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. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. The most current board certification status can be verified at The American Board of Medical Specialties website. Chinese 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. Below we describe the information in the fields in the provider directory. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? 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. 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. Name: The doctor or hospital that is part of the CCP network. All Rights Reserved. View Urgent Visit Access Offices in Merced County. Find-A-Dentist. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. San Mateo [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line This makes sure that Medi-Cal members have access to covered services. Santa Cruz Accessible with a Wheelchair: The office is handicap accessible. Languages: The languages a doctor speaks. If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. Our Provider and Pharmacy Directory make it easy to find the care you need. Found inside - Page 57. If you are a solo practitioner, enter your name in the box above. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. Implements RESTful behaviors according to the FHIR specification. Select Practitioners with the specified given name. Locations can range in scope from a room in a building to a geographic region/area. There are more protections for immigrants and their families to use public benefits. GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? 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. Together, we can bring uncommon care to more people with significant needs. 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. 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. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. MAY: An optional inclusion for the implementation; not a requirement. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. 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. 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. The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. Select organizations with the specified address (matches any of the string elements of an address). Select Locations that are part of the specified location. 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 hospital gets reviewed by national organizations to see if they meet these standards. 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). They might also work in different offices or clinics. Sacramento The online Beacon Provider Directory can be found at the link below. Then click the magenta Get Location button. There are more protections for immigrants and their families to use public benefits. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. A doctor may work with other doctors. Connecting, solving and transforming healthcare business challenges. 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. Medical group: This information is collected from the group at the time they initially join the network. 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. CCHP does not verify these skills. 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. Calaveras Only submit information below that needs to be changed in the directory. Select HealthcareServices with the specified name. All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. View Urgent Visit Access Offices in Santa Cruz County. A Network refers to a health care provider insurance network. 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). Sometimes, there is not a needed provider close enough. Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. 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). 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. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. Specialty: The area of medicine the doctor provides care to patients. Humboldt CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. 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. To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? Hindi 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? Updates will be posted at cchealth.org. CCA Senior Care Options, CCA Medicare Value, and CCA Medicare Preferred are available in 10 counties in Massachusetts: Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. Please select a county Glenn CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. Member Handbook View Urgent Visit Access Offices in Monterey County. We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. can be viewed free at osteopathic.org. Kings You are now being transferred to the CCA corporate website. This information is subject to change without notice. Mandarin Los Angeles [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? 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. It requires CenCal Health to meet both time and distance standards based on county population density. Alliance Care IHSS Price Transparency Tool. A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. Member Handbook Napa Downloadable PDF Directories Please select the county where you live. A Increase font size. San Benito You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). Select Locations with the specified postal code address. Thai These are the resources and the endpoints available with the Alliance Provider Directory API. San Diego 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. Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. Select PractitionerRoles available at the specified location. Select OrganizationAffiliations providing the specified service. Select roles offered by the specified organization. Please select a specialty **In Dukes and Nantucket Counties: CCA health plans are not yet available. 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. Korean Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. Santa Barbara Use the Provider Directory Information Update Form to alert us to any changes to your provider information. Japanese 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. [parameter=value]&_revinclude=PractitionerRole:network, GET [base]/Organization?[parameter=value]&_revinclude=OrganizationAffiliation:participating-organization. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Specialty: A provider's specialty is identified when they join the health plan network. To verify the current status of a hospital visit jointcommission.org. 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 Telephone wait time for practice/plan to answer: within 10 minutes, Telephone call back wait time practice/provider office: by the end of the next business day, Telephone call back wait time triage: within 30 minutes. Pedodontist