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We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. Pedodontist Shasta 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. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. Modoc Select Organizations with the specified name. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Only submit information below that needs to be changed in the directory. 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). 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. Language Assistance Members have the choice to refuse professional interpreters and use adult family members or friends. CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. 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 providerrelations@cchealth.org or by calling 1-877-800-7423 option 6. Oral Surgeon You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. This directory is for informational use only. Most hospitals in Contra Costa County and the immediate surrounding area are participants. 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. 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? Facility: CCHP updates facility information daily as changes are reported by the facility. GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? We are dedicated to providing the highest quality of care for your furry family members. Current time in Gunzenhausen is now 07:51 PM (Saturday). Select Practitioners with the specified family name. Fresno The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. 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. 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]. 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. [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? Santa Clara General Practitioner Downloadable PDF Directories In those situations, CenCal Health can still get you care. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. Frequently Asked Questions, GRIEVANCE FORM Sacramento [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? A Decrease font size. We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. Operating rule development for these transactions is currently underway. The hospital reports the safety and quality of its care. Enrollment for these plans ends December 7. Periodontist [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. Select insurance plans of the specified type. Select products that are offered in the specified location. Taiwanese This information is subject to change without notice. Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. Stanislaus Lassen 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 section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. Search by plan name, specialty, location, or provider name. In those situations, CenCal Health can still get you care. MAY: An optional inclusion for the implementation; not a requirement. Amador All Rights Reserved. San Luis Obispo We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? ASL Interpreter Available: The office can translate into American Sign Language. The call is free. 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. GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. These are the resources and the endpoints available with the Alliance Provider Directory API. The doctor provides an excellent patient experience. Siskiyou Medi-Cal Dental Provider Directory Search. Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. . Location Name: Name of the doctor's office or hospital address. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. Hospitals: The network hospitals a doctor can see their patients in. Please select a county Please Note: Be sure to include your full address with City, State, and ZIP. 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). ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Select Locations with the specified state address. Location: The doctors office or hospital address. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? Telephone wait time for practice/plan to answer: within 10 minutes, Telephone call back wait time practice/provider office: by the end of the next business day, Telephone call back wait time triage: within 30 minutes. Public Health, * Language: [parameter=value]&_include=Location:partof, GET [base]/Location? PCP's are not required to have hospital privileges. Find-A-Dentist. CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. It requires CenCal Health to meet both time and distance standards based on county population density. 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. SHALL: An absolute requirement for all implementations. 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. San Benito + Increase font size. 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. 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 + Decrease font size. Languages Spoken: These abilities are self-reported by the providers in the CPN network when the provider joins the network and at the time of recredentialing. Please indicate the name of your practice in the box above. Please select the county where you live. Alliance Care IHSS Price Transparency Tool. There are more protections for immigrants and their families to use public benefits. Select Practitioners with the specified given name. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. 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. Please select a language The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. can be viewed free at osteopathic.org. Specialty: A provider's specialty is identified when they join the health plan network. Select OrganizationAffiliations associated with the specified specialty. Accepting New Patients: This provider accepts both new and existing patients. Providers must document this choice in the member's medical record. Preferred Provider: A doctor that meets strict quality standards. 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. [parameter=value]&_include=Organization:partof, GET [base]/Organization? The most current board certification status can be verified at The American Board of Medical Specialties website. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? Alliance Care IHSS Price Transparency Tool. All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. Select roles filled by the specified practitioner. CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. 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. Plumas By entering a hospital name, the accreditation status and quality measures are listed. 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. ProcessLogoff - provider.portal.ccah-alliance.org 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. Dont miss our bimonthly newsletter for community partners. Merced You can get these documents for free in other formats, such as large print, braille, or audio. [parameter=value]&_revinclude=PractitionerRole:network, GET [base]/Organization?[parameter=value]&_revinclude=OrganizationAffiliation:participating-organization. The online search engine updates nightly based on information entered that day. 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 Humboldt Health and Wellness Rewards CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. Select HealthcareServices of the specified type. CORE Certification Santa Barbara Hospital Affiliation: This information is collected from the provider at the time they initially join the network and verified upon initial and recredentialing, quarterly through the Network Update link, and reviewed on an annual basis. Hmong Select health insurance provider networks available in a region described by the specified location. Documents will be mailed within five (5) business days of receiving request. Gender: A doctors sex, either Male or Female. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. Board Certifications: A doctor gets a certificate after completing extra training in their specialty. A Reset font size. Mandarin FAQs, Case Studies, Issue Briefs, and more. Select HealthcareServices providing the specified category of services. We can explain what hospitals are near you. Ventura Select products that are administered by the specified organization. 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. The hospital gets reviewed by national organizations to see if they meet these standards. Accepting new patients: The doctor is taking new patients. * Translation services available for most languages. * 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. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. 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. 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 CCAH provider portal gives you the information, tools and resources you need to support the day-to-day needs of your patients and office. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. Farsi To report any errors, click on the link below. Sonoma Alpine 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. Korean If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. Placer Select roles where the organization is a member of the specified health insurance provider network. Select PractitionerRoles available at the specified location. 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). **In Dukes and Nantucket Counties: CCA health plans are not yet available. 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. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. The FHIR server is recommended to return this data. San Francisco The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. Glenn 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. Implements RESTful behaviors according to the FHIR specification. The online Beacon Provider Directory can be found at the link below. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. Search for providers using a specific location or your current location. Updates will be posted at cchealth.org. [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? 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. Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. Dental Clinics Serving Medi-Cal Members. If you are a solo practitioner, enter your name in the box above. Tagalog Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. 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. [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? Sometimes, there is not a needed provider close enough. 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). Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. Authentication is not required to access the Conformance resource. Call 866-610-2273 (TTY 711). Select OrganizationAffiliations providing the specified service. 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. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? Tehama You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . You can also use the filters to search for more specific information. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. 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. 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). Laotian Large healthcare providers may achieve CORE Certification. Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. San Mateo CCHP discourages the use of family members, friends or minors to interpret or translate materials. Accessibility GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? Please indicate below any changes to the directory listing for the practice listed above. Board certifications for most Doctors of Osteopathic Medicine (D.O.)

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