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A Increase font size. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. The FHIR server must return this data. Santa Barbara To change your primary care provider or get detailed information about your healthcare benefits and prior authorization requirements, call our Member Services team at 866-610-2273(TTY 711). Russian If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. Select Practitioners with the specified given name. 734-436-0455 2020 K Street, NW - Suite 660 Washington, D.C. 20006. CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. Dental Clinics Serving Medi-Cal Members. [parameter=value]&_revinclude=PractitionerRole:network, GET [base]/Organization?[parameter=value]&_revinclude=OrganizationAffiliation:participating-organization. FAQs, Case Studies, Issue Briefs, and more. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. Kings 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). The ACA has taken operating rules to a new level. * Translation services available for most languages. 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. Preferred Provider: A doctor that meets strict quality standards. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). 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. Step 3a: Yolo Name: The doctor or hospital that is part of the CCP network. Member Handbook Select services available in a region described by the specified location. 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. Select PractitionerRoles with the specified role. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? Languages Spoken: These abilities are self-reported by the providers in the CPN network when the provider joins the network and at the time of recredentialing. 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. We can assist you with your selection for primary care provider. Dont miss our bimonthly newsletter for community partners. . Search - Provider Directory What care are you looking for? A Increase font size. [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line 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. Adoption Directory 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). ProcessLogoff - provider.portal.ccah-alliance.org Stanislaus These are the resources and the endpoints available with the Alliance Provider Directory API. 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. Locations can range in scope from a room in a building to a geographic region/area. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. Thai Select Practitioners with the specified family name. + Reset font size. , California 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. Website: The internet address that the doctor and practice information can be found. Sierra GET [base]/Location? Mono The hospital gets reviewed by national organizations to see if they meet these standards. Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. You are now being transferred to the CCA corporate website. Search by plan name, specialty, location, or provider name. Sonoma 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). If you are a solo practitioner, enter your name in the box above. Mandarin Mariposa [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. 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. Authentication is not required to access the Conformance resource. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. 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. Frequently Asked Questions, GRIEVANCE FORM Office of Licensing and Monitoring Provider Directories It should be noted that this is an all-inclusive resource directory of DHS licensed programs; however, not every provider listed is contracted with DHS to provide services to youth in placement. 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). Select Organizations of the specified type. 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. 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 Santa Clara InsureKidsNow Search. Prosthodontist Select HealthcareServices provided by the specified organization. . Colusa Select Organizations with the specified name. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. By entering a hospital name, the accreditation status and quality measures are listed. [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. Fresno In those situations, CenCal Health can still get you care. Tuolumne Accepting new patients: The doctor is taking new patients. Endodontist You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . San Francisco Amador Language Assistance You can also use the filters to search for more specific information. 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. Llame al 866-610-2273 (TTY 711). 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. The doctor or hospital gives CCP this information on their application when they join the health plan. Chinese Select roles offered by the specified organization. The online Beacon Provider Directory can be found at the link below. 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. To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. The call is free. Location Name: Name of the doctor's office or hospital address. CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. [parameter=value]&_include=Location:partof, GET [base]/Location? CCHP does not verify these skills. The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. Japanese Board Certifications: A doctor gets a certificate after completing extra training in their specialty. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? Most hospitals in Contra Costa County and the immediate surrounding area are participants. Nurse Advice Line Humboldt Sometimes CCP does not receive a notice that the information has changed. ccah provider directory400,000 mile ecoboost. We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. Hospital Quality: The hospitals performance rating. An example is a doctor who works only with the heart, cancer, or bones. Select products that are offered in the specified location. Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. Select HealthcareServices with the specified name. Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. Please select the county where you live. This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. Medi-Cal Dental Provider Directory Search. Updates will be posted at cchealth.org. You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? Sutter 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. This information is subject to change without notice. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. This is not a guarantee they will be available to accept additional patients at the time you contact them. Please select a language Please indicate the name of your practice in the box above. [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? The RESTful capabilities are discussed in further detail below. El Dorado Results are as of 12/1/2020 unless otherwise noted. Kern Implements RESTful behaviors according to the FHIR specification. Arabic ASL Interpreter Available: The office can translate into American Sign Language. Placer CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area.