CCHP does not verify these skills. Select OrganizationAffiliations available at the specified location. We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. Select PractitionerRoles available at the specified location. Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. 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 roles filled by the specified practitioner. A Reset font size. This information is subject to change without notice. CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? 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). Oral Surgeon Select Organizations of the specified type. The FHIR server is recommended to return this data. Hours: When the office or hospital is open to see patients. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? Languages: The languages a doctor speaks. The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. Mono [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? Facilities may also notify us at any time regarding changes to their accreditation status. Providers must document this choice in the member's medical record. A Decrease font size. Board Certifications: A doctor gets a certificate after completing extra training in their specialty. Medi-Cal Dental Program. 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. 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. Click to see Board of Directors Meeting Schedule/Upcoming Agenda. Alpine The call is free. Select HealthcareServices with the specified name. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. Frequently Asked Questions, GRIEVANCE FORM The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. All Rights Reserved. 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. Kern [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? Stanislaus Please indicate below any changes to the directory listing for the practice listed above. Sutter Mongolian Mariposa [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? ProcessLogoff - provider.portal.ccah-alliance.org Select insurance plans of the specified 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. Specialty: A provider's specialty is identified when they join the health plan network. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Enrollment for these plans ends December 7. Accepting new patients: The doctor is taking new patients. 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. ccah provider directory400,000 mile ecoboost. Lake The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. We are dedicated to providing the highest quality of care for your furry family members. Locations can range in scope from a room in a building to a geographic region/area. [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? Armenian 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. 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. Farsi Frequently Asked Questions, GRIEVANCE FORM [parameter=value]&_include=Location:partof, GET [base]/Location? Contra Costa By entering a hospital name, the accreditation status and quality measures are listed. Cantonese. GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? San Joaquin English If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line Provider Directory - Community Behavioral Health 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. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. If you are a member and would like to choose one of our PCPs, please contact our Member Services department at 1-877-661-6230 option 2. Select OrganizationAffiliations with the specified role. The hospital gets reviewed by national organizations to see if they meet these standards. Los Angeles PDF Medi-Cal Merced Provider Directory - ccah-alliance.org Search for providers using a specific location or your current location. Select Locations managed by the specified organization. For more information, please call the doctors office. The hospital reports the safety and quality of its care. 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. You can also use the filters to search for more specific information. You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. This network contains both primary and specialty care providers to choose from. Please select the county where you live. The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. Provider Directory | Community Cares Plan If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Provider Directory Information Update Form, Merced County Medi-Cal Provider Directory, Monterey and Santa Cruz Medi-Cal Provider Directory, Alliance Care IHSS Health Plan Provider Directory. Colusa We can assist you with your selection for primary care provider. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. A Decrease font size. 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. Thank you for the opportunity to partner with you. Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. Del Norte Santa Barbara Learn More. InsureKidsNow Search. Select HealthcareServices provided by the specified organization. Monterey Learn best practices and earn CBI payments for ACE screenings at your practice. CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. Russian Provider Search - CCHP Health Plan At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. [parameter=value]&_include=Location:organization, GET [base]/Location? Dont miss our bimonthly newsletter for community partners. Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. 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. Hindi See our linguistic access and accessibility policy. Merced Sierra To set your current location, click the green Use Current Location button. The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. 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. Select PractitionerRoles associated with the specified specialty. The most current board certification status can be verified at The American Board of Medical Specialties website. 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 Health and Wellness Rewards **In Dukes and Nantucket Counties: CCA health plans are not yet available. A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP.
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