ccah provider directory

A network is typically owned by a payer. This directory is for informational use only. You are now being transferred to the CCA corporate website. 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. 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. CCP checks this information at least every 3 years. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! A doctor may work with other doctors. Dont miss our bimonthly newsletter for community partners. Search by Doctor Type Search by Doctor Name Search by Hospital/Facility Doctor type Primary Care Physician Specialty Select Primary Care Type Family Medicine Zip Code Distance Within 15 miles Plan Type We are dedicated to providing the highest quality of care for your furry family members. 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. Inpatient mental health services and services for the treatment of severe mental health conditions continue to be covered through county mental health departments, not the Alliance. Tulare 734-436-0455 There are more protections for immigrants and their families to use public benefits. . [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? To report any errors, click on the link below. [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. 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. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. 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. CCA will not contact you unless we have questions about your request. CORE Certification InsureKidsNow Search. Please select the county where you live. 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. Oral Pathologist Frequently Asked Questions, GRIEVANCE FORM Locations can range in scope from a room in a building to a geographic region/area. CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? Calaveras Hospital information is verified by viewing the information listed on their website. Lake Llame al 866-610-2273 (TTY 711). 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. 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. Plumas Learn best practices and earn CBI payments for ACE screenings at your practice. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? The hospital reports the safety and quality of its care. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? Sonoma Potential members may contact our Marketing Department at 1-877-661-6230 option 6. Mariposa Alliance Care IHSS Price Transparency Tool. This is not a guarantee they will be available to accept additional patients at the time you contact them. [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. Japanese , California The hospital gets reviewed by national organizations to see if they meet these standards. Medi-Cal Dental Program. SHOULD: A best practice or recommendation for the implementation. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. Hindi CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. Showing of Placer If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. The doctor provides an excellent patient experience. Facility: CCHP updates facility information daily as changes are reported by the facility. CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? Select PractitionerRoles available at the specified organization. Current time in Gunzenhausen is now 07:51 PM (Saturday). 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? GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? Select roles where the organization is a member of the specified health insurance provider network. SHALL: An absolute requirement for all implementations. [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? Search - Provider Directory What care are you looking for? 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=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? Dont miss our bimonthly newsletter for community partners. The ACA has taken operating rules to a new level. 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. Full Print Version of the CBH Provider Directory (Updated 1/3/2023) Step 1: Are you looking for a provider that services adults or children/adolescents? Step 3a: The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Solano ccah provider directory400,000 mile ecoboost. [parameter=value]&_revinclude=PractitionerRole:network, GET [base]/Organization?[parameter=value]&_revinclude=OrganizationAffiliation:participating-organization. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Marin Siskiyou The FHIR server is recommended to return this data. Certificate. Russian 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. Glenn A Reset font size. Whether or not a member is assigned to the RMC or the CPN network, if specialty care is not available in their assigned network, CCHP and the assigned primary care provider (PCP) may arrange for whatever referrals, authorizations, and treatments necessary to see a specialist in a non-assigned network. Select OrganizationAffiliations providing the specified service. [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. 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. Location Name: Name of the doctor's office or hospital address. Please Note: Be sure to include your full address with City, State, and ZIP. Chinese 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. Imperial Punjabi Select Organizations with the specified name. 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). Select HealthcareServices available at the specified location. 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. Prosthodontist They will be able to assist you in making the best health plan choice for you. Tehama + Reset font size. Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. Results are as of 12/1/2020 unless otherwise noted. Member Handbook [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? Ventura GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? Who are Providers? Learn best practices and earn CBI payments for ACE screenings at your practice. Certified Orthodontist Riverside [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? Thank you for the opportunity to partner with you. 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). 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]. Search for providers using a specific location or your current location. Location: The doctors office or hospital address. Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. Dental Clinics Serving Medi-Cal Members. Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. Search by plan name, specialty, location, or provider name. FAQs, Case Studies, Issue Briefs, and more. 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. Los Angeles An example is a doctor who works only with the heart, cancer, or bones.

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