Benefits of CCAH Provider Portal Found inside - Page 57. This makes sure that Medi-Cal members have access to covered services. 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. Periodontist Gender: A doctors sex, either Male or Female. 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. Please select the county where you live. The FHIR server may return the data, but there is no requirement to do so. 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). Operating rule development for these transactions is currently underway. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Search by plan name, specialty, location, or provider name. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. 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. Showing of CCHP discourages the use of family members, friends or minors to interpret or translate materials. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. In those situations, CenCal Health can still get you care. Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? Please select a specialty PCP's are not required to have hospital privileges. Santa Barbara Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. 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. A network is typically owned by a payer. Hospital information is verified by viewing the information listed on their website. Select products that are owned 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. The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. Destination Guide: Gunzenhausen (Bavaria, Regierungsbezirk 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. Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. A Reset font size. Specialty: The area of medicine the doctor provides care to patients. Mendocino Golden Road 365 Detox - Transform Your Health in 21 Days [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? Contra Costa Nurse Advice Line Select products with the specified identifier. Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. Operating rule development for these transactions is currently underway. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. A Network refers to a health care provider insurance network. Dental Clinics Serving Medi-Cal Members. Napa Hospital Quality: The hospitals performance rating. Siskiyou Plumas Hospitals: The network hospitals a doctor can see their patients in. Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. There are more protections for immigrants and their families to use public benefits. They might also work in different offices or clinics. This directory gives members, potential members and providers access to our two networks (Regional Medical Center (RMC) and the Community Provider Network (CPN) of physicians, pharmacies, hospitals and ancillary providers. View rating by specialty and compare nearby hospitals. There are more protections for immigrants and their families to use public benefits. CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. Monterey [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? 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. 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. PDF Medi-Cal Merced Provider Directory - ccah-alliance.org [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. Most hospitals in Contra Costa County and the immediate surrounding area are participants. Step 3a: ccah provider directory Tulare Mariposa CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. Must contain at least 1 character from each of the following four groups: Uppercase letters Lowercase letters Numbers Special Characters May not contain your username May not be any of your last 10 passwords Please contact the Provider Services at (831) 430-5518 with any questions. Select Locations that are part of the specified location. 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. Learn best practices and earn CBI payments for ACE screenings at your practice. San Benito Thai SHALL: An absolute requirement for all implementations. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? + Reset font size. Please select a language Alliance Provider Directory - provider.portal.ccah-alliance.org 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. Please Note: Be sure to include your full address with City, State, and ZIP. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. Select health insurance provider networks available in a region described by the specified location. Alliance. Location Name: Name of the doctor's office or hospital address. Language Assistance [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? If you are a solo practitioner, enter your name in the box above. The hospital gets reviewed by national organizations to see if they meet these standards. 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. If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. 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. 734-436-0455 You can also access the Kaiser online directory. Select services associated with the specified specialty. Only submit information below that needs to be changed in the directory. General Practitioner The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. Select Organizations of the specified type. Please select a county Taiwanese Implements RESTful behaviors according to the FHIR specification. This directory is for informational use only. Select HealthcareServices providing the specified category of services. Select PractitionerRoles available at the specified location. . A Increase font size. Alliance Provider Portal Medi-Cal Dental Provider Directory Search. Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. Alliance Care IHSS Price Transparency Tool. Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. Large healthcare providers may achieve CORE Certification. [parameter=value]&_include=Organization:partof, GET [base]/Organization? Select organizations with the specified address (matches any of the string elements of an address). CCA Provider Homepage | Commonwealth Care Alliance MA Armenian We are dedicated to providing the highest quality of care for your furry family members. Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. Klinikum Altmhlfranken Gunzenhausen reviews | Best Hospitals in Interpreter services are available at all CCHP points of contact where members may reasonably need such services. [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? 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. Calaveras Website: The internet address that the doctor and practice information can be found. Accessible with a Wheelchair: The office is handicap accessible. Yuba, Specialty: 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]. 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. The FHIR server is recommended to return this data. View Urgent Visit Access Offices in Merced County. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. San Francisco Our directories are printed by 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. View Urgent Visit Access Offices in Monterey County. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. [parameter=value]&_include=Location:partof, GET [base]/Location? Provider Directory :: Health Plan :: Contra Costa Health Services The doctor provides an excellent patient experience. Medi-Cal Dental Dental Portal - California Korean Humboldt Stanislaus Frequently Asked Questions, GRIEVANCE FORM 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. Health and Wellness Rewards The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. Marin You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . 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. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). 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. *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. Vietnamese Select products that are administered by the specified organization. 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. 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). San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. You are now being transferred to the CCA corporate website. Select Locations with the specified address. Health and Wellness Rewards 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. Laotian 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. We can assist you with your selection for primary care provider. Chinese This information is subject to change without notice. CCHA | Find a Provider - Colorado Community Health Alliance We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update.
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