Please select a county If you are a solo practitioner, enter your name in the box above. Yuba, Specialty: CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. 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. A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. Implements RESTful behaviors according to the FHIR specification. Select HealthcareServices with the specified name. Alliance members must use a pharmacy that works with MedImpact. SHOULD: A best practice or recommendation for the implementation. This network contains both primary and specialty care providers to choose from. [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? Santa Cruz A Reset font size. Member Handbook 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 You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). Sometimes CCP does not receive a notice that the information has changed. 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. This makes sure that Medi-Cal members have access to covered services. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! 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). Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. Mono Periodontist Hospital information is verified by viewing the information listed on their website. Hospitals: The network hospitals a doctor can see their patients in. Contra Costa Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. 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 our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. 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. Spanish Inyo Interpreter services are available at all CCHP points of contact where members may reasonably need such services. Sonoma This is not a guarantee they will be available to accept additional patients at the time you contact them. The FHIR server is recommended to return this data. Some doctors might have all the patients they can fit in, while still giving you the best care. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. Butte 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. Yolo The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. 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. If the specialty needed is not available within the assigned network, which may be due to, but is not limited to the provider being unable to make an appointment in a timely manner, the provider is located unreasonably far away, or you require a specialty not present in the RMC network, CCHP and the assigned PCP may arrange for whatever referrals, authorizations, and treatments necessary with a specialist that is available in a non-assigned network. [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? Mandarin 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. Armenian 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 OrganizationAffiliations with the specified role. The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? Sierra 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. The most current board certification status can be verified at The American Board of Medical Specialties website. 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? CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. Please indicate the name of your practice in the box above. Hmong Potential members may contact our Marketing Department at 1-877-661-6230 option 6. Mongolian The call is free. Nurse Advice Line Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. Select products that are owned by the specified organization. 6HUYLFHV GHSDUWPHQW DW HPDLO [email protected] 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. CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. The online search engine updates nightly based on information entered that day. Select HealthcareServices available at the specified location. General Practitioner Operating rule development for these transactions is currently underway. Accessibility Thank you for the opportunity to partner with you. Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. 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. Select PractitionerRoles available at the specified organization. Locations can range in scope from a room in a building to a geographic region/area. Select health insurance provider networks available in a region described by the specified location. Farsi 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. Location Name: Name of the doctor's office or hospital address. [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? Languages: The languages a doctor speaks. Health and Wellness Rewards Imperial [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. Santa Clara Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. You can also access the Kaiser online directory. Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. 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. We are dedicated to providing the highest quality of care for your furry family members. 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. CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. Found inside - Page 57. + Reset font size. Language Assistance 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. Llame al 866-610-2273 (TTY 711). Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. Select services available in a region described by the specified location. Select services associated with the specified specialty. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. Insurance Plan describes a health insurance offering comprised of a list of covered benefits (for example: the product), costs associated with those benefits (for example: the plan) and additional information about the offering, such as who it is owned and administered by, a coverage area, contact information, etc. 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. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Select PractitionerRoles providing the specified service. Enrollment for these plans ends December 7. Facilities may also notify us at any time regarding changes to their accreditation status. The doctor or hospital gives CCP this information on their application when they join the health plan. CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. To report incorrect provider information, members can contact member services by calling 1-877-661-6230 option 2 or by email: [email protected] and Providers or the general public can contact Provider Relations at [email protected] or by calling 1-877-800-7423 option 6. Search for providers using a specific location or your current location. Ventura [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. Facility: CCHP updates facility information daily as changes are reported by the facility. ASL Interpreter Available: The office can translate into American Sign Language. The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. 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. * Translation services available for most languages. Glenn Medi-Cal Dental Provider Directory Search. A Increase font size. Connecting, solving and transforming healthcare business challenges. All Rights Reserved. InsureKidsNow Search. 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. 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. Punjabi can be viewed free at osteopathic.org. 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. It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. Vietnamese Select Organizations that are part of the specified organization. Select Locations with the specified postal code address. 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). If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. Who is CenCal Health/What is a Local Health Plan? Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. Lassen Select Locations with the specified state address. In those situations, CenCal Health can still get you care. CORE Certification San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Sometimes, there is not a needed provider close enough. 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. Oral Pathologist 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. 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. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? The FHIR server must return this data. San Francisco GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? This is not a guarantee they will be available to accept additional patients at the time you contact them. Select Locations that are part of the specified location. English 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. 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. The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. Select HealthcareServices of the specified type. Select Organizations of the specified type. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. To verify the current status of a hospital visit jointcommission.org. CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. 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. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. 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 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. 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. Health and Wellness Rewards Select roles where the organization is a member of the specified health insurance provider network. The number to call in each county is. Providers must document this choice in the member's medical record. 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. Who are Providers? These are the resources and the endpoints available with the Alliance Provider Directory API. Board certifications for most Doctors of Osteopathic Medicine (D.O.) By entering a hospital name, the accreditation status and quality measures are listed. We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services.
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