A Reset font size. 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. CCHP discourages the use of family members, friends or minors to interpret or translate materials. The call is free. Authentication is not required to access the Conformance resource. All Rights Reserved. CAQH technology-enabled solutions, operating rules and research help nearly 1,000 health plans, 2 million providers, government entities and vendors connect, exchange information and operate more efficiently. 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). A Network refers to a health care provider insurance network. Thai Board certifications for most Doctors of Osteopathic Medicine (D.O.) Downloadable PDF Directories Learn More. Nurse Advice Line CORE Certification CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Please indicate below any changes to the directory listing for the practice listed above. 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. County: View Urgent Visit Access Offices in Monterey County. A doctor may work with other doctors. Kern 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. Mandarin Select Locations that are part of the specified location. We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. Locations can range in scope from a room in a building to a geographic region/area. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. Please select a language [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? HL7 FHIR DaVinci PDEX Payer Network (Plan-Net) Implementation Guide Version 1.0.0, HL7 FHIR DaVinci PDEX Plan-Net Profiles, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Endpoint, DaVinci PDEX Plan-Net HealthcareService profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-HealthcareService, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/HealthcareServiceCategoryCS, DaVinci PDEX Plan-Net InsurancePlan profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-InsurancePlan, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsurancePlanTypeCS, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsuranceProductTypeCS, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Location, http://terminology.hl7.org/CodeSystem/v3-RoleCode, DaVinci PDEX Plan-Net Organization profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Organization, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/OrgTypeCS, DaVinci PDEX Plan-Net OrganizationAffiliation profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-OrganizationAffiliation, DaVinci PDEX Plan-Net Practitioner profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Practitioner, DaVinci PDEX Plan-Net PractitionerRole profile. Monterey Select health insurance provider networks available in a region described by the specified location. Select products that are administered by the specified organization. Search for providers using a specific location or your current location. This is not a guarantee they will be available to accept additional patients at the time you contact them. Tulare 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. Sacramento Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. 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). Medical group: This information is collected from the group at the time they initially join the network. Select OrganizationAffiliations providing the specified service. Registered Dental Hygienists in Alternative Practice. Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. Select HealthcareServices available at the specified location. ASL Interpreter Available: The office can translate into American Sign Language. Select Organizations that are part of the specified organization. Vietnamese Select Locations with the specified address. Hospital information is verified by viewing the information listed on their website. Nevada 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. Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. Health and Wellness Rewards Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. Some doctors might have all the patients they can fit in, while still giving you the best care. You can get these documents for free in other formats, such as large print, braille, or audio. Thank you for the opportunity to partner with you. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. If you are a member or potential member it is important for you to understand how our two networks are organized. 734-436-0455 Lake Facilities may also notify us at any time regarding changes to their accreditation status. CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. In those situations, CenCal Health can still get you care. [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. Prosthodontist Language Assistance The RESTful capabilities are discussed in further detail below. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . The doctor or hospital gives CCP this information on their application when they join the health plan. Medi-Cal Dental Program. Japanese On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. 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 HealthcareServices of the specified type. At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. Who are Providers? Ventura Language Assistance Select Locations with the specified postal code address. 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. [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? A Increase font size. 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 Periodontist We can assist you with your selection for primary care provider. For more information, please call the doctors office. San Diego 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. FAQs, Case Studies, Issue Briefs, and more. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? 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. Solano [parameter=value]&_include=Location:partof, GET [base]/Location? Select Organizations with the specified name. MAY: An optional inclusion for the implementation; not a requirement. This certificate expires, so CCP checks it at least every 3 years. 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. Alliance Care IHSS Price Transparency Tool. Farsi Plumas Sometimes CCP does not receive a notice that the information has changed. CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. Select PractitionerRoles available at the specified organization. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 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. 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. We can explain what hospitals are near you. Select OrganizationAffiliations available at the specified location. 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. Spanish [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? Found inside - Page 57. 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. Our Provider and Pharmacy Directory make it easy to find the care you need. Glenn Documents will be mailed within five (5) business days of receiving request. The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. The online Beacon Provider Directory can be found at the link below. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. The ACA has taken operating rules to a new level. [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line Select OrganizationAffiliations with the specified role. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. Yuba, Specialty: We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? Madera 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. View Urgent Visit Access Offices in Merced County. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. More than 130 participating organizations representing healthcare providers, health plans, government agencies and the organizations setting the standards for healthcare and data exchange are part of the CAQH CORE multi-stakeholder collaboration. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Russian San Benito 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. If you are a solo practitioner, enter your name in the box above. 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. The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? 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. 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. Butte 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). InsureKidsNow Search. 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]. Benefits of CCAH Provider Portal Enrollment for these plans ends December 7. Location Name: Name of the doctor's office or hospital address. A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. San Joaquin San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Cambodian The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. The online search engine updates nightly based on information entered that day. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. Search - Provider Directory What care are you looking for? [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? **In Dukes and Nantucket Counties: CCA health plans are not yet available. A Decrease font size. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. Cantonese. Sonoma Implements RESTful behaviors according to the FHIR specification. Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. Click to see Board of Directors Meeting Schedule/Upcoming Agenda. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. 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. Endodontist *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. To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. Accessible with a Wheelchair: The office is handicap accessible. We are dedicated to providing the highest quality of care for your furry family members. 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. To set your current location, click the green Use Current Location button. 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. Hours: When the office or hospital is open to see patients. [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? Interpreter services are available at all CCHP points of contact where members may reasonably need such services. The doctor provides an excellent patient experience. [parameter=value]&_include=Organization:partof, GET [base]/Organization? [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? Korean 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. Alameda A network is typically owned by a payer. GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? Current time in Gunzenhausen is now 07:51 PM (Saturday). [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. This information is subject to change without notice. Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. The FHIR server must return this data. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. 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. See our linguistic access and accessibility policy. 2020 K Street, NW - Suite 660 Washington, D.C. 20006. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. Certified Orthodontist Humboldt Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. 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. Languages: The languages a doctor speaks. Public Health, * Language: [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? 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. 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 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. View rating by specialty and compare nearby hospitals. Accessibility * Translation services available for most languages. Connecting, solving and transforming healthcare business challenges. Hindi They will be able to assist you in making the best health plan choice for you. 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. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. Who is CenCal Health/What is a Local Health Plan? Select roles filled by the specified organization. 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. English 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. Frequently Asked Questions, GRIEVANCE FORM The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. Providers in the CCRMC network are certified in languages spoken in addition to English. 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.