Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Lake Medi-Cal Dental Program. 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). Inyo Who are Providers? By entering a hospital name, the accreditation status and quality measures are listed. 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. On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. All Rights Reserved. Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. Specialty: A provider's specialty is identified when they join the health plan network. ccah provider directory400,000 mile ecoboost. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. 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. Mendocino Hindi The ACA has taken operating rules to a new level. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? Marin Mandarin Del Norte San Mateo Pedodontist The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. Preferred Provider: A doctor that meets strict quality standards. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? 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. + Reset font size. Some doctors might have all the patients they can fit in, while still giving you the best care. 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. 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 If you are a solo practitioner, enter your name in the box above. Select OrganizationAffiliations with the specified role. San Bernardino Select OrganizationAffiliations available at the specified location. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. 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. Madera Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. ProcessLogoff - provider.portal.ccah-alliance.org 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. 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. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. View rating by specialty and compare nearby hospitals. 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? Follow-up on missed appointments: Providers are expected to review all members that do not show up for scheduled appointments and to identify those requiring follow-up, based on their medical condition. Select Practitioners with the specified family name. Prosthodontist [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? 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). Oral Pathologist Humboldt If you cannot find a dentist in your area who is accepting new patients, please contact the Medi-Cal Telephone Service Center for additional help at 1-800-322-6384. Enhanced Care Management and Community Supports, Utilization Management: Authorization and Referrals, Request Printed Copy of Provider Directory, The American Board of Medical Specialties website, linguistic access and accessibility policy, Urgent care appointments not requiring prior authorization: within 48 hours of request, Urgent care appointments requiring prior authorization: within 96 hours of request, Non-urgent appointments for primary care: within 10 business days of request, Non-urgent appointments with specialists: within 15 business days of request, Non-urgent appointments for ancillary services for the diagnosis or treatment of injury, illness or other health conditions: within 15 business days of request, First Prenatal Visit: within 14 calendar days of request, Mental Health Routine Non-Urgent: within 10 business days of request, Mental Health Routine Non-Urgent Follow-Up: within 10 business days of request, Mental Health Urgent: within 48 hours of request. Please select a county Enrollment for these plans ends December 7. We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. Japanese Providers must document this choice in the member's medical record. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. The most current board certification status can be verified at The American Board of Medical Specialties website. * 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. Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. Select services available in a region described by the specified location. ccah provider directory 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. Updates will be posted at cchealth.org. 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 Please indicate the name of your practice in the box above. 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. 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. Riverside 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. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? Modoc It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. 2020 K Street, NW - Suite 660 Washington, D.C. 20006. The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. To report any errors, click on the link below. Please select a language 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. The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. 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. Santa Barbara A network is typically owned by a payer. Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. Our directories are printed by county. Select HealthcareServices available at the specified location. Member Handbook Certified Orthodontist [parameter=value]&_revinclude=PractitionerRole:network, GET [base]/Organization?[parameter=value]&_revinclude=OrganizationAffiliation:participating-organization. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? Alliance members must use a pharmacy that works with MedImpact. Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. 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. Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. Then click the magenta Get Location button. GET [base]/Location? View Urgent Visit Access Offices in Santa Cruz County. Groups: The practice a doctor works in. This information is subject to change without notice. [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? Alliance Care IHSS Price Transparency Tool. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. This is not a guarantee they will be available to accept additional patients at the time you contact them. Hmong Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. , California 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. Laotian A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. Select organizations with the specified address (matches any of the string elements of an address). Yuba, Specialty: 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. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). Providers in the CCRMC network are certified in languages spoken in addition to English. Online Provider Directory http://www.ccah-alliance.org/providerdirectory.html Click on Provider Directory Search Effective January 2015 CENTRAL CALIFORNIA ALLIANCE FOR HEALTH Provider Directory / Gua de Proveedores / Phau Ntawv Teev Cov Kws Khomob A.2 Primary Care Physicians/ Doctores de Cuidado Primario/ Cov Thawj Kws Khomob Napa The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Accepting new patients: The doctor is taking new patients. 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. Glenn The FHIR server may return the data, but there is no requirement to do so. 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. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. El Dorado Select roles offered by the specified organization. In those situations, CenCal Health can still get you care. Select roles filled by the specified practitioner. Location Name: Name of the doctor's office or hospital address. The Provider Directory API supports the following FHIR approved implementation guide, and supports the following profiles: The base URL for each endpoint: [The Provider Directory platform is being retooled and this link will be available soon], [The Provider Directory platform is being retooled and this link will be available soon]. Los Angeles This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? Showing of 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. 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). Korean Learn best practices and earn CBI payments for ACE screenings at your practice. 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. The FHIR server must return this data. Implements RESTful behaviors according to the FHIR specification. The hospital reports the safety and quality of its care. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? 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. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. Taiwanese Specialty: The area of medicine the doctor provides care to patients. The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies.