Inyo These are the resources and the endpoints available with the Alliance Provider Directory API. 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 The call is free. To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. 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). Accessibility Health and Wellness Rewards Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. A network is typically owned by a payer. 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. [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? + Reset font size. [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line Adoption Directory Tagalog Napa Select PractitionerRoles associated with the specified specialty. Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. . 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. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? Japanese Thai GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? Select insurance plans of the specified type. Kings Please indicate the name of your practice in the box above. + Decrease font size. 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. Select health insurance provider networks available in a region described by the specified location. The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. 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. Chinese Click to see Board of Directors Meeting Schedule/Upcoming Agenda. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? Who are Providers? Glenn [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? The hospital gets reviewed by national organizations to see if they meet these standards. Found inside - Page 57. It requires CenCal Health to meet both time and distance standards based on county population density. Solano 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. 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. 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. [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? 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? In those situations, CenCal Health can still get you care. Shasta This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. This makes sure that Medi-Cal members have access to covered services. This information is subject to change without notice. * Translation services available for most languages. Current time in Gunzenhausen is now 07:51 PM (Saturday). Please indicate below any changes to the directory listing for the practice listed above. A doctor may work with other doctors. Hospital information is verified by viewing the information listed on their website. 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. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. Updates will be posted at cchealth.org. Please select a language [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? Language Assistance Arabic CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! Location Name: Name of the doctor's office or hospital address. Tehama Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. Laotian Name: The doctor or hospital that is part of the CCP network. + Increase font size. It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. 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. 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. Authentication is not required to access the Conformance resource. 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. Please select a specialty PCP's are not required to have hospital privileges. Stanislaus * 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. Learn More. Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. CORE Certification 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. Select roles where the practitioner is a member of the specified health insurance provider network. Select HealthcareServices available at the specified location. Select Locations with the specified postal code address. Select HealthcareServices providing the specified category of services. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? You can get these documents for free in other formats, such as large print, braille, or audio. Frequently Asked Questions, GRIEVANCE FORM Alliance Care IHSS Price Transparency Tool. Website: The internet address that the doctor and practice information can be found. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. Select HealthcareServices with the specified name. The hospital reports the safety and quality of its care. A Decrease font size. 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. GET [base]/Location? The FHIR server may return the data, but there is no requirement to do so. Sonoma 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. Specialty: The area of medicine the doctor provides care to patients. Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. ccah provider directory Verification is obtained either by contacting the accrediting agency directly or by obtaining a copy of the approval letter or report provided by the facility. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. Large healthcare providers may achieve CORE Certification. 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. View Urgent Visit Access Offices in Santa Cruz County. 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. Santa Barbara 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. Only submit information below that needs to be changed in the directory. San Joaquin Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. Nevada If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. Select Locations that are part of the specified location. Please select the county where you live. Sierra Member Handbook A Reset font size. MAY: An optional inclusion for the implementation; not a requirement. 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. Board Certifications: A doctor gets a certificate after completing extra training in their specialty. Trinity 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. Select OrganizationAffiliations available at the specified location. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). Medi-Cal Dental Provider Directory Search. Santa Cruz The most current board certification status can be verified at The American Board of Medical Specialties website. 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. An example is a doctor who works only with the heart, cancer, or bones. ProcessLogoff - provider.portal.ccah-alliance.org The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. Select roles where the organization is a member of the specified health insurance provider network. Groups: The practice a doctor works in. Llame al 866-610-2273 (TTY 711). If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. 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). Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? Contra Costa Learn best practices and earn CBI payments for ACE screenings at your practice. Accepting New Patients: This provider accepts both new and existing patients. Riverside CCHP does not verify these skills. Certified Orthodontist CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. Operating rule development for these transactions is currently underway. 2020 K Street, NW - Suite 660 Washington, D.C. 20006. 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. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. They might also work in different offices or clinics. 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. San Mateo Mongolian We can explain what hospitals are near you. Mendocino All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. Health and Wellness Rewards All Rights Reserved. Sometimes, there is not a needed provider close enough. 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. Results are as of 12/1/2020 unless otherwise noted. Our Provider and Pharmacy Directory make it easy to find the care you need. 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. Waiting time in provider office: within 45 minutes or less from the time of the patients appointment until they are taken to the exam room. Some doctors might have all the patients they can fit in, while still giving you the best care. Dont miss our bimonthly newsletter for community partners. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. *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. 734-436-0455 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. CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. CCA will not contact you unless we have questions about your request. There are more protections for immigrants and their families to use public benefits. [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? 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. Language Assistance The local timezone is named Europe / Berlin with an UTC offset of 2 hours. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. ccah provider directory400,000 mile ecoboost. [parameter=value]&_include=Location:partof, GET [base]/Location? If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. Sometimes CCP does not receive a notice that the information has changed. We can assist you with your selection for primary care provider. FAQs, Case Studies, Issue Briefs, and more. Select services available in a region described by the specified location. Farsi At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. Together, we can bring uncommon care to more people with significant needs. 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. SHOULD: A best practice or recommendation for the implementation. Kern Enrollment for these plans ends December 7. Search for providers using a specific location or your current location. Alliance members must use a pharmacy that works with MedImpact. Phone Number: The doctors office or hospital phone number. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. English Dont miss our bimonthly newsletter for community partners. Ventura 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.
1992 Unlv Football Roster, How Did David Lochary Die, Green Labs Cherry Empire Strain, Tezfiles Link Generator, Articles C