A Decrease font size. FAQs, Case Studies, Issue Briefs, and more. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. If you are a member or potential member it is important for you to understand how our two networks are organized. 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. Select products that are owned by the specified organization. Trinity [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? 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. Siskiyou Operating rule development for these transactions is currently underway. The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. Select roles filled by the specified organization. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? 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. Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. Use the Provider Directory Information Update Form to alert us to any changes to your provider information. Groups: The practice a doctor works in. 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. Sometimes, there is not a needed provider close enough. Select Practitioners with the specified family name. You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. 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). Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. Certificate. Hospitals: The network hospitals a doctor can see their patients in. 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. San Francisco Our Provider and Pharmacy Directory make it easy to find the care you need. Select Locations with the specified state address. 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. Then click the magenta Get Location button. View rating by specialty and compare nearby hospitals. Laotian Dental Clinics Serving Medi-Cal Members. CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. Colusa Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. CORE Certification County: 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. PDF Medi-Cal Merced Provider Directory - ccah-alliance.org The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. 2020 K Street, NW - Suite 660 Washington, D.C. 20006. Name: The doctor or hospital that is part of the CCP network. Pedodontist * Translation services available for most languages. 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. 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). Connecting, solving and transforming healthcare business challenges. [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? Together, we can bring uncommon care to more people with significant needs. Find-A-Dentist. General Practitioner Contra Costa [parameter=value]&_include=Organization:partof, GET [base]/Organization? CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Merced As of January 2013, all HIPAA-covered entities must adhere to the federally mandated Phase I and II CAQH CORE Operating Rules, which relate to patient eligibility and claim status. Updates will be posted at cchealth.org. 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? At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. Santa Barbara Sometimes, there is not a needed provider close enough. Japanese You are now being transferred to the CCA corporate website. Sometimes CCP does not receive a notice that the information has changed. The FHIR server may return the data, but there is no requirement to do so. Select organizations with the specified address (matches any of the string elements of an address). Please indicate below any changes to the directory listing for the practice listed above. 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. Select Organizations of the specified type. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). 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 PractitionerRoles with the specified role. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? The doctor or hospital gives CCP this information on their application when they join the health plan. 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. 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. The ACA has taken operating rules to a new level. 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). 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. Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. Lake San Bernardino View Urgent Visit Access Offices in Monterey County. Showing of Learn More. In those situations, CenCal Health can still get you care. See our linguistic access and accessibility policy. 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). An example is a doctor who works only with the heart, cancer, or bones. Vietnamese Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. Butte 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. The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. 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. This network contains both primary and specialty care providers to choose from. Large healthcare providers may achieve CORE Certification. Mandarin The local timezone is named Europe / Berlin with an UTC offset of 2 hours. 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 PDF Monterey and Santa Cruz Medi-Cal Provider Directory Gua de Proveedores 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. Alliance members must use a pharmacy that works with MedImpact. They might also work in different offices or clinics. To verify the current status of a hospital visit jointcommission.org. 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? Nevada Locations can range in scope from a room in a building to a geographic region/area. 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). To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. Search for providers using a specific location or your current location. [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? Select Organizations with the specified name. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. CCAHGolden Road 365 Detox - Transform Your Health in 21 Days 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. Chinese 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. Member Handbook We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. CCAH Provider Portal - provider.portal.ccah-alliance.org Location Name: Name of the doctor's office or hospital address. 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. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. Shasta [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? Oral Pathologist 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. Implements RESTful behaviors according to the FHIR specification. Madera Select HealthcareServices of the specified type. 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. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Adoption Directory CCHP does not verify these skills. 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]. ccah provider directory400,000 mile ecoboost. Periodontist 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. 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. Amador 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. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? Operating rule development for these transactions is currently underway. Specialty: The area of medicine the doctor provides care to patients. Humboldt We are dedicated to providing the highest quality of care for your furry family members. Central California Alliance for Health | ccah-alliance.org Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. Member Handbook A Increase font size. Alliance Care IHSS Price Transparency Tool. The number to call in each county is. 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. The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . A Reset font size. 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. 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. This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. Call 866-610-2273 (TTY 711). [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. Fresno Tagalog This certificate expires, so CCP checks it at least every 3 years. Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. San Benito To find a pharmacy, use Medi-Cal Rx's online pharmacy directory using the link below: The Central California Alliance for Health (the Alliance) contracts with a company called MedImpact to provide pharmacy services. MAY: An optional inclusion for the implementation; not a requirement. 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 Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. Provider Directory Information Update Form - ccah-alliance.orgProvider Directory - Community Behavioral Health Only submit information below that needs to be changed in the directory. Select products with the specified identifier. 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. Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. To report any errors, click on the link below. Kern Current time in Gunzenhausen is now 07:51 PM (Saturday). Select HealthcareServices available at the specified location. To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. 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. 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. 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. This directory is for informational use only. Who are Providers? Members - Medi-Cal Dental - Find-A-Dentist - California This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. Please select a language Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. Mono A network is typically owned by a payer. Mongolian Public Health, * Language: Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. Certified Orthodontist 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. The RESTful capabilities are discussed in further detail below.
