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. The ACA has taken operating rules to a new level. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. ProcessLogoff - provider.portal.ccah-alliance.org 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. + Increase font size. This information is subject to change without notice. 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 New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. 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. The FHIR server is recommended to return this data. Find-A-Dentist. Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. Marin Amador CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. Board Certifications: A doctor gets a certificate after completing extra training in their specialty. Member Handbook 734-436-0455 Oral Pathologist Interpreter services are available at all CCHP points of contact where members may reasonably need such services. Dont miss our bimonthly newsletter for community partners. The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. 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. Glenn 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. Select products with the specified identifier. Llame al 866-610-2273 (TTY 711). ccah provider directory400,000 mile ecoboost. Large healthcare providers may achieve CORE Certification. 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. The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. 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. 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. Hospital information is verified by viewing the information listed on their website. 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. 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? Fresno 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]&_revinclude=PractitionerRole:organization, GET [base]/Organization? Siskiyou A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. El Dorado CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. Select PractitionerRoles providing the specified service. Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. Learn best practices and earn CBI payments for ACE screenings at your practice. Select products that are owned by the specified organization. Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. Updates will be posted at cchealth.org. Imperial 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. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. All Rights Reserved. Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. Please indicate the name of your practice in the box above. Mendocino 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. Lake [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? Member Handbook View rating by specialty and compare nearby hospitals. Tagalog Frequently Asked Questions, GRIEVANCE FORM 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. CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. Who are Providers? Select organizations with the specified address (matches any of the string elements of an address). 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. Providers must document this choice in the member's medical record. Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. Accessible with a Wheelchair: The office is handicap accessible. Del Norte Modoc 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. Connecting, solving and transforming healthcare business challenges. [parameter=value]&_include=Location:organization, GET [base]/Location? Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. Alameda , California [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Sometimes CCP does not receive a notice that the information has changed. This is not a guarantee they will be available to accept additional patients at the time you contact them. 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. Locations can range in scope from a room in a building to a geographic region/area. Groups: The practice a doctor works in. GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? Armenian [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? Call 866-610-2273 (TTY 711). Specialty: A provider's specialty is identified when they join the health plan network. The online search engine updates nightly based on information entered that day. 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. Humboldt Prosthodontist 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. [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? The hospital gets reviewed by national organizations to see if they meet these standards. SHOULD: A best practice or recommendation for the implementation. Search by plan name, specialty, location, or provider name. Public Health, * Language: Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. Ventura Sonoma 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? 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). Solano Learn best practices and earn CBI payments for ACE screenings at your practice. 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. Website: The internet address that the doctor and practice information can be found. Who is CenCal Health/What is a Local Health Plan? Medi-Cal Dental Program. Taiwanese This directory is for informational use only. Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. The RESTful capabilities are discussed in further detail below. Select HealthcareServices with the specified name. [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? There are more protections for immigrants and their families to use public benefits. Members have the choice to refuse professional interpreters and use adult family members or friends. Medi-Cal Dental Dental Portal Medi-Cal Provider Directory Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. 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. If you are a solo practitioner, enter your name in the box above. San Mateo If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. Alliance Care IHSS Price Transparency Tool. Merced The online Beacon Provider Directory can be found at the link below. Location: The doctors office or hospital address. 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. Riverside Sometimes, there is not a needed provider close enough. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. Gender: A doctors sex, either Male or Female. CCA Senior Care Options, CCA Medicare Value, and CCA Medicare Preferred are available in 10 counties in Massachusetts: Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. Mariposa Hours: When the office or hospital is open to see patients. GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. 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 Locations managed by the specified organization. Select OrganizationAffiliations with the specified role. The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules.