ccah provider directory ccah provider directory

Armenian See our linguistic access and accessibility policy. Monterey Orange Select OrganizationAffiliations providing the specified service. [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? San Joaquin To report any errors, click on the link below. [parameter=value]&_include=Location:partof, GET [base]/Location? CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. 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. Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. 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. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. 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 Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. Sutter It mandated healthcare operating rules for HIPAA claims-related electronic transactions, and CAQH CORE was named by the Secretary of Health and Human Services (HHS) as the authoring entity of these operating rules. 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. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? 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. 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. Yuba, Specialty: Health and Wellness Rewards 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. At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. Accessibility Accessible with a Wheelchair: The office is handicap accessible. FAQs, Case Studies, Issue Briefs, and more. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. Select products that are administered by the specified organization. It requires CenCal Health to meet both time and distance standards based on county population density. Amador The hospital reports the safety and quality of its care. Board Certifications: A doctor gets a certificate after completing extra training in their specialty. 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. Select products that are offered in the specified location. We are dedicated to providing the highest quality of care for your furry family members. You can also access the Kaiser online directory. You can get these documents for free in other formats, such as large print, braille, or audio. Mongolian , California We can explain what hospitals are near you. This makes sure that Medi-Cal members have access to covered services. [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. A Decrease font size. Endodontist Napa County: Placer Please select the county where you live. 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. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? To set your current location, click the green Use Current Location button. Updates will be posted at cchealth.org. Language Assistance The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. For more information, please call the doctors office. We can assist you with your selection for primary care provider. Alliance. Kern Locations can range in scope from a room in a building to a geographic region/area. [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line Step 3a: 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. Select Organizations of the specified type. If you are a member or potential member it is important for you to understand how our two networks are organized. [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? Sometimes, there is not a needed provider close enough. Select roles offered by the specified organization. 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. 1 Percent of ICO + SCO members weighted together who have at least one qualifying touch by a care team member within a given month (Rolling three-month average, 7/2021), 2Combined CCA ICO + SCO rate per 1,000 members; hospitalization rates are consistently below the per capita averages during COVID-19 pandemic. GET [base]/Location? View Urgent Visit Access Offices in Santa Cruz County. Providers must document this choice in the member's medical record. Adoption Directory 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. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. CCA will not contact you unless we have questions about your request. 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. Frequently Asked Questions, GRIEVANCE FORM Enrollment for these plans ends December 7. 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. Results are as of 12/1/2020 unless otherwise noted. You are now being transferred to the CCA corporate website. Dental Clinics Serving Medi-Cal Members. 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). Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! Facilities may also notify us at any time regarding changes to their accreditation status. Hindi CCHP discourages the use of family members, friends or minors to interpret or translate materials. Accepting new patients: The doctor is taking new patients. 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. 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 Organizations that are part of the specified organization. Benefits of CCAH Provider Portal San Benito Mendocino GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). Select Practitioners with the specified family name. A doctor may work with other doctors. 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. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. Downloadable PDF Directories GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. The most current board certification status can be verified at The American Board of Medical Specialties website. . Select HealthcareServices provided by the specified organization. To verify the current status of a hospital visit jointcommission.org. Select PractitionerRoles associated with the specified specialty. A Increase font size. Imperial The RESTful capabilities are discussed in further detail below. Together, we can bring uncommon care to more people with significant needs. Search by plan name, specialty, location, or provider name. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Select OrganizationAffiliations with the specified role. Learn best practices and earn CBI payments for ACE screenings at your practice. Name: The doctor or hospital that is part of the CCP network. San Luis Obispo Kings 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. Plumas 734-436-0455 The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. Trinity El Dorado 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 The resource may be used to encompass a variety of services covering the entire health care spectrum, including promotion, prevention, diagnostics, hospital and ambulatory care, home care, long-term care and other health-related and community services. Hospitals: The network hospitals a doctor can see their patients in. Ventura Thai Our Provider and Pharmacy Directory make it easy to find the care you need. The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. Alliance Care IHSS Price Transparency Tool. All Rights Reserved. Accepting New Patients: This provider accepts both new and existing patients. Alpine Board certifications for most Doctors of Osteopathic Medicine (D.O.) PCP's are not required to have hospital privileges. English CORE Certification 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. 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.