We can assist you with your selection for primary care provider. Accessible with a Wheelchair: The office is handicap accessible. Monterey 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? Health and Wellness Rewards Hospital information is verified by viewing the information listed on their website. 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. Please select a specialty Butte Select OrganizationAffiliations associated with the specified specialty. Placer Punjabi [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? [parameter=value]&_include=Location:partof, GET [base]/Location? 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. Frequently Asked Questions, GRIEVANCE FORM Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). A Increase font size. PDF Medi-Cal Merced Provider Directory - ccah-alliance.org Sometimes, there is not a needed provider close enough. 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. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. To report incorrect provider information, members can contact member services by calling 1-877-661-6230 option 2 or by email: [email protected] and Providers or the general public can contact Provider Relations at [email protected] or by calling 1-877-800-7423 option 6. Select services available in a region described by the specified location. [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? 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. San Benito The doctor provides an excellent patient experience. Hmong This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. Search for providers using a specific location or your current location. Select roles offered by the specified organization. English SHOULD: A best practice or recommendation for the implementation. The online Beacon Provider Directory can be found at the link below. 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. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. Hospital Quality: The hospitals performance rating. Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. Select Locations with the specified city address. Call 866-610-2273 (TTY 711). A doctor may work with other doctors. Healthcare Provider Directory | Commonwealth Care Alliance MA Provider Directory - Central California Alliance for Health For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. An example is a doctor who works only with the heart, cancer, or bones. Tagalog Select organizations with the specified address (matches any of the string elements of an address). Ventura ccah provider directory Provider Directory - Central California Alliance for Health Plumas Cambodian Thai [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. 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. Nurse Advice Line This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. Stanislaus Insurance Plan describes a health insurance offering comprised of a list of covered benefits (for example: the product), costs associated with those benefits (for example: the plan) and additional information about the offering, such as who it is owned and administered by, a coverage area, contact information, etc. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. CCHP discourages the use of family members, friends or minors to interpret or translate materials. + Reset font size. These are the resources and the endpoints available with the Alliance Provider Directory API. Select roles filled by the specified practitioner. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. Select HealthcareServices providing the specified category of services. Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. Select Practitioners with the specified family name. Select Locations with the specified state address. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Select PractitionerRoles providing the specified service. Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. The FHIR server is recommended to return this data. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? If the specialty needed is not available within the assigned network, which may be due to, but is not limited to the provider being unable to make an appointment in a timely manner, the provider is located unreasonably far away, or you require a specialty not present in the RMC network, CCHP and the assigned PCP may arrange for whatever referrals, authorizations, and treatments necessary with a specialist that is available in a non-assigned network. 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. Most hospitals in Contra Costa County and the immediate surrounding area are participants. Inyo GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? Glenn Registered Dental Hygienists in Alternative Practice. **In Dukes and Nantucket Counties: CCA health plans are not yet available. Website: The internet address that the doctor and practice information can be found. 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). To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. County: Click to see Board of Directors Meeting Schedule/Upcoming Agenda. Vietnamese Language Assistance A Decrease font size. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Provider Search - CCHP Health Plan View Urgent Visit Access Offices in Monterey County. Oral Surgeon [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. * 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. This information is subject to change without notice. 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). Central California Alliance for Health | ccah-alliance.org CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Tehama Search from our 29,112 In-network providers, 5,058 primary care providers State (Required) * Location (Required) * Provider Name Optional Search Criteria Plan Name Specialty For Dentist, select "General Dentistry" in specialty drop down box above Need more specialty options? The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. To report any errors, click on the link below. 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. Medi-Cal Dental Dental Portal - California Location Name: Name of the doctor's office or hospital address. 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. 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. Only submit information below that needs to be changed in the directory. Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. Mandarin Santa Clara You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . 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. The most current board certification status can be verified at The American Board of Medical Specialties website. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. * Translation services available for most languages. Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. 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. 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. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. San Luis Obispo If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. Hospitals: The network hospitals a doctor can see their patients in. You are now being transferred to the CCA corporate website. Provider Directory | Community Cares Plan Mono ProcessLogoff - provider.portal.ccah-alliance.org CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. Groups: The practice a doctor works in. Select Locations that are part of the specified location. [parameter=value]&_revinclude=PractitionerRole:network, GET [base]/Organization?[parameter=value]&_revinclude=OrganizationAffiliation:participating-organization. If you are a solo practitioner, enter your name in the box above. A Increase font size. Lassen The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. Use the Provider Directory Information Update Form to alert us to any changes to your provider information. The doctor or hospital gives CCP this information on their application when they join the health plan. The hospital reports the safety and quality of its care. Napa You can also use the filters to search for more specific information. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. 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. 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. Specialty: The area of medicine the doctor provides care to patients. Select services associated with the specified specialty. Authentication is not required to access the Conformance resource. It requires CenCal Health to meet both time and distance standards based on county population density. 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. [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? Enrollment for these plans ends December 7. A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. 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. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits.