View Urgent Visit Access Offices in Santa Cruz County. Tuolumne Below we describe the information in the fields in the provider directory. GET [base]/Location? View Urgent Visit Access Offices in Monterey County. Vietnamese Cambodian Hospitals: The network hospitals a doctor can see their patients in. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. Alameda 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. You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). Alliance Care IHSS Price Transparency Tool. To report incorrect provider information, members can contact member services by calling 1-877-661-6230 option 2 or by email: email@example.com and Providers or the general public can contact Provider Relations at firstname.lastname@example.org or by calling 1-877-800-7423 option 6. 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. Colusa CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. Japanese Armenian 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. El Dorado Board Certifications: A doctor gets a certificate after completing extra training in their specialty. Select roles where the practitioner is a member of the specified health insurance provider network. Using read-only RESTful GET API calls (PUT and POST are not currently supported), you can create an application to access information about our providers and pharmacies. 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. 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. Fresno Select Organizations with the specified name. Cantonese. Select products with the specified identifier. 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. CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. This is not a guarantee they will be available to accept additional patients at the time you contact them. The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. Please indicate the name of your practice in the box above. Documents will be mailed within five (5) business days of receiving request. Select Organizations of the specified type. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. Select HealthcareServices providing the specified category of services. To verify the current status of a hospital visit jointcommission.org. Learn best practices and earn CBI payments for ACE screenings at your practice. 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. Modoc Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. MAY: An optional inclusion for the implementation; not a requirement. 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. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? can be viewed free at osteopathic.org. [parameter=value]&_include=Organization:partof, GET [base]/Organization? Preferred Provider: A doctor that meets strict quality standards. 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. 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. San Diego Llame al 866-610-2273 (TTY 711). Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. San Luis Obispo Select Locations managed by the specified organization. San Francisco CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. Lassen Monterey Select services associated with the specified specialty. Select OrganizationAffiliations with the specified role. Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. The RESTful capabilities are discussed in further detail below. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/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 CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. Operating rule development for these transactions is currently underway. The hospital gets reviewed by national organizations to see if they meet these standards. * 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. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. Glenn We can explain what hospitals are near you. [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? Laotian We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. Search - Provider Directory What care are you looking for? Using read-only RESTful GET API calls (PUT and POST are not currently supported), you can create an application to access information about our providers and pharmacies. To select the Kaiser Permanente Medical Group as your PCP for Medi-Cal, you must have been a recent Kaiser member or meet other criteria to qualify. Endodontist Specialty: The area of medicine the doctor provides care to patients. San Joaquin 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 Groups: The practice a doctor works in. The most current board certification status can be verified at The American Board of Medical Specialties website. Providers must document this choice in the member's medical record. 734-436-0455 A Increase font size. Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. Sometimes CCP does not receive a notice that the information has changed. Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. CORE Certification The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. Please select a specialty Sometimes, there is not a needed provider close enough. Select HealthcareServices of the specified type. 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. Results are as of 12/1/2020 unless otherwise noted. CCHP does not verify these skills. Language Assistance Select HealthcareServices available at the specified location. Tagalog Hospital information is verified by viewing the information listed on their website. Siskiyou Facilities may also notify us at any time regarding changes to their accreditation status. 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). Accepting new patients: The doctor is taking new patients. The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. Hours: When the office or hospital is open to see patients. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. You are now being transferred to the CCA corporate website. You are now being transferred to the CCA corporate website. This certificate expires, so CCP checks it at least every 3 years. Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. 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 Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. Select Organizations that are part of the specified organization. If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. Found inside - Page 57. Board Certification: Information on board certification is verified at the time of credentialing and re-verified at least every three years at the time of re-credentialing. Santa Cruz Select Locations with the specified address. 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. [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? Sacramento Mono [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/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. GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. 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. Select PractitionerRoles providing the specified service. In the CCHP provider online search engine above you can search for providers that participate with CCHP's two networks consisting of over 5,000 primary care providers and specialists. Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. These are the resources and the endpoints available with the Alliance Provider Directory API. Arabic Select Practitioners with the specified given name. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. Connecting, solving and transforming healthcare business challenges. 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. [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? Merced A Reset font size. See our linguistic access and accessibility policy. Search by plan name, specialty, location, or provider name. Oral Pathologist 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. We can assist you with your selection for primary care provider. 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). Health and Wellness Rewards Thai Select OrganizationAffiliations associated with the specified specialty. Chinese Select PractitionerRoles available at the specified organization. Calaveras SHALL: An absolute requirement for all implementations. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. The FHIR server must return this data. A network is typically owned by a payer. There are more protections for immigrants and their families to use public benefits. Location Name: Name of the doctor's office or hospital address. 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. 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. 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? Our Provider and Pharmacy Directory make it easy to find the care you need. Kern Gender: A doctors sex, either Male or Female. 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. 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. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! 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. 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. 2020 K Street, NW - Suite 660 Washington, D.C. 20006. The call is free. Name: The doctor or hospital that is part of the CCP network. Updates will be posted at cchealth.org. ProcessLogoff - provider.portal.ccah-alliance.org Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. 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 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]. Dont miss our bimonthly newsletter for community partners. A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. They might also work in different offices or clinics. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? It requires CenCal Health to meet both time and distance standards based on county population density. Member Handbook Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. Follow-up on missed appointments: Providers are expected to review all members that do not show up for scheduled appointments and to identify those requiring follow-up, based on their medical condition. Registered Dental Hygienists in Alternative Practice. [parameter=value]&_revinclude=PractitionerRole:network, GET [base]/Organization?[parameter=value]&_revinclude=OrganizationAffiliation:participating-organization. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network.