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. [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? Please select a county The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. 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. Dont miss our bimonthly newsletter for community partners. Step 3a: [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? If you are a solo practitioner, enter your name in the box above. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. The hospital gets reviewed by national organizations to see if they meet these standards. [parameter=value]&_include=Organization:partof, GET [base]/Organization? 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. 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? 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. [parameter=value]&_revinclude=PractitionerRole:network, GET [base]/Organization?[parameter=value]&_revinclude=OrganizationAffiliation:participating-organization. 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. Specialty: The area of medicine the doctor provides care to patients. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Authentication is not required to access the Conformance resource. CCHP discourages the use of family members, friends or minors to interpret or translate materials. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. Please indicate below any changes to the directory listing for the practice listed above. The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. Kings Implements RESTful behaviors according to the FHIR specification. We are dedicated to providing the highest quality of care for your furry family members. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022, 8:00 am to 6:00 pm, Monday through Friday, Superior patient experiences and improved clinical outcomes, Optimal access, responsiveness, transparency, and timeliness in all our communications, Operational excellence and strong analytics and reporting that support provider performance. CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. 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. GET [base]/Location? Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. Please select a specialty If you are a member or potential member it is important for you to understand how our two networks are organized. 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. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. The number to call in each county is. Yuba, Specialty: ProcessLogoff - provider.portal.ccah-alliance.org Select Organizations with the specified name. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. The FHIR server is recommended to return this data. You can also access the Kaiser online directory. The call is free. 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. Arabic Some doctors might have all the patients they can fit in, while still giving you the best care. CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! 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. Nevada 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. Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. This is not a guarantee they will be available to accept additional patients at the time you contact them. A Decrease font size. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. Click to see Board of Directors Meeting Schedule/Upcoming Agenda. We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. [parameter=value]&_include=Location:partof, GET [base]/Location? 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. Call 866-610-2273 (TTY 711). CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. Merced Please select a language This directory is for informational use only. Select insurance plans of the specified type. Tulare Chinese 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. Current time in Gunzenhausen is now 07:51 PM (Saturday). Alliance Care IHSS Price Transparency Tool. + Increase font size. Select HealthcareServices provided by the specified organization. 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. Select OrganizationAffiliations associated with the specified specialty. Medi-Cal Dental Provider Directory Search. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. + Reset font size. SHALL: An absolute requirement for all implementations. Select organizations with the specified address (matches any of the string elements of an address). 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. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. Select roles where the organization is a member of the specified health insurance provider network. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. Preferred Provider: A doctor that meets strict quality standards. Select PractitionerRoles providing the specified service. 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. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? Plumas Select HealthcareServices providing the specified category of services. Alliance members must use a pharmacy that works with MedImpact. This certificate expires, so CCP checks it at least every 3 years. Orange Results are as of 12/1/2020 unless otherwise noted. Public Health, * Language: 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). Colusa *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. San Mateo Accessible with a Wheelchair: The office is handicap accessible. Select PractitionerRoles available at the specified location. Find-A-Dentist. San Bernardino Sometimes CCP does not receive a notice that the information has changed. 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. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. Member Handbook Endodontist Select OrganizationAffiliations available at the specified location. Facility: CCHP updates facility information daily as changes are reported by the facility. Select Practitioners with the specified family name. There are more protections for immigrants and their families to use public benefits. Adoption Directory Yolo The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. Search for providers using a specific location or your current location. The doctor or hospital gives CCP this information on their application when they join the health plan. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. Hospitals: The network hospitals a doctor can see their patients in. Oral Surgeon A Decrease font size. 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 directoryupdates@cchealth.org or by calling 1-877-800-7423 option 6. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? 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. CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. 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. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. 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. Learn best practices and earn CBI payments for ACE screenings at your practice. . CORE Certification San Benito 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. 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? Marin Select Organizations that are part of the specified organization. For more information, please call the doctors office. 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. Inyo Dont miss our bimonthly newsletter for community partners. Accepting new patients: The doctor is taking new patients. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. Placer Then click the magenta Get Location button. Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. Board certifications for most Doctors of Osteopathic Medicine (D.O.) Select products that are administered by the specified organization. These are the resources and the endpoints available with the Alliance Provider Directory API. CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. Farsi Locations can range in scope from a room in a building to a geographic region/area. Select Locations with the specified address. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Trinity Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. * 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. Laotian There are more protections for immigrants and their families to use public benefits. 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. A doctor may work with other doctors. Russian Riverside They will be able to assist you in making the best health plan choice for you. 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. San Joaquin Ventura The online Beacon Provider Directory can be found at the link below. Please indicate the name of your practice in the box above. Siskiyou 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. The doctor provides an excellent patient experience. Gender: A doctors sex, either Male or Female. Using read-only RESTful GET API calls (PUT and POST are not currently supported), you can create an application to access information about our providers and pharmacies. Kern Select PractitionerRoles associated with the specified specialty. 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 MAY: An optional inclusion for the implementation; not a requirement. Use the Provider Directory Information Update Form to alert us to any changes to your provider information. Napa If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. 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. Select Practitioners with the specified given name. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. Medi-Cal Dental Program. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. A Reset font size. Select Locations with the specified state address. Language Assistance Select services associated with the specified specialty. 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. 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. Stanislaus Imperial Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. Mendocino Showing of Location: The doctors office or hospital address. 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. El Dorado 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. Santa Clara View rating by specialty and compare nearby hospitals. If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. 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. Hindi Sometimes, there is not a needed provider close enough. The ACA has taken operating rules to a new level. By entering a hospital name, the accreditation status and quality measures are listed. Only submit information below that needs to be changed in the directory. Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. This makes sure that Medi-Cal members have access to covered services. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line