+ Decrease font size. Select Organizations of the specified type. Learn best practices and earn CBI payments for ACE screenings at your practice. San Luis Obispo Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. [parameter=value]&_include=Location:organization, GET [base]/Location? Specialty: A provider's specialty is identified when they join the health plan network. Sonoma 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. 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. Accepting new patients: The doctor is taking new patients. [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. Select roles filled by the specified organization. MAY: An optional inclusion for the implementation; not a requirement. Select PractitionerRoles providing the specified service. Registered Dental Hygienists in Alternative Practice. This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. SHALL: An absolute requirement for all implementations. Results are as of 12/1/2020 unless otherwise noted. Select roles offered by the specified organization. Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. 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. Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. Amador Our directories are printed by county. A network is typically owned by a payer. Updates will be posted at cchealth.org. [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Sacramento 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. 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]. Select PractitionerRoles with the specified role. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. Members have the choice to refuse professional interpreters and use adult family members or friends. Modoc This is not a guarantee they will be available to accept additional patients at the time you contact them. InsureKidsNow Search. Online Provider Directory http://www.ccah-alliance.org/providerdirectory.html Click on Provider Directory Search Effective January 2015 CENTRAL CALIFORNIA ALLIANCE FOR HEALTH Provider Directory / Gua de Proveedores / Phau Ntawv Teev Cov Kws Khomob A.2 Primary Care Physicians/ Doctores de Cuidado Primario/ Cov Thawj Kws Khomob [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. [parameter=value]&_include=Organization:partof, GET [base]/Organization? Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. Mandarin GET [base]/Location? The Alliance FHIR server SHALL be capable of returning a HealthcareService resource using: The Alliance FHIR server SHOULD be capable of returning a HealthcareService resource using: The Alliance FHIR server SHALL be capable of supporting the following _include parameters: The Alliance FHIR server SHALL be capable of supporting the following _revinclude parameters: The Alliance FHIR server SHALL be capable of returning an InsurancePlan resource using: The Alliance FHIR server SHOULD be capable of returning an InsurancePlan resource using: The Alliance FHIR server SHALL be capable of returning a Location resource using: The Alliance FHIR server SHOULD be capable of returning an Organization resource using: The Alliance FHIR server SHALL be capable of returning an Organization resource using: The Alliance FHIR server SHALL be capable of returning an OrganizationAffiliation resource using: The Alliance FHIR server SHOULD be capable of returning an OrganizationAffiliation resource using: The Alliance FHIR server SHALL be capable of returning a Practitioner resource using: The Alliance FHIR server SHOULD be capable of returning a Practitioner resource using: The Alliance FHIR server SHALL be capable of supporting the following _revinclude parameter: The Alliance FHIR server SHALL be capable of returning a PractitionerRole resource using. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. Select HealthcareServices with the specified name. Please Note: Be sure to include your full address with City, State, and ZIP. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? Cantonese. 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). This directory is for informational use only. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? In those situations, CenCal Health can still get you care. Periodontist If you are a member or potential member it is important for you to understand how our two networks are organized. Inyo Find-A-Dentist. Groups: The practice a doctor works in. Hospitals: The network hospitals a doctor can see their patients in. Contra Costa All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. Please indicate the name of your practice in the box above. Tagalog They will be able to assist you in making the best health plan choice for you. 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. Select products with the specified identifier. FAQs, Case Studies, Issue Briefs, and more. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? The online Beacon Provider Directory can be found at the link below. Orange 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. 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. Napa You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . In 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. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? 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. Select Locations with the specified city address. 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. SHOULD: A best practice or recommendation for the implementation. Riverside 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. 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. The most current board certification status can be verified at The American Board of Medical Specialties website. Select Locations managed by the specified organization. . * Translation services available for most languages. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. 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. For more information, please call the doctors office. + Reset font size. [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? [parameter=value]&_include=Location:partof, GET [base]/Location? * 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. Select products that are offered in the specified location. Office of Licensing and Monitoring Provider Directories It should be noted that this is an all-inclusive resource directory of DHS licensed programs; however, not every provider listed is contracted with DHS to provide services to youth in placement. Solano CAQH technology-enabled solutions, operating rules and research help nearly 1,000 health plans, 2 million providers, government entities and vendors connect, exchange information and operate more efficiently. Member Handbook Glenn Santa Barbara [parameter=value]&_revinclude=PractitionerRole:network, GET [base]/Organization?[parameter=value]&_revinclude=OrganizationAffiliation:participating-organization. ccah provider directory400,000 mile ecoboost. Board certifications for most Doctors of Osteopathic Medicine (D.O.) Gender: A doctors sex, either Male or Female. [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? A Decrease font size. Learn More. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. ASL Interpreter Available: The office can translate into American Sign Language. [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line Arabic Ventura 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. View rating by specialty and compare nearby hospitals. Thank you for the opportunity to partner with you. 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). Select insurance plans of the specified type. Provider Directory Welcome to Contra Costa Health Plan's Provider Online Search Engine Begin Your Search Here Request Printed Copy of Provider Directory Or call: 1-877-661-6230 (Option 2) Or write: Contra Costa Health Plan Attn: Member Services 595 Center Avenue, Suite 100 Martinez, CA 94553 View/Download Copy of Provider Directory Los Angeles Kings A Increase font size. We are dedicated to providing the highest quality of care for your furry family members. Select Practitioners with the specified family name. CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. Select HealthcareServices provided by the specified organization. The doctor or hospital gives CCP this information on their application when they join the health plan. View Urgent Visit Access Offices in Merced County. Select PractitionerRoles associated with the specified specialty. Santa Clara Please indicate below any changes to the directory listing for the practice listed above. Lake The ACA has taken operating rules to a new level. Mongolian The CAQH CORE Phase III Operating Rules for EFT & ERA have been mandated by HHS and since January 2014 any provider should be asking forthe streamlined electronic transactions that can result due to these operating rules and their affiliated standards. Adoption Directory 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? The hospital reports the safety and quality of its care. The Central California Alliance for Health (the Alliance) is an award-winning regional Medi-Cal managed care plan that provides health insurance for children, adults, seniors. Frequently Asked Questions, GRIEVANCE FORM Armenian GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? The FHIR server may return the data, but there is no requirement to do so. 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. CCA Senior Care Options, CCA Medicare Value, and CCA Medicare Preferred are available in 10 counties in Massachusetts: Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. Benefits of CCAH Provider Portal 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. Accessibility Providers must document this choice in the member's medical record. To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. 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. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? 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. 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. 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. Language Assistance Interpreter services are available at all CCHP points of contact where members may reasonably need such services. Search for providers using a specific location or your current location. A Reset font size. Downloadable PDF Directories Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. 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. Specialty: The area of medicine the doctor provides care to patients. Calaveras These are the resources and the endpoints available with the Alliance Provider Directory API. There are more protections for immigrants and their families to use public benefits. San Bernardino We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? Facility: CCHP updates facility information daily as changes are reported by the facility. Hospital Quality: The hospitals performance rating. CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. Use the Provider Directory Information Update Form to alert us to any changes to your provider information. Nurse Advice Line 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. **In Dukes and Nantucket Counties: CCA health plans are not yet available. Contra Costa Health (CCH) has been notified by the Martinez Refining Company of planned maintenance work at its facility that will cause flaring visible from Interstate 680 and Marina Vista Ave from Friday through Monday, March 6th. Pedodontist CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. A Decrease font size. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. Colusa Language Assistance Tulare We can explain what hospitals are near you. 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. Our Provider and Pharmacy Directory make it easy to find the care you need. This makes sure that Medi-Cal members have access to covered services. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. The online search engine updates nightly based on information entered that day. A Network refers to a health care provider insurance network. Continuity of Care Policy, 2023 Central California Alliance for Health | Website Feedback, Enhanced Care Management and Community Supports, Member Services Advisory Group Application, Whole Child Model Family Advisory Committee (WCMFAC), Provider Credentialing Applications and Policies, Complex Case Management and Care Coordination, Pain Management and Substance Use Resources, Interpreter Services Provider Quick Reference Guide, Interpreter Services Quality Assurance Form, Promoting Cultural and Linguistic Competency, Breastfeeding Support and Breast Pump Benefit, Prior Authorization Information Request for Injectable Drugs, Medical Nutrition Therapy Benefit Quick Reference Guide, Antidepressant Medication Management Tip Sheet, Immunizations: Adult Exploratory Measure Tip Sheet, Programmatic Measure Benchmarks & Performance Improvement, 90-Day Referral Completion Exploratory Tip Sheet, Application of Fluoride Varnish Tip Sheet, Immunizations: Children (Combo 10) Tip Sheet, Chlamydia Screening in Women Exploratory Measure Tip Sheet, Child and Adolescent Well-Care Visits Tip Sheet, Child and Adolescents BMI Assessment Tip Sheet, Well-Child Visits in the First 15 Months of Life Tip Sheet, Unhealthy Alcohol Use in Adolescents and Adults Tip Sheet, Tuberculosis (TB) Risk Assessment Exploratory Tip Sheet, Maximizing Your Value-Based Payments using CPT Category II Coding Tip Sheet, Lead Screening in Children Exploratory Measure Tip Sheet, Diabetic HbA1c Poor Control >9% Tip Sheet, Developmental Screening in the First 3 Years Tip Sheet, Controlling High Blood Pressure Exploratory Measure Tip Sheet, Best Practices for Reducing Patient No-Shows Tip Sheet, Ambulatory Care Sensitive Admissions Tip Sheet, USPSTF Recommendations for Primary Care Practice, Preventable Emergency Care Visit Diagnosis Tip Sheet, California Management Guidelines: Childhood Lead Poisoning, Standard of Care Guidelines: Childhood Lead Poisoning, Adverse Childhood Experiences (ACEs) Screening in Children and Adolescents Tip Sheet, Screening for Depression and Follow-Up Plan Tip Sheet, Initial Health Assessment Billing Code List, Chronic and Persistent Conditions Health Measures, DHCS Facility Site Review (FSR) Checklist, FSR Critical Elements: Interim Monitoring Form, DHCS Medical Record Review (MRR) Checklist, Screening for Adverse Childhood Experiences (ACEs).
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