Kings This information is subject to change without notice. Select health insurance provider networks available in a region described by the specified location. Select products that are administered by the specified organization. San Francisco Oral Pathologist This certificate expires, so CCP checks it at least every 3 years. It requires CenCal Health to meet both time and distance standards based on county population density. 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. GET [base]/Location? The ACA has taken operating rules to a new level. Merced 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. 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. If you are a solo practitioner, enter your name in the box above. Providers must document this choice in the member's medical record. Solano To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. Select OrganizationAffiliations available at the specified location. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? Glenn Lake We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. English Dont miss our bimonthly newsletter for community partners. You are now being transferred to the CCA corporate website. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. 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. Armenian Santa Barbara Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? 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. This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. Sometimes CCP does not receive a notice that the information has changed. To report any errors, click on the link below. Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. 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. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. 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. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? SHOULD: A best practice or recommendation for the implementation. Inyo Select PractitionerRoles with the specified role. Results are as of 12/1/2020 unless otherwise noted. Learn best practices and earn CBI payments for ACE screenings at your practice. Select HealthcareServices available at the specified location. Gender: A doctors sex, either Male or Female. Board certifications for most Doctors of Osteopathic Medicine (D.O.) Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. Language Assistance Colusa [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. Name: The doctor or hospital that is part of the CCP network. We are dedicated to providing the highest quality of care for your furry family members. San Benito Arabic 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. Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. Frequently Asked Questions, GRIEVANCE FORM We can help you understand and assist you with obtaining referrals to see specialists, explain when referrals are not needed, and help you find a specialist in your area. Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. Select Locations with the specified postal code address. Ventura Cambodian Kern Calaveras This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. Stanislaus Our Provider and Pharmacy Directory make it easy to find the care you need. 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. 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 OrganizationAffiliations providing the specified service. Authentication is not required to access the Conformance resource. [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. 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? Shasta San Mateo Select roles where the practitioner is a member of the specified health insurance provider network. Hmong Endodontist Del Norte A Decrease font size. Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. 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. Marin Search - Provider Directory What care are you looking for? Location: The doctors office or hospital address. 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. Alliance Care IHSS Price Transparency Tool. [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? For more information, please call the doctors office. 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. These are the resources and the endpoints available with the Alliance Provider Directory API. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Hospital Quality: The hospitals performance rating. Select roles filled by the specified practitioner. The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. 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. Search by plan name, specialty, location, or provider name. Sonoma Together, we can bring uncommon care to more people with significant needs. 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. To verify the current status of a hospital visit jointcommission.org. Select Practitioners with the specified family name. 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. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. Our directories are printed by county. 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. Japanese Medi-Cal Dental Provider Directory Search. + Increase font size. Implements RESTful behaviors according to the FHIR specification. A Network refers to a health care provider insurance network. [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. Facilities may also notify us at any time regarding changes to their accreditation status. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Members have the choice to refuse professional interpreters and use adult family members or friends. San Bernardino Connecting, solving and transforming healthcare business challenges. Adoption Directory + Reset font size. Showing of Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. The FHIR server is recommended to return this data. CCHP does not verify these skills. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. Butte [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? Alliance. Location Name: Name of the doctor's office or hospital address. Specialty: The area of medicine the doctor provides care to patients. Yuba, Specialty: Dont miss our bimonthly newsletter for community partners. Hindi You can get these documents for free in other formats, such as large print, braille, or audio. Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? Select products that are offered in the specified location. 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. San Luis Obispo The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. 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. Mono *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. If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. Fresno 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. Korean Oral Surgeon CCA Senior Care Options Directory by County (2023) view: Bristol, Norfolk, Plymouth Essex Franklin, Hampden, Hampshire Middlesex Suffolk Worcester CCA Senior Care Options Directory by County - Spanish (2023) view: Bristol, Norfolk, Plymouth-Spanish Essex-Spanish Franklin, Hampden, Hampshire-Spanish Middlesex-Spanish Suffolk-Spanish 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). FAQs, Case Studies, Issue Briefs, and more. A doctor may work with other doctors. If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. Sutter 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). 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. 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. Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. This is not a guarantee they will be available to accept additional patients at the time you contact them. Select Locations with the specified address. Select roles offered by the specified organization. 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. Alpine The doctor provides an excellent patient experience. A Increase font size. 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. Lassen 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. Documents will be mailed within five (5) business days of receiving request. [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? Select roles where the organization is a member of the specified health insurance provider network. Spanish can be viewed free at osteopathic.org. The DaVinci PDEX Plan-Net Network profile is based on the core FHIR Organization resource, and the DaVinci PDEX Plan-Net Organization profile is based on the core FHIR US Core Organization resource.