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[parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? Colusa Select PractitionerRoles with the specified role. Laotian If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. Select OrganizationAffiliations associated with the specified specialty. 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. If you are a member or potential member it is important for you to understand how our two networks are organized. A network is typically owned by a payer. [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? Board Certifications: A doctor gets a certificate after completing extra training in their specialty. Select Locations with the specified postal code address. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. Prosthodontist Pedodontist The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. 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. Tulare Cantonese. [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. Select Locations managed by the specified organization. Select health insurance provider networks available in a region described by the specified location. Mariposa 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. Authentication is not required to access the Conformance resource. Select Locations that are part of the specified location. Some doctors might have all the patients they can fit in, while still giving you the best care. 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. , California Sometimes CCP does not receive a notice that the information has changed. 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. [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. 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. Connecting, solving and transforming healthcare business challenges. CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? In those situations, CenCal Health can still get you care. We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. You are now being transferred to the CCA corporate website. Hours: When the office or hospital is open to see patients. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. Select PractitionerRoles providing the specified service. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. The doctor provides an excellent patient experience. ASL Interpreter Available: The office can translate into American Sign Language. Please select a language Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. Humboldt CORE Certification New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. 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. Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. 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. Updates will be posted at cchealth.org. . Select Locations with the specified city address. Frequently Asked Questions, GRIEVANCE FORM 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. General Practitioner 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. Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. Operating rule development for these transactions is currently underway. Butte Mono Hindi Thai Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. Oral Surgeon Nurse Advice Line 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. This is not a guarantee they will be available to accept additional patients at the time you contact them. Amador By entering a hospital name, the accreditation status and quality measures are listed. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? 2020 K Street, NW - Suite 660 Washington, D.C. 20006. 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. This information is subject to change without notice. Select Practitioners with the specified given name. This directory is for informational use only. Phone Number: The doctors office or hospital phone number. Enrollment for these plans ends December 7. *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. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. 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. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? Lassen The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. Kings Lake You can also access the Kaiser online directory. 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. Select organizations with the specified address (matches any of the string elements of an address). 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. Select PractitionerRoles available at the specified organization. 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. We can explain what hospitals are near you. A Increase font size. 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. Tuolumne Sacramento 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. Member Handbook San Luis Obispo Arabic The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. A Decrease font size. 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. 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. San Bernardino For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Accessible with a Wheelchair: The office is handicap accessible. Nevada Select roles offered by the specified organization. San Diego This makes sure that Medi-Cal members have access to covered services. Benefits of CCAH Provider Portal Website: The internet address that the doctor and practice information can be found. 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 The FHIR server may return the data, but there is no requirement to do so. 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. Sometimes, there is not a needed provider close enough. CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. There are more protections for immigrants and their families to use public benefits. 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. 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. Locations can range in scope from a room in a building to a geographic region/area. 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. 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 As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. Select services available in a region described by the specified location. Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. 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 number to call in each county is. Specialty: The area of medicine the doctor provides care to patients. In those situations, CenCal Health can still get you care. Learn best practices and earn CBI payments for ACE screenings at your practice. A Decrease font size. Health and Wellness Rewards Alliance members must use a pharmacy that works with MedImpact. This is not a guarantee they will be available to accept additional patients at the time you contact them. 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. Riverside The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. 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. There are more protections for immigrants and their families to use public benefits. Please select a specialty [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? 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 Locations with the specified address. [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? Location: The doctors office or hospital address. SHOULD: A best practice or recommendation for the implementation. Select roles where the practitioner is a member of the specified health insurance provider network. Certified Orthodontist It requires CenCal Health to meet both time and distance standards based on county population density. Select products that are offered in the specified location. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Select HealthcareServices available at the specified location. Sutter The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. You can get these documents for free in other formats, such as large print, braille, or audio. You can also use the filters to search for more specific information. Who is CenCal Health/What is a Local Health Plan? We share our providers dedication to assuring the highest levels of care and service for people with complex health needs. [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? In addition, on a quarterly basis, CCHP emails a Network Update link to each provider to report any changes to the information CCHP has on file. Mendocino Gender: A doctors sex, either Male or Female. ccah provider directory400,000 mile ecoboost. 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. 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.