Select PractitionerRoles available at the specified location. Find-A-Dentist. 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. Accessibility Ventura 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. Alliance. We are dedicated to providing the highest quality of care for your furry family members. Providers in the CCRMC network are certified in languages spoken in addition to English. 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. 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. Select PractitionerRoles associated with the specified specialty. Language Assistance As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. 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 Select PractitionerRoles available at the specified organization. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. Alliance Care IHSS Price Transparency Tool. Our directories are printed by county. Riverside Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. Marin The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. Select products that are offered in the specified location. The most current board certification status can be verified at The American Board of Medical Specialties website. Then click the magenta Get Location button. Del Norte Location Name: Name of the doctor's office or hospital address. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? Click to see Board of Directors Meeting Schedule/Upcoming Agenda. View Urgent Visit Access Offices in Merced County. 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 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. 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. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. Please select the county where you live. Select PractitionerRoles providing the specified service. Select Locations that are part of the specified location. Select products with the specified identifier. Inyo Japanese Stanislaus Select HealthcareServices available at the specified location. Kern This directory is for informational use only. Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. Humboldt 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). 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. 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. Showing of 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. Learn best practices and earn CBI payments for ACE screenings at your practice. Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. The RESTful capabilities are discussed in further detail below. 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. Enrollment for these plans ends December 7. Trinity Found inside - Page 57. Alliance Care IHSS Price Transparency Tool. 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. San Mateo Dont miss our bimonthly newsletter for community partners. In those situations, CenCal Health can still get you care. Kings . To verify the current status of a hospital visit jointcommission.org. Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. . 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. Lassen 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. A Decrease font size. 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. CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. Benefits of CCAH Provider Portal 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. 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? Los Angeles 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]. Plumas 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). Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. 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. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. Search - Provider Directory What care are you looking for? Step 3a: Colusa Select OrganizationAffiliations providing the specified service. Specialty: The area of medicine the doctor provides care to patients. Who is CenCal Health/What is a Local Health Plan? Sutter Llame al 866-610-2273 (TTY 711). Santa Cruz Tulare El Dorado 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. If you cannot find a dentist in your area who is accepting new patients, please contact the Medi-Cal Telephone Service Center for additional help at 1-800-322-6384. This network contains both primary and specialty care providers to choose from. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. Laotian [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? Placer 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. This is not a guarantee they will be available to accept additional patients at the time you contact them. Hospital Quality: The hospitals performance rating. Select PractitionerRoles with the specified role. The ACA has taken operating rules to a new level. View Urgent Visit Access Offices in Santa Cruz County. ProcessLogoff - provider.portal.ccah-alliance.org The hospital gets reviewed by national organizations to see if they meet these standards. Alliance members must use a pharmacy that works with MedImpact. [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? Korean Sometimes, there is not a needed provider close enough. CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. Select OrganizationAffiliations available at the specified location. + Reset font size. Hours: When the office or hospital is open to see patients. San Luis Obispo Languages: The languages a doctor speaks. All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? If you are a solo practitioner, enter your name in the box above. Select health insurance provider networks available in a region described by the specified 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. Endodontist Select services associated with the specified specialty. GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Nurse Advice Line There are more protections for immigrants and their families to use public benefits. CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. All Rights Reserved. San Benito Interpreter services are available at all CCHP points of contact where members may reasonably need such services. Amador Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. We can explain what hospitals are near you. Sometimes CCP does not receive a notice that the information has changed. See our linguistic access and accessibility policy. Select Organizations of the specified type. 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). Tehama GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? 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. Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. Only submit information below that needs to be changed in the directory. CCA will not contact you unless we have questions about your request. Dont miss our bimonthly newsletter for community partners. Office of Licensing and Monitoring Provider Directories It should be noted that this is an all-inclusive resource directory of DHS licensed programs; however, not every provider listed is contracted with DHS to provide services to youth in placement. A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. 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. Current time in Gunzenhausen is now 07:51 PM (Saturday). 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. You can also use the filters to search for more specific information. MAY: An optional inclusion for the implementation; not a requirement. Our Provider and Pharmacy Directory make it easy to find the care you need. Select roles offered by the specified organization. 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. Call 866-610-2273 (TTY 711). You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . A Increase font size. 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. Select Organizations with the specified name. After reviewing the listing for your practice that you received via email or fax, please confirm that all information is correct, or indicate any changes for each provider in your practice (including mid-level practitioners). Facility: CCHP updates facility information daily as changes are reported by the facility. Mongolian For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). 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. San Joaquin Language Assistance Select services available in a region described by the specified location. A Network refers to a health care provider insurance network. Santa Clara Imperial Hmong 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? Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. Medi-Cal Dental Program. *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. Learn More. 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. Please select a county [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. Please Note: Be sure to include your full address with City, State, and ZIP. Madera You can get these documents for free in other formats, such as large print, braille, or audio. View rating by specialty and compare nearby hospitals. 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. Merced Nevada If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. It requires CenCal Health to meet both time and distance standards based on county population density. Hindi The online search engine updates nightly based on information entered that day. The CCAH provider portal gives you the information, tools and resources you need to support the day-to-day needs of your patients and office. Downloadable PDF Directories [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? Select roles where the practitioner is a member of the specified health insurance provider network. 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. Tuolumne The FHIR server must return this data. 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. Certificate. Together, we can bring uncommon care to more people with significant needs. Armenian Select products that are owned by the specified organization. Mariposa Sometimes, there is not a needed provider close enough. 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. 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. We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. Tagalog Member Handbook Providers must document this choice in the member's medical record. * 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. 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. By entering a hospital name, the accreditation status and quality measures are listed. Implements RESTful behaviors according to the FHIR specification. Authentication is not required to access the Conformance resource. CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. 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. Adoption Directory Thai This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. General Practitioner Accessible with a Wheelchair: The office is handicap accessible. It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. Select OrganizationAffiliations with the specified role. + Increase font size. Napa Accepting new patients: The doctor is taking new patients. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. Select Locations with the specified state address. Name: The doctor or hospital that is part of the CCP network. 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). English Frequently Asked Questions, GRIEVANCE FORM Sonoma Cantonese. Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. Farsi Mendocino This information is subject to change without notice. Select OrganizationAffiliations associated with the specified specialty. Public Health, * Language: The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. 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. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. Yolo 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. CCP checks this information at least every 3 years. 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. We can assist you with your selection for primary care provider. GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? Please indicate below any changes to the directory listing for the practice listed above. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. You are now being transferred to the CCA corporate website. Medi-Cal Dental Provider Directory Search. Operating rule development for these transactions is currently underway. Solano Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? County: Yuba, Specialty: Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. Facilities may also notify us at any time regarding changes to their accreditation status. 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. 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. Large healthcare providers may achieve CORE Certification. Registered Dental Hygienists in Alternative Practice. Connecting, solving and transforming healthcare business challenges. This makes sure that Medi-Cal members have access to covered services. GET [base]/Location? CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. Arabic 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.