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 partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. Select roles where the organization is a member of the specified health insurance provider network. This is not a guarantee they will be available to accept additional patients at the time you contact them. CCA will not contact you unless we have questions about your request. 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 ACA has taken operating rules to a new level. Fresno Japanese Alpine 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. All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. Napa Mono Tulare Marin Lake 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. , California [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? El Dorado CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. San Diego Select roles filled by the specified organization. Select Organizations with the specified name. Please indicate the name of your practice in the box above. 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). The FHIR server is recommended to return this data. Accepting New Patients: This provider accepts both new and existing patients. **In Dukes and Nantucket Counties: CCA health plans are not yet available. 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. Imperial Taiwanese 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. Search for providers using a specific location or your current location. GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? Find-A-Dentist. Select roles offered by the specified organization. Cantonese. A Decrease font size. . Oral Surgeon Language Assistance Specialty: A provider's specialty is identified when they join the health plan network. Solano 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. 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. Select products that are offered in the specified location. 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. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. Please select a county Prosthodontist Please refer to the Kaiser Assignment Criteria document located at cchealth.org/CCHPmaterials or contact Member Services at 1-877-661-6230 (press 2) for more information. Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. Select OrganizationAffiliations providing the specified service. View Urgent Visit Access Offices in Santa Cruz County. CORE Certification 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. Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. Select products that are administered by the specified organization. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). Lassen Select Practitioners with the specified family name. This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. Orange It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . 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. Select HealthcareServices providing the specified category of services. Board Certifications: A doctor gets a certificate after completing extra training in their specialty. 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. Groups: The practice a doctor works in. Sacramento Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line 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. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. 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 Healthcare Service resource typically describes services offered by an organization/practitioner at a location. This is not a guarantee they will be available to accept additional patients at the time you contact them. The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. Below we describe the information in the fields in the provider directory. 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. Most hospitals in Contra Costa County and the immediate surrounding area are participants. Select Practitioners with the specified given name. They will be able to assist you in making the best health plan choice for you. Board certifications for most Doctors of Osteopathic Medicine (D.O.) Monterey Learn best practices and earn CBI payments for ACE screenings at your practice. 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. 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. Frequently Asked Questions, GRIEVANCE FORM To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. Select insurance plans of the specified type. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. Santa Cruz You are now being transferred to the CCA corporate website. *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. Certified Orthodontist A Decrease font size. 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. View Urgent Visit Access Offices in Merced County. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? Sonoma Website: The internet address that the doctor and practice information can be found. Select PractitionerRoles providing the specified service. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. Showing of 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. Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. Accessible with a Wheelchair: The office is handicap accessible. Select HealthcareServices of the specified type. Arabic If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. San Joaquin The RESTful capabilities are discussed in further detail below. [parameter=value]&_include=HealthcareService:organization, 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. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. The online search engine updates nightly based on information entered that day. Select health insurance provider networks available in a region described by the specified location. San Benito Please select the county where you live. Public Health, * Language: 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. Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. Tagalog To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. 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. Select PractitionerRoles associated with the specified 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. Search by plan name, specialty, location, or provider name. Inyo For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. 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). Kern Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. The FHIR server may return the data, but there is no requirement to do so. We can assist you with your selection for primary care provider. 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. Placer CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. A Network refers to a health care provider insurance network. Dont miss our bimonthly newsletter for community partners. Siskiyou 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. Select HealthcareServices with the specified name. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. 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. This makes sure that Medi-Cal members have access to covered services. 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. A Increase font size. The number to call in each county is. CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. Select PractitionerRoles available at the specified organization. Sierra 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. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? This directory is for informational use only. Accepting new patients: The doctor is taking new patients. Alliance Care IHSS Price Transparency Tool. Found inside - Page 57. 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 Locations with the specified state address. 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. Connecting, solving and transforming healthcare business challenges. 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. We can explain what hospitals are near you. 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).

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