We can assist you with your selection for primary care provider. PDF Monterey and Santa Cruz Medi-Cal Provider Directory Gua de Proveedores Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. * 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. Providers in the CCRMC network are certified in languages spoken in addition to English. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? Cambodian Only submit information below that needs to be changed in the directory. Solano 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). On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. We are dedicated to providing the highest quality of care for your furry family members. They might also work in different offices or clinics. Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. [parameter=value]&_include=Location:organization, GET [base]/Location? Provider Directory | Community Cares Plan [parameter=value]&_include=Organization:partof, GET [base]/Organization? 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. Inyo A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. 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 HealthcareServices available at the specified location. Together, we can bring uncommon care to more people with significant needs. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. Please indicate the name of your practice in the box above. 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. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Plumas Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. Tehama 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). Facility: CCHP updates facility information daily as changes are reported by the facility. Korean Select organizations with the specified address (matches any of the string elements of an address). CCAH Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. 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. 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. Llame al 866-610-2273 (TTY 711). CCHP discourages the use of family members, friends or minors to interpret or translate materials. Provider Search - CCHP Health Plan Hours: When the office or hospital is open to see patients. Select roles offered by the specified organization. Select Practitioners with the specified given name. Santa Cruz GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? 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. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. 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. Specialty: A provider's specialty is identified when they join the health plan network. General Practitioner Alliance Care IHSS Price Transparency Tool. 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. Who is CenCal Health/What is a Local Health Plan? 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). Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. CCHP does not verify these skills. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Please Note: Be sure to include your full address with City, State, and ZIP. Our directories are printed by county. Trinity You can also access the Kaiser online directory. Mono The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. 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. Locations can range in scope from a room in a building to a geographic region/area. 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 family name. [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line 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. Arabic Sacramento 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 The hospital reports the safety and quality of its care. Search - Provider Directory 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. CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. The online Beacon Provider Directory can be found at the link below. Operating rule development for these transactions is currently underway. Select Locations with the specified address. Laotian The hospital gets reviewed by national organizations to see if they meet these standards. CCHA | Find a Provider - Colorado Community Health Alliance GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. Alameda Alliance Provider Portal There are more protections for immigrants and their families to use public benefits. Select services associated with the specified specialty. Connecting, solving and transforming healthcare business challenges. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. View Urgent Visit Access Offices in Monterey County. Ventura Placer . [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. 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. CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. Search by plan name, specialty, location, or provider name. Please indicate below any changes to the directory listing for the practice listed above. 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. Marin The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. Use the Provider Directory Information Update Form to alert us to any changes to your provider information. *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. 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. SHOULD: A best practice or recommendation for the implementation. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. View Urgent Visit Access Offices in Merced County. Select insurance plans of the specified type. If you are a solo practitioner, enter your name in the box above. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? Select Locations with the specified state address. 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. Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. They will be able to assist you in making the best health plan choice for you. [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? Vietnamese We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. For more information, please call the doctors office. CCA will not contact you unless we have questions about your request. Select health insurance provider networks available in a region described by the specified location. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. Japanese 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. Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. Call 866-610-2273 (TTY 711). 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. Registered Dental Hygienists in Alternative Practice. Select Organizations with the specified name. To set your current location, click the green Use Current Location button. Siskiyou Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. Select products that are administered by the specified organization. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. Alliance. Select HealthcareServices of the specified type. 1 Percent of ICO + SCO members weighted together who have at least one qualifying touch by a care team member within a given month (Rolling three-month average, 7/2021), 2Combined CCA ICO + SCO rate per 1,000 members; hospitalization rates are consistently below the per capita averages during COVID-19 pandemic. Sometimes, there is not a needed provider close enough. Provider Directory - Community Behavioral Health [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? PDF Medi-Cal Merced Provider Directory - ccah-alliance.org Providers | CAQH Certificate. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? 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. 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. CCP checks this information at least every 3 years. Select services available in a region described by the specified location. Punjabi Hmong Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. Fresno You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). Alpine 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. CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. This program arms you with the information to reduce your toxic exposure, increase your liver's biotransformation of toxins, and to enhance your elimination of these transformed toxins from your body. Imperial Select PractitionerRoles available at the specified organization. San Benito Shasta Lassen Below we describe the information in the fields in the provider directory. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. All Rights Reserved. Select OrganizationAffiliations with the specified role. Endodontist 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 products that are owned by the specified organization. Timely Access to Care: The California Department of Managed Health Care (DMHC) has regulations set forth in Title 28, Section 1300.67.2.2 for health plans to provide timely access to care for our members. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. Languages: The languages a doctor speaks. 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. Select roles filled by the specified organization. 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. This is not a guarantee they will be available to accept additional patients at the time you contact them. Insurance Plan describes a health insurance offering comprised of a list of covered benefits (for example: the product), costs associated with those benefits (for example: the plan) and additional information about the offering, such as who it is owned and administered by, a coverage area, contact information, etc. 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. Benefits of CCAH Provider Portal 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. See our linguistic access and accessibility policy. The number to call in each county is. Kings Sutter 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. Members - Medi-Cal Dental - Find-A-Dentist - California The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. Gender: A doctors sex, either Male or Female. We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. You can also use the filters to search for more specific information. This information is subject to change without notice. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. 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. CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. Results are as of 12/1/2020 unless otherwise noted. Medical group: This information is collected from the group at the time they initially join the network. Destination Guide: Gunzenhausen (Bavaria, Regierungsbezirk Pedodontist Specialty: The area of medicine the doctor provides care to patients. CCAH Provider Portal - provider.portal.ccah-alliance.org 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. Hospital information is verified by viewing the information listed on their website. 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. Click to see Board of Directors Meeting Schedule/Upcoming Agenda. Provider Directory for Members - CenCal Health Contra Costa Language Assistance Lake Select roles where the practitioner is a member of the specified health insurance provider network. Location Name: Name of the doctor's office or hospital address. 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. ccah provider directory You can get these documents for free in other formats, such as large print, braille, or audio. The most current board certification status can be verified at The American Board of Medical Specialties website. 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. Frequently Asked Questions, GRIEVANCE FORM 2020 K Street, NW - Suite 660 Washington, D.C. 20006. Cantonese. Providers must document this choice in the member's medical record. **In Dukes and Nantucket Counties: CCA health plans are not yet available. Some doctors might have all the patients they can fit in, while still giving you the best care. Location: The doctors office or hospital address. Provider Directory Information Update Form - ccah-alliance.org Prosthodontist [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? Select Organizations of the specified type. This is not a guarantee they will be available to accept additional patients at the time you contact them. A Reset font size. As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. 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. 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). 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. FAQs, Case Studies, Issue Briefs, and more. Humboldt Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. CCA Provider Homepage | Commonwealth Care Alliance MA Nevada 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. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? Member Handbook , California Mandarin 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. Large healthcare providers may achieve CORE Certification. The CCAH provider portal gives you the information, tools and resources you need to support the day-to-day needs of your patients and office. County: Del Norte Mongolian This makes sure that Medi-Cal members have access to covered services. Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. The FHIR server is recommended to return this data.