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 Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. 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. Prosthodontist 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. Found inside - Page 57. Select OrganizationAffiliations with the specified role. The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. CCA will not contact you unless we have questions about your request. A Decrease font size. PCP's are not required to have hospital privileges. Select Organizations of the specified type. GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? 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). 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. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? Dont miss our bimonthly newsletter for community partners. 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). View rating by specialty and compare nearby hospitals. Solano To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. *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. Language Assistance Mandarin 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. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. 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. Sierra Santa Cruz Select products that are offered in the specified location. Hospitals: The network hospitals a doctor can see their patients in. Together, we can bring uncommon care to more people with significant needs. The online Beacon Provider Directory can be found at the link below. Santa Barbara Select HealthcareServices with the specified name. Select Organizations that are part of the specified organization. [parameter=value]&_include=Location:organization, GET [base]/Location? + Reset font size. Lake 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. Select PractitionerRoles providing the specified service. Monterey Mendocino 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. Fresno Cambodian **In Dukes and Nantucket Counties: CCA health plans are not yet available. 734-436-0455 Languages: The languages a doctor speaks. 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. 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. [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. A Reset font size. General Practitioner This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. Spanish Laotian We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. Adoption Directory Facilities may also notify us at any time regarding changes to their accreditation status. The ACA has taken operating rules to a new level. Oral Surgeon 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. You can also access the Kaiser online directory. Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. Accessibility A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. The doctor provides an excellent patient experience. The hospital reports the safety and quality of its care. If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. A Network refers to a health care provider insurance network. 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. Health and Wellness Rewards CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. Select products that are administered by the specified organization. This makes sure that Medi-Cal members have access to covered services. 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. On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. FAQs, Case Studies, Issue Briefs, and more. SHALL: An absolute requirement for all implementations. A Increase font size. Showing of [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. This program arms you with the information to reduce your toxic exposure, increase your liver's biotransformation of toxins, and to enhance your elimination of these transformed toxins from your body. Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. 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. This network contains both primary and specialty care providers to choose from. Select roles filled by the specified organization. The FHIR server is recommended to return this data. Select OrganizationAffiliations providing the specified service. * 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. You are now being transferred to the CCA corporate website. Enrollment for these plans ends December 7. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. Select Locations that are part of the specified location. CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. 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. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? This directory gives members, potential members and providers access to our two networks (Regional Medical Center (RMC) and the Community Provider Network (CPN) of physicians, pharmacies, hospitals and ancillary providers. 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. Only submit information below that needs to be changed in the directory. There are more protections for immigrants and their families to use public benefits. 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 If you are a member or potential member it is important for you to understand how our two networks are organized. Thank you for the opportunity to partner with you. 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. Plumas This certificate expires, so CCP checks it at least every 3 years. Member Handbook 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. CCHP does not verify these skills. Sometimes, there is not a needed provider close enough. Sometimes, there is not a needed provider close enough. Vietnamese The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. They will be able to assist you in making the best health plan choice for you. Santa Clara Select roles where the organization is a member of the specified health insurance provider network. 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. CCP checks this information at least every 3 years. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Large healthcare providers may achieve CORE Certification. [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? They might also work in different offices or clinics. 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. GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? Availability of Hard Copy Directories: Members may request printed directories or have web pages printed and mailed to them by clicking on the link below. Kern Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. The most current board certification status can be verified at The American Board of Medical Specialties website. MAY: An optional inclusion for the implementation; not a requirement. Select OrganizationAffiliations available at the specified location. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. Select services available in a region described by the specified location. Most hospitals in Contra Costa County and the immediate surrounding area are participants. Accepting new patients: The doctor is taking new patients. Please indicate the name of your practice in the box above. Results are as of 12/1/2020 unless otherwise noted. The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. Select PractitionerRoles available at the specified organization. San Luis Obispo We can assist you with your selection for primary care provider. For more information, please call the doctors office. ccah provider directory400,000 mile ecoboost. Benefits of CCAH Provider Portal Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. Periodontist Members are entitled to receive full and equal access to covered service including members with disabilities as required under the American with Disabilities Act of 1990 in section 504 of the Rehabilitation Act of 1973. Language Assistance Select products that are owned by the specified organization. Website: The internet address that the doctor and practice information can be found. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. Medi-Cal Dental Program. Alliance. Imperial If you are a solo practitioner, enter your name in the box above. Click to see Board of Directors Meeting Schedule/Upcoming Agenda. Sonoma SHOULD: A best practice or recommendation for the implementation. 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. 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. Select OrganizationAffiliations associated with the specified specialty. Yuba, Specialty: CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. 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? Farsi Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. 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 Board certifications for most Doctors of Osteopathic Medicine (D.O.) It requires CenCal Health to meet both time and distance standards based on county population density. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? Specialty: A provider's specialty is identified when they join the health plan network. 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]. CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. Nevada For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Select HealthcareServices of the specified type. Endodontist Preferred Provider: A doctor that meets strict quality 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. Name: The doctor or hospital that is part of the CCP network. Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. Who is CenCal Health/What is a Local Health Plan? [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. Select Locations with the specified state address. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? A doctor may work with other doctors. We share our providers dedication to assuring the highest levels of care and service for people with complex health needs. CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. The number to call in each county is. You can also use the filters to search for more specific information. Specialty: The area of medicine the doctor provides care to patients. Authentication is not required to access the Conformance resource. [parameter=value]&_include=Location:partof, GET [base]/Location? Select Locations with the specified address. [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? 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 county 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. Please select a language
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