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Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. The online Beacon Provider Directory can be found at the link below. Korean Select products that are owned by the specified organization. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. 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. Kings Amador By entering an e-mail in this field I am confirming that the e-mail provided is intended for patient communication and is regularly monitored and maintained in a manner consistent with State and Federal laws. GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? Facilities may also notify us at any time regarding changes to their accreditation status. The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. Select Locations with the specified city address. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. Languages: The languages a doctor speaks. Select products with the specified identifier. Siskiyou Select HealthcareServices providing the specified category of services. 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. Lake Imperial To report any errors, click on the link below. Select Locations that are part of the specified location. Santa Cruz 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. Hindi Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. Showing of ASL Interpreter Available: The office can translate into American Sign Language. [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? 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. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. San Joaquin Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. 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 For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Hospital Quality: The hospitals performance rating. Member Handbook You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. 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. 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 CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Mono Use the Provider Directory Information Update Form to alert us to any changes to your provider information. 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. Orange You are now being transferred to the CCA corporate website. Select roles filled by the specified organization. Gender: A doctors sex, either Male or Female. Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. Who is CenCal Health/What is a Local Health Plan? 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. Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. 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. View rating by specialty and compare nearby hospitals. [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. Stanislaus CCP checks this information at least every 3 years. [parameter=value]&_include=Organization:partof, GET [base]/Organization? Plumas GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? Llame al 866-610-2273 (TTY 711). The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. Chinese Glenn The FHIR server may return the data, but there is no requirement to do so. 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. Spanish 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. Laotian ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. FAQs, Case Studies, Issue Briefs, and more. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. This is not a guarantee they will be available to accept additional patients at the time you contact them. 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. Results are as of 12/1/2020 unless otherwise noted. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? 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. 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. Downloadable PDF Directories If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. 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. To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. Members have the choice to refuse professional interpreters and use adult family members or friends. Board certifications for most Doctors of Osteopathic Medicine (D.O.) To set your current location, click the green Use Current Location button. [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. Alameda San Francisco GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? Select services associated with the specified specialty. 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 providing the specified service. Member Handbook Board Certification: Information on board certification is verified at the time of credentialing and re-verified at least every three years at the time of re-credentialing. Below we describe the information in the fields in the provider directory. 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. SHALL: An absolute requirement for all implementations. Riverside The RESTful capabilities are discussed in further detail below. Placer Language Assistance 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. 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. 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. There are more protections for immigrants and their families to use public benefits. 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. Contra Costa + Increase font size. [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? 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. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? San Diego [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? Punjabi The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. A Decrease font size. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. Sometimes CCP does not receive a notice that the information has changed. 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. Trinity Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. The doctor or hospital gives CCP this information on their application when they join the health plan. The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. Learn More. The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. 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. Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. 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. 2020 K Street, NW - Suite 660 Washington, D.C. 20006. Providers in the CCRMC network are certified in languages spoken in addition to 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. Location: The doctors office or hospital address. CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. Sierra Yolo [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? 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. Current time in Gunzenhausen is now 07:51 PM (Saturday). Connecting, solving and transforming healthcare business challenges. Authentication is not required to access the Conformance resource. 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. Our directories are printed by county. Locations can range in scope from a room in a building to a geographic region/area. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? The doctor provides an excellent patient experience. Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. Sacramento Nevada 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. Board Certifications: A doctor gets a certificate after completing extra training in their specialty. Vietnamese 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. This makes sure that Medi-Cal members have access to covered services. Sonoma If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. Certified Orthodontist This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. **In Dukes and Nantucket Counties: CCA health plans are not yet available. The FHIR server is recommended to return this data. Dont miss our bimonthly newsletter for community partners. Taiwanese GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? Then click the magenta Get Location button. We are dedicated to providing the highest quality of care for your furry family members. Ventura The local timezone is named Europe / Berlin with an UTC offset of 2 hours. 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. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. 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. Select OrganizationAffiliations with the specified role. Alliance members must use a pharmacy that works with MedImpact. If you are a solo practitioner, enter your name in the box above. Madera Specialty: The area of medicine the doctor provides care to patients. [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. This is not a guarantee they will be available to accept additional patients at the time you contact them. Select roles where the organization is a member of the specified health insurance provider network. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. 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). At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. Health and Wellness Rewards Shasta Mendocino 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). PCP's are not required to have hospital privileges. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Alliance Care IHSS Price Transparency Tool. 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. Search for providers using a specific location or your current location. 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. 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. Hospital information is verified by viewing the information listed on their website. Accessible with a Wheelchair: The office is handicap accessible. Yuba, Specialty: Accepting New Patients: This provider accepts both new and existing patients. Found inside - Page 57. [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line Hospitals: The network hospitals a doctor can see their patients in. 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 One Care | CCA Senior Care Options | CCA Medicare Advantage. Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. + Reset font size. Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient 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.

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