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On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. 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. 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). Sutter 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). Amador By entering an e-mail in this field I am confirming that the e-mail provided is intended for patient communication and is regularly monitored and maintained in a manner consistent with State and Federal laws. Specialty: A provider's specialty is identified when they join the health plan network. Click to see Board of Directors Meeting Schedule/Upcoming Agenda. 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. Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. Medi-Cal Dental Program. SHOULD: A best practice or recommendation for the implementation. 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. Select health insurance provider networks available in a region described by the specified location. Mandarin Vietnamese The FHIR server may return the data, but there is no requirement to do so. Tehama The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. Certified Orthodontist 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. Chinese + Reset font size. 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. Select Locations with the specified address. 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. The ACA has taken operating rules to a new level. Dont miss our bimonthly newsletter for community partners. Select PractitionerRoles associated with the specified specialty. You can get these documents for free in other formats, such as large print, braille, or audio. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. San Luis Obispo San Diego 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. Russian We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. Operating rule development for these transactions is currently underway. Step 3a: Sometimes CCP does not receive a notice that the information has changed. CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. Select roles where the practitioner is a member of the specified health insurance provider network. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Select products that are owned by the specified organization. Alliance. The call is free. *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. 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. Select HealthcareServices available at the specified location. Select OrganizationAffiliations providing the specified service. 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. Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. Santa Cruz Specialty: The area of medicine the doctor provides care to patients. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. 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. Select Organizations with the specified name. Please indicate below any changes to the directory listing for the practice listed above. San Bernardino Member Handbook We can explain what hospitals are near you. Enrollment for these plans ends December 7. SHALL: An absolute requirement for all implementations. You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). Select HealthcareServices providing the specified category of services. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. Members have the choice to refuse professional interpreters and use adult family members or friends. MAY: An optional inclusion for the implementation; not a requirement. Please refer to the Kaiser Assignment Criteria document located at cchealth.org/CCHPmaterials or contact Member Services at 1-877-661-6230 (press 2) for more information. 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). Current time in Gunzenhausen is now 07:51 PM (Saturday). San Francisco CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. In addition, on a quarterly basis, CCHP emails a Network Update link to each facility to report any changes to the information CCHP has on file. Santa Clara We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. 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]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. To report incorrect provider information, members can contact member services by calling 1-877-661-6230 option 2 or by email: cchp@cchealth.org and Providers or the general public can contact Provider Relations at providerrelations@cchealth.org or by calling 1-877-800-7423 option 6. We are dedicated to providing the highest quality of care for your furry family members. ProcessLogoff - provider.portal.ccah-alliance.org To set your current location, click the green Use Current Location button. To verify the current status of a hospital visit jointcommission.org. This information is subject to change without notice. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. If you are a member or potential member it is important for you to understand how our two networks are organized. CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. Mendocino Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. Napa Some doctors might have all the patients they can fit in, while still giving you the best care. The most current board certification status can be verified at The American Board of Medical Specialties website. 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. [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Placer These are the resources and the endpoints available with the Alliance Provider Directory API. As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. Connecting, solving and transforming healthcare business challenges. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. CCA Senior Care Options Directory by County (2023) view: Bristol, Norfolk, Plymouth Essex Franklin, Hampden, Hampshire Middlesex Suffolk Worcester CCA Senior Care Options Directory by County - Spanish (2023) view: Bristol, Norfolk, Plymouth-Spanish Essex-Spanish Franklin, Hampden, Hampshire-Spanish Middlesex-Spanish Suffolk-Spanish 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. Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. Glenn Los Angeles The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. Spanish Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. They will be able to assist you in making the best health plan choice for you. This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? 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. Pedodontist Contra Costa Select HealthcareServices provided by the specified organization. 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.