We can explain what hospitals are near you. Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. Riverside Los Angeles 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). Provider Directories - Maryland Department of Human Services The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. Large healthcare providers may achieve CORE Certification. Santa Clara A Increase font size. [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? Learn More. Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. 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 you are a member or potential member it is important for you to understand how our two networks are organized. The hospital gets reviewed by national organizations to see if they meet these standards. [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? Select Practitioners with the specified given name. Accepting new patients: The doctor is taking new patients. They might also work in different offices or clinics. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? Sacramento Marin Mono 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. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. 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. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. Medi-Cal Dental Provider Directory Search. The FHIR server is recommended to return this data. Select OrganizationAffiliations providing the specified service. Select PractitionerRoles available at the specified location. Modoc The FHIR server must return this data. 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 Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. Please select a language 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. 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. 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. * 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. The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. Hospital information is verified by viewing the information listed on their website. Taiwanese Provider Directory for Members - CenCal Health Provider Directory | Community Cares Plan There are more protections for immigrants and their families to use public benefits. Call 866-610-2273 (TTY 711). Operating rule development for these transactions is currently underway. Alliance Care IHSS Price Transparency Tool. Alliance members must use a pharmacy that works with MedImpact. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. Sometimes CCP does not receive a notice that the information has changed. GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. Ventura 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. Who is CenCal Health/What is a Local Health Plan? *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. Only submit information below that needs to be changed in the directory. Healthcare Provider Directory | Commonwealth Care Alliance MA Plumas Mongolian 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. InsureKidsNow Search. Alliance Care IHSS Price Transparency Tool. Board certifications for most Doctors of Osteopathic Medicine (D.O.) Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. You are now being transferred to the CCA corporate website. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. Periodontist 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. Vietnamese CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. Butte 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. 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). 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. Phone Number: The doctors office or hospital phone number. Korean Please select a specialty Thai Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. 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. Dont miss our bimonthly newsletter for community partners. County: GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. Central California Alliance for Health | ccah-alliance.org San Francisco Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. Downloadable PDF Directories This directory is for informational use only. Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. In those situations, CenCal Health can still get you care. Select OrganizationAffiliations with the specified role. San Diego 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. 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. CCAH Provider Portal - provider.portal.ccah-alliance.org Tuolumne Our Provider and Pharmacy Directory make it easy to find the care you need. 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. 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. A Increase font size. Availability of Hard Copy Directories: Members may request printed directories or have web pages printed and mailed to them by clicking on the link below. The call is free. Arabic Member Handbook Select insurance plans of the specified type. Stanislaus PDF Monterey and Santa Cruz Medi-Cal Provider Directory Gua de Proveedores General Practitioner Provider Directory - Central California Alliance for Health Fresno Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Select OrganizationAffiliations associated with the specified specialty. Select products that are administered by the specified organization. By entering a hospital name, the accreditation status and quality measures are listed. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. Napa [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? Solano Our directories are printed by county. Certificate. You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. San Benito 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=Location:partof, GET [base]/Location? 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. Facility: CCHP updates facility information daily as changes are reported by the facility. As of January 2013, all HIPAA-covered entities must adhere to the federally mandated Phase I and II CAQH CORE Operating Rules, which relate to patient eligibility and claim status. If the specialty needed is not available within the assigned network, which may be due to, but is not limited to the provider being unable to make an appointment in a timely manner, the provider is located unreasonably far away, or you require a specialty not present in the RMC network, CCHP and the assigned PCP may arrange for whatever referrals, authorizations, and treatments necessary with a specialist that is available in a non-assigned network. Tulare CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. The RESTful capabilities are discussed in further detail below. Mendocino Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. Colusa The number to call in each county is. Alliance. 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. The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. Select Locations that are part of the specified location. Member Handbook Specialty: The area of medicine the doctor provides care to patients. Members - Medi-Cal Dental - Find-A-Dentist - California 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. Dont miss our bimonthly newsletter for community partners. [parameter=value]&_include=Location:organization, GET [base]/Location? Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. Select HealthcareServices available at the specified location. Please select a county ProcessLogoff - provider.portal.ccah-alliance.org To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. Groups: The practice a doctor works in. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. 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. Select roles filled by the specified practitioner. Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Select Locations with the specified address. [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. CCP checks this information at least every 3 years. This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports.