open to see patients. 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? 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. They will be able to assist you in making the best health plan choice for you. Who are Providers? Providers in the CCRMC network are certified in languages spoken in addition to English. Spanish In those situations, CenCal Health can still get you care. Select Locations that are part of the specified location. For further assistance, members can contact Member Services at 1-877-661-6230 option 2 and providers can access interpreter services at 1-877-800-7423 option 4 or directly at 1-866-874-3972. Accepting new patients: The doctor is taking new patients. You can also access the Kaiser online directory. [parameter=value]&_include=Location:partof, GET [base]/Location? 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. Thank you for the opportunity to partner with you. Marin 734-436-0455 + Decrease font size. You are now being transferred to the CCA corporate website. Downloadable PDF Directories Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. Solano Website: The internet address that the doctor and practice information can be found. Results are as of 12/1/2020 unless otherwise noted. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Armenian The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? Authentication is not required to access the Conformance resource. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. 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. **In Dukes and Nantucket Counties: CCA health plans are not yet available. 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. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. English Select PractitionerRoles available at the specified location. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? Current time in Gunzenhausen is now 07:51 PM (Saturday). 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. Select OrganizationAffiliations available at the specified location. [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. Who is CenCal Health/What is a Local Health Plan? Russian Santa Barbara For more information, please call the doctors office. Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. Large healthcare providers may achieve CORE Certification. 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. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. CCHP does not verify these skills. Select services associated with the specified specialty. Please indicate the name of your practice in the box above. Amador Nevada El Dorado This directory is for informational use only. Tulare CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. Select OrganizationAffiliations associated with the specified specialty. 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). Imperial Endodontist A Reset font size. 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. 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. Learn More. ccah provider directory400,000 mile ecoboost. Language Assistance Mariposa 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. You can also use the filters to search for more specific information. [parameter=value]&_include=Organization:partof, GET [base]/Organization? If you are a member and would like to choose one of our PCPs, please contact our Member Services department at 1-877-661-6230 option 2. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. San Mateo For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? Accessible with a Wheelchair: The office is handicap accessible. Nurse Advice Line A doctor may work with other doctors. 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). Registered Dental Hygienists in Alternative Practice. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? 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. 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. 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. Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. Stanislaus Shasta Sierra Search by Doctor Type Search by Doctor Name Search by Hospital/Facility Doctor type Primary Care Physician Specialty Select Primary Care Type Family Medicine Zip Code Distance Within 15 miles Plan Type 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. Sometimes, there is not a needed provider close enough. Sonoma 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. Board Certifications: A doctor gets a certificate after completing extra training in their specialty. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. San Bernardino Then click the magenta Get Location button. [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? GET [base]/Location? County: 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 Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. 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. Santa Cruz Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. The Alliance FHIR server SHALL be capable of returning a HealthcareService resource using: The Alliance FHIR server SHOULD be capable of returning a HealthcareService resource using: The Alliance FHIR server SHALL be capable of supporting the following _include parameters: The Alliance FHIR server SHALL be capable of supporting the following _revinclude parameters: The Alliance FHIR server SHALL be capable of returning an InsurancePlan resource using: The Alliance FHIR server SHOULD be capable of returning an InsurancePlan resource using: The Alliance FHIR server SHALL be capable of returning a Location resource using: The Alliance FHIR server SHOULD be capable of returning an Organization resource using: The Alliance FHIR server SHALL be capable of returning an Organization resource using: The Alliance FHIR server SHALL be capable of returning an OrganizationAffiliation resource using: The Alliance FHIR server SHOULD be capable of returning an OrganizationAffiliation resource using: The Alliance FHIR server SHALL be capable of returning a Practitioner resource using: The Alliance FHIR server SHOULD be capable of returning a Practitioner resource using: The Alliance FHIR server SHALL be capable of supporting the following _revinclude parameter: The Alliance FHIR server SHALL be capable of returning a PractitionerRole resource using. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. Call 866-610-2273 (TTY 711). Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. 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). Select OrganizationAffiliations with the specified role. A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. Updates will be posted at cchealth.org. 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]. Location: The doctors office or hospital address. The RESTful capabilities are discussed in further detail below. CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. Placer Select health insurance provider networks available in a region described by the specified location. Medi-Cal Dental Program. Del Norte [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? View Urgent Visit Access Offices in Monterey County. If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. CCHP discourages the use of family members, friends or minors to interpret or translate materials. [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line Search for providers using a specific location or your current location. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. Enrollment for these plans ends December 7. Merced Found inside - Page 57. 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. 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. + Reset font size. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. 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). Pedodontist A Increase font size. * 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. Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. Alpine Select PractitionerRoles available at the specified organization. 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. As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. If you are a member or potential member it is important for you to understand how our two networks are organized. 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. Orange Frequently Asked Questions, GRIEVANCE FORM Napa Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. Thai Select HealthcareServices of the specified type. 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. We share our providers dedication to assuring the highest levels of care and service for people with complex health needs. San Diego Learn best practices and earn CBI payments for ACE screenings at your practice. 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. 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. Our Provider and Pharmacy Directory make it easy to find the care you need. Please indicate below any changes to the directory listing for the practice listed above. Lake 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. The FHIR server is recommended to return this data. Korean Select Practitioners with the specified family name. Select PractitionerRoles providing the specified service. Learn best practices and earn CBI payments for ACE screenings at your practice. An example is a doctor who works only with the heart, cancer, or bones. 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. Only submit information below that needs to be changed in the directory. Below we describe the information in the fields in the provider directory. The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. Contra Costa [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? This is not a guarantee they will be available to accept additional patients at the time you contact them. Select roles where the practitioner is a member of the specified health insurance provider network. Oral Surgeon CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. Arabic Click to see Board of Directors Meeting Schedule/Upcoming Agenda. Please select a language San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. 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 Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. Yolo Select Locations with the specified address. Medi-Cal Dental Provider Directory Search. Find-A-Dentist. 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. SHALL: An absolute requirement for all implementations. SHOULD: A best practice or recommendation for the implementation. The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. Los Angeles Select roles offered by the specified organization. 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? Select Locations with the specified city address. The number to call in each county is. [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? 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. Tuolumne 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. Please Note: Be sure to include your full address with City, State, and ZIP. 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 DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource.

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