Providers must document this choice in the member's medical record. San Francisco Arabic CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. * 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. 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). Search - Provider Directory What care are you looking for? Provider Directory for Members - CenCal Health 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. Nurse Advice Line 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. Updates will be posted at cchealth.org. San Luis Obispo Health and Wellness Rewards Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. San Benito Dont miss our bimonthly newsletter for community partners. Monterey CCHA | Find a Provider - Colorado Community Health Alliance See our linguistic access and accessibility policy. Select products with the specified identifier. Marin Endodontist 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. 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. Select insurance plans of the specified type. Japanese Specialty: The area of medicine the doctor provides care to patients. Nevada Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. Select roles where the organization is a member of the specified health insurance provider network. You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? ccah provider directory400,000 mile ecoboost. There are more protections for immigrants and their families to use public benefits. The FHIR server may return the data, but there is no requirement to do so. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. 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. Registered Dental Hygienists in Alternative Practice. 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). Chinese Select PractitionerRoles available at the specified location. Select Locations with the specified city address. El Dorado To report any errors, click on the link below. ccah provider directory Stanislaus Select OrganizationAffiliations providing the specified service. Cantonese. 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? GET [base]/Location? [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? Shasta A Decrease font size. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? Tuolumne 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. Accepting New Patients: This provider accepts both new and existing patients. If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. Hospital information is verified by viewing the information listed on their website. Select Practitioners with the specified given name. Napa Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. A Increase font size. You can also access the Kaiser online directory. Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. 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. Thai The hospital gets reviewed by national organizations to see if they meet these standards. Sonoma 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. This network contains both primary and specialty care providers to choose from. Merced A Reset font size. Search by plan name, specialty, location, or provider name. CCP checks this information at least every 3 years. Board certifications for most Doctors of Osteopathic Medicine (D.O.) Santa Barbara Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. Del Norte Vietnamese Laotian Madera The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. InsureKidsNow Search. 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. Mendocino This is not a guarantee they will be available to accept additional patients at the time you contact them. Select products that are administered by the specified organization. [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. 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. 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 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. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Please Note: Be sure to include your full address with City, State, and ZIP. Select OrganizationAffiliations associated with the specified specialty. Find-A-Dentist. The FHIR server is recommended to return this data. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. Medi-Cal Dental Program. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. You are now being transferred to the CCA corporate website. 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. PDF Monterey and Santa Cruz Medi-Cal Provider Directory Gua de Proveedores 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. Mandarin Select PractitionerRoles providing the specified service. 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. The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. Downloadable PDF Directories County: Select roles filled by the specified organization. Then click the magenta Get Location button. . 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. 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. Our Provider and Pharmacy Directory make it easy to find the care you need. Please select a specialty 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). Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. The hospital reports the safety and quality of its care. 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 now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Select PractitionerRoles associated with the specified specialty. Tehama The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. **In Dukes and Nantucket Counties: CCA health plans are not yet available. 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. 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. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. General Practitioner Providers in the CCRMC network are certified in languages spoken in addition to English. Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. You can also use the filters to search for more specific information. Punjabi Health and Wellness Rewards A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. CCHP discourages the use of family members, friends or minors to interpret or translate materials. Large healthcare providers may achieve CORE Certification. Select Practitioners with the specified family name. We are dedicated to providing the highest quality of care for your furry family members. Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. The resource may be used to encompass a variety of services covering the entire health care spectrum, including promotion, prevention, diagnostics, hospital and ambulatory care, home care, long-term care and other health-related and community services. 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. You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). Alliance Care IHSS Price Transparency Tool. 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. Oral Surgeon CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. Farsi Please select a county 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. Mariposa A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. Mongolian Frequently Asked Questions, GRIEVANCE FORM Location Name: Name of the doctor's office or hospital address. The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. Thank you for the opportunity to partner with you. Provider Directories - Maryland Department of Human Services We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. The RESTful capabilities are discussed in further detail below. Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. 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. + Decrease font size. Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. Operating rule development for these transactions is currently underway. ProcessLogoff - provider.portal.ccah-alliance.org Sierra Hours: When the office or hospital is open to see patients. Our directories are printed by county. Adoption Directory Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. Imperial , California Board Certifications: A doctor gets a certificate after completing extra training in their specialty. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. CCA will not contact you unless we have questions about your request. Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). Medi-Cal Dental Provider Directory Search. Please select a language San Bernardino GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? PDF Medi-Cal Merced Provider Directory - ccah-alliance.org Select HealthcareServices available at the specified location. 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. Fresno Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? Prosthodontist There are more protections for immigrants and their families to use public benefits. Language Assistance [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. Phone Number: The doctors office or hospital phone number. It requires CenCal Health to meet both time and distance standards based on county population density. Select OrganizationAffiliations with the specified role. Learn best practices and earn CBI payments for ACE screenings at your practice. Kern A doctor may work with other doctors. Select health insurance provider networks available in a region described by the specified location. San Diego Select Locations that are part of the specified location. To set your current location, click the green Use Current Location button. View Urgent Visit Access Offices in Santa Cruz 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. Frequently Asked Questions, GRIEVANCE FORM San Mateo Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. Learn More. View rating by specialty and compare nearby hospitals. Alliance Provider Directory - provider.portal.ccah-alliance.org Implements RESTful behaviors according to the FHIR specification. ASL Interpreter Available: The office can translate into American Sign Language. Yuba, Specialty: The call is free. Hospitals: The network hospitals a doctor can see their patients in. PCP's are not required to have hospital privileges. 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. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? 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). 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. Select services associated with the specified specialty. Tagalog Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. A network is typically owned by a payer. Sometimes CCP does not receive a notice that the information has changed. 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. This directory is for informational use only. If you are a member or potential member it is important for you to understand how our two networks are organized. 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? They might also work in different offices or clinics. Siskiyou [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? 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). The doctor provides an excellent patient experience. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! Medical group: This information is collected from the group at the time they initially join the network.