ccah provider directory

You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). A Decrease font size. Frequently Asked Questions, GRIEVANCE FORM Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. Mandarin El Dorado Operating rule development for these transactions is currently underway. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. Hospital Quality: The hospitals performance rating. [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? Select Locations that are part of the specified location. Select HealthcareServices of the specified type. If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. Contra Costa You can also use the filters to search for more specific information. The number to call in each county is. You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . Stanislaus 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. 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. PCP's are not required to have hospital privileges. Mariposa Lake 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. [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. Cambodian This makes sure that Medi-Cal members have access to covered services. Select OrganizationAffiliations available at the specified location. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). 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. The online Beacon Provider Directory can be found at the link below. *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. You are now being transferred to the CCA corporate website. 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. CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. Providers must document this choice in the member's medical record. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. 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. Mongolian Vietnamese Location Name: Name of the doctor's office or hospital address. Then click the magenta Get Location button. Sometimes, there is not a needed provider close enough. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. Step 3a: Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? Sacramento A doctor may work with other doctors. Santa Clara Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. 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. Benefits of CCAH Provider Portal 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. Documents will be mailed within five (5) business days of receiving request. Shasta Select roles offered by the specified organization. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. 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. Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? 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. Please select the county where you live. County: Who are Providers? Provider Directory Information Update Form Provider Directory Information Update Form 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. There are more protections for immigrants and their families to use public benefits. Sutter 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. Dental Clinics Serving Medi-Cal Members. As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. 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. [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? 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. 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 Modoc 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). 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. The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. 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. Only submit information below that needs to be changed in the directory. View rating by specialty and compare nearby hospitals. This is not a guarantee they will be available to accept additional patients at the time you contact them. Dont miss our bimonthly newsletter for community partners. CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. 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. 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. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. They might also work in different offices or clinics. Madera Thank you for the opportunity to partner with you. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. Authentication is not required to access the Conformance resource. To set your current location, click the green Use Current Location button. Search by plan name, specialty, location, or provider name. The hospital reports the safety and quality of its care. 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. Oral Surgeon The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? San Mateo Santa Barbara The hospital gets reviewed by national organizations to see if they meet these standards. The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? Tuolumne Alliance. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? San Bernardino Farsi 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). Board Certifications: A doctor gets a certificate after completing extra training in their specialty. Alliance Care IHSS Price Transparency Tool. General Practitioner All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. [parameter=value]&_revinclude=PractitionerRole:network, GET [base]/Organization?[parameter=value]&_revinclude=OrganizationAffiliation:participating-organization. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? * 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. Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. Member Handbook The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. 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. We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. Select OrganizationAffiliations with the specified role. Please select a county Mendocino A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. Select Locations with the specified address. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Select OrganizationAffiliations providing the specified service. Medi-Cal Dental Program. Spanish ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. Humboldt Monterey 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. Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. The ACA has taken operating rules to a new level. Select services associated with the specified specialty. Prosthodontist Select PractitionerRoles available at the specified location. We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. A Network refers to a health care provider insurance network. 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. 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. Select Organizations with the specified name. 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?