GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? San Bernardino 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. Cantonese. Gunzenhausen in Regierungsbezirk Mittelfranken (Bavaria) with it's 16,477 habitants is a city located in Germany about 262 mi (or 422 km) south-west of Berlin, the country's capital town. 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). * Translation services available for most languages. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? Please indicate below any changes to the directory listing for the practice listed above. CAQH technology-enabled solutions, operating rules and research help nearly 1,000 health plans, 2 million providers, government entities and vendors connect, exchange information and operate more efficiently. [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? 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. You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. ASL Interpreter Available: The office can translate into American Sign Language. Hospitals: The network hospitals a doctor can see their patients in. The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. 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. Member Handbook If you are a solo practitioner, enter your name in the box above. [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? Oral Surgeon Select Practitioners with the specified family name. 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. Sometimes CCP does not receive a notice that the information has changed. 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. 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. GET [base]/Location? Yuba, Specialty: [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. Phone Number: The doctors office or hospital phone number. Select PractitionerRoles available at the specified location. 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). Trinity This is not a guarantee they will be available to accept additional patients at the time you contact them. Imperial All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? Locations can range in scope from a room in a building to a geographic region/area. InsureKidsNow Search. Certified Orthodontist Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. 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. 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. Please select a language We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. San Francisco The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. Contra Costa Select PractitionerRoles with the specified role. Search - Provider Directory What care are you looking for? , California 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 DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. 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. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. Select Locations with the specified postal code address. Frequently Asked Questions, GRIEVANCE FORM They might also work in different offices or clinics. 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 [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? Sutter The doctor provides an excellent patient experience. This information is subject to change without notice. Use the Provider Directory Information Update Form to alert us to any changes to your provider information. Preferred Provider: A doctor that meets strict quality standards. Spanish A Reset font size. All Rights Reserved. Select OrganizationAffiliations available at the specified location. Hours: When the office or hospital is open to see patients. Glenn Then click the magenta Get Location button. Some doctors might have all the patients they can fit in, while still giving you the best care. Members are entitled to receive full and equal access to covered service including members with disabilities as required under the American with Disabilities Act of 1990 in section 504 of the Rehabilitation Act of 1973. San Mateo Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. Learn best practices and earn CBI payments for ACE screenings at your practice. Step 3a: English PCP's are not required to have hospital privileges. 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. Hospital Quality: The hospitals performance rating. Alliance Care IHSS Price Transparency Tool. 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. Select Practitioners with the specified given name. 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. Thai Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Del Norte You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). Please Note: Be sure to include your full address with City, State, and ZIP. Dont miss our bimonthly newsletter for community partners. Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. 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. Select insurance plans of the specified type. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? 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? To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. Korean To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. Dental Clinics Serving Medi-Cal Members. 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. Santa Clara Napa 734-436-0455 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. The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. Board Certifications: A doctor gets a certificate after completing extra training in their specialty. 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. Laotian CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. 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. Certificate. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! An example is a doctor who works only with the heart, cancer, or bones. Who are 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. Location Name: Name of the doctor's office or hospital address. Modoc Location: The doctors office or hospital address. Solano Public Health, * Language: It requires CenCal Health to meet both time and distance standards based on county population density. Below we describe the information in the fields in the provider directory. [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? Implements RESTful behaviors according to the FHIR specification. Mongolian Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). 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. 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. 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. GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? Operating rule development for these transactions is currently underway. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. These are the resources and the endpoints available with the Alliance Provider Directory API. Select HealthcareServices of the specified type. Please select a county Select OrganizationAffiliations associated with the specified specialty. [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? A doctor may work with other doctors. 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. 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. Updates will be posted at cchealth.org. Members have the choice to refuse professional interpreters and use adult family members or friends. * 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. CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. 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. Santa Barbara More than 130 participating organizations representing healthcare providers, health plans, government agencies and the organizations setting the standards for healthcare and data exchange are part of the CAQH CORE multi-stakeholder collaboration. Select Locations that are part of the specified location. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. Select products that are administered by the specified organization. View Urgent Visit Access Offices in Santa Cruz County. We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. This certificate expires, so CCP checks it at least every 3 years. The information reported on this Web site is based on the information provided to CCHP from the participating provider and/or verified by licensing and accrediting entities. Select Organizations of the specified type. San Joaquin [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. County: 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. Accessibility 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. Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Tulare Japanese We can assist you with your selection for primary care provider. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. Stanislaus Select roles filled by the specified practitioner. Languages: The languages a doctor speaks. 2020 K Street, NW - Suite 660 Washington, D.C. 20006. As of Feb. 24, Medi-Cal Rx PA requirements reinstated for 46 Standard Therapeutic Classes, COVID-19 Therapeutics Warmline and treatment webinars, Thursday training for Adverse Childhood Experiences (ACEs) screening. Facilities may also notify us at any time regarding changes to their accreditation status. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Select roles where the practitioner is a member of the specified health insurance provider network. Select organizations with the specified address (matches any of the string elements of an address). Our Provider and Pharmacy Directory make it easy to find the care you need. Tagalog CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. The FHIR server is recommended to return this data. Orange CCA will not contact you unless we have questions about your request. 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. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. A Network refers to a health care provider insurance network. CCHP does not verify these skills. [parameter=value]&_revinclude=PractitionerRole:network, GET [base]/Organization?[parameter=value]&_revinclude=OrganizationAffiliation:participating-organization. View rating by specialty and compare nearby hospitals. Riverside Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. Select Locations with the specified state address. Hindi Enrollment for these plans ends December 7. 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 doctor or hospital gives CCP this information on their application when they join the health plan. 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. Madera Board certifications for most Doctors of Osteopathic Medicine (D.O.) Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. 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. Select products that are owned by the specified organization. Select products that are offered in the specified location. Mariposa San Luis Obispo Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. Adoption Directory [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? The Organization Affiliation resource describes relationships between two or more organizations, including the services one organization provides another, the location(s) where they provide services, the availability of those services, electronic endpoints and other relevant information. [parameter=value]&_include=Organization:partof, GET [base]/Organization? The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Select Organizations with the specified name. The Alliance FHIR server SHALL be capable of returning a HealthcareService resource using: The Alliance FHIR server SHOULD be capable of returning a HealthcareService resource using: The Alliance FHIR server SHALL be capable of supporting the following _include parameters: The Alliance FHIR server SHALL be capable of supporting the following _revinclude parameters: The Alliance FHIR server SHALL be capable of returning an InsurancePlan resource using: The Alliance FHIR server SHOULD be capable of returning an InsurancePlan resource using: The Alliance FHIR server SHALL be capable of returning a Location resource using: The Alliance FHIR server SHOULD be capable of returning an Organization resource using: The Alliance FHIR server SHALL be capable of returning an Organization resource using: The Alliance FHIR server SHALL be capable of returning an OrganizationAffiliation resource using: The Alliance FHIR server SHOULD be capable of returning an OrganizationAffiliation resource using: The Alliance FHIR server SHALL be capable of returning a Practitioner resource using: The Alliance FHIR server SHOULD be capable of returning a Practitioner resource using: The Alliance FHIR server SHALL be capable of supporting the following _revinclude parameter: The Alliance FHIR server SHALL be capable of returning a PractitionerRole resource using. Providers in the CCRMC network are certified in languages spoken in addition to English. See our linguistic access and accessibility policy. Select Locations with the specified address. 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. Sometimes, there is not a needed provider close enough. [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? 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. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. The online Beacon Provider Directory can be found at the link below. Butte Select products with the specified identifier. [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. Colusa Endodontist Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. CCHP discourages the use of family members, friends or minors to interpret or translate materials. 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.
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