+ Increase font size. Below we describe the information in the fields in the provider directory. Vietnamese Operating rule development for these transactions is currently underway. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? Glenn 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). The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. Member Handbook Mongolian A Increase font size. Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. Medi-Cal Dental Provider Directory Search. Humboldt CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. Colusa Select Organizations of the specified type. The FHIR server may return the data, but there is no requirement to do so. Who are Providers? 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. In those situations, CenCal Health can still get you care. 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. The ACA has taken operating rules to a new level. 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. CORE Certification Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? ASL Interpreter Available: The office can translate into American Sign Language. The hospital reports the safety and quality of its care. [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? 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). Documents will be mailed within five (5) business days of receiving request. 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. . Kern Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. Nurse Advice Line [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? 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 OrganizationAffiliations associated with the specified specialty. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. [parameter=value]&_include=Organization:partof, GET [base]/Organization? GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? The online search engine updates nightly based on information entered that day. Health and Wellness Rewards We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. 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. Riverside Select HealthcareServices provided by the specified organization. An example is a doctor who works only with the heart, cancer, or bones. + Reset font size. [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. Sierra 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. View rating by specialty and compare nearby hospitals. The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. Specialty: The area of medicine the doctor provides care to patients. Imperial Del Norte Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. Select Organizations with the specified name. These are the resources and the endpoints available with the Alliance Provider Directory API. Dont miss our bimonthly newsletter for community partners. Select PractitionerRoles available at the specified location. Armenian We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. InsureKidsNow Search. Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. Spanish It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. 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. To verify the current status of a hospital visit jointcommission.org. The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. Select OrganizationAffiliations available at the specified location. 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 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 Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. The FHIR server is recommended to return this data. Select OrganizationAffiliations providing the specified service. As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. Orange Please Note: Be sure to include your full address with City, State, and ZIP. You are now being transferred to the CCA corporate website. Hospital information is verified by viewing the information listed on their website. Locations can range in scope from a room in a building to a geographic region/area. Search by plan name, specialty, location, or provider name. 2020 K Street, NW - Suite 660 Washington, D.C. 20006. Tulare Language Assistance County: Interpreter services are available at all CCHP points of contact where members may reasonably need such services. Dental Clinics Serving Medi-Cal Members. Phone Number: The doctors office or hospital phone number. 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. [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? Merced Sonoma Dont miss our bimonthly newsletter for community partners. Trinity The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Facilities may also notify us at any time regarding changes to their accreditation status. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. Farsi CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. PCP's are not required to have hospital privileges. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Mandarin Our directories are printed by county. Hindi Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. El Dorado Enrollment for these plans ends December 7. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. Siskiyou [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? Select health insurance provider networks available in a region described by the specified location. This certificate expires, so CCP checks it at least every 3 years. [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? The doctor or hospital gives CCP this information on their application when they join the health plan. 734-436-0455 Select Practitioners with the specified name (matches against any of the elements in the HumanName data type).