The FHIR server may return the data, but there is no requirement to do so. View Urgent Visit Access Offices in Monterey County. For more information, please call the doctors office. The CAQH CORE Phase III Operating Rules for EFT & ERA have been mandated by HHS and since January 2014 any provider should be asking forthe streamlined electronic transactions that can result due to these operating rules and their affiliated standards. Dental Clinics Serving Medi-Cal Members. Madera Select roles filled by the specified practitioner. Select insurance plans of the specified type. Benefits of CCAH Provider Portal All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. 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. 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. You can also use the filters to search for more specific information. Select HealthcareServices of the specified type. CORE Certification The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. InsureKidsNow Search. 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. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. The hospital reports the safety and quality of its care. Who is CenCal Health/What is a Local Health Plan? Select roles offered by the specified organization. Select PractitionerRoles with the specified role. Select Locations with the specified address. Los Angeles . PCP's are not required to have hospital privileges. The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. Yolo 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. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. A Reset font size. The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. 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). [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. Punjabi Tehama Hospital Quality: The hospitals performance rating. The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. FAQs, Case Studies, Issue Briefs, and more. Hospitals: The network hospitals a doctor can see their patients in. View Urgent Visit Access Offices in Santa Cruz County. Name: The doctor or hospital that is part of the CCP network. There are more protections for immigrants and their families to use public benefits. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. Calaveras 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. 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. 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). The FHIR server must return this data. 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. Authentication is not required to access the Conformance resource. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. 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. Mendocino Select Organizations with the specified name. 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 Sonoma Locations can range in scope from a room in a building to a geographic region/area. 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. Health and Wellness Rewards Orange Kings Merced Location Name: Name of the doctor's office or hospital address. Please indicate the name of your practice in the box above. ccah provider directory400,000 mile ecoboost. San Mateo GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? Sierra [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? Hours: When the office or hospital is open to see patients. Select products that are offered in the specified location. [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? Our directories are printed by 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. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Tuolumne Select products with the specified identifier. Frequently Asked Questions, GRIEVANCE FORM Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. Board Certifications: A doctor gets a certificate after completing extra training in their specialty. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? Oral Pathologist 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. CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. Please Note: Be sure to include your full address with City, State, and ZIP. [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. Facility: CCHP updates facility information daily as changes are reported by the facility. San Francisco Our Provider and Pharmacy Directory make it easy to find the care you need. At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. Results are as of 12/1/2020 unless otherwise noted. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. Alameda Select Locations with the specified postal code address. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. Contra Costa Health (CCH) has been notified by the Martinez Refining Company of planned maintenance work at its facility that will cause flaring visible from Interstate 680 and Marina Vista Ave from Friday through Monday, March 6th. Accessible with a Wheelchair: The office is handicap accessible. In those situations, CenCal Health can still get you care. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? This is not a guarantee they will be available to accept additional patients at the time you contact them. GET [base]/Location? See our linguistic access and accessibility policy. Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. Japanese CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. Chinese Fresno CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Only submit information below that needs to be changed in the directory. . To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. 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. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. 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 are a solo practitioner, enter your name in the box above. The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. Select PractitionerRoles available at the specified organization. Find-A-Dentist. Select roles where the practitioner is a member of the specified health insurance provider network. + Increase font size. Were committed to achieving: Partnering with you to keep your patients living safely and independently in their homes and communities is at the heart of our mission. [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? ASL Interpreter Available: The office can translate into American Sign Language. Riverside The ACA has taken operating rules to a new level. 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. Glenn It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. Public Health, * Language: Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. Farsi The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. 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. 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. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. This certificate expires, so CCP checks it at least every 3 years. Select OrganizationAffiliations with the specified role. 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. Updates will be posted at cchealth.org. Contra Costa 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. * 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. By entering a hospital name, the accreditation status and quality measures are listed. Select PractitionerRoles associated with the specified specialty. Thai Trinity San Bernardino You are now being transferred to the CCA corporate website. A Network refers to a health care provider insurance network. A network is typically owned by a payer. Taiwanese San Diego Select HealthcareServices with the specified name. The doctor provides an excellent patient experience. 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. Operating rule development for these transactions is currently underway. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. Lassen Specialty: The area of medicine the doctor provides care to patients. The RESTful capabilities are discussed in further detail below. Implements RESTful behaviors according to the FHIR specification. Sometimes, there is not a needed provider close enough. 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. Please select a specialty Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. 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. Select health insurance provider networks available in a region described by the specified location. CCHP does not verify these skills. 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. Learn best practices and earn CBI payments for ACE screenings at your practice. Search - Provider Directory What care are you looking for? GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? 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. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? Select products that are owned by the specified organization. Preferred Provider: A doctor that meets strict quality standards. Alliance Care IHSS Price Transparency Tool. A Decrease font size. Hmong This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. 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]. 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). 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. 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. Certificate.