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. Select OrganizationAffiliations associated with the specified specialty. 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. Cambodian Specialty: The area of medicine the doctor provides care to patients. Tagalog Kern Learn More. Armenian Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. Timely Access to Care: The California Department of Managed Health Care (DMHC) has regulations set forth in Title 28, Section 1300.67.2.2 for health plans to provide timely access to care for our members. Riverside 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. [parameter=value]&_include=Organization:partof, GET [base]/Organization? 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. Select Locations managed by the specified organization. This network contains both primary and specialty care providers to choose from. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. A Network refers to a health care provider insurance network. Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. Dont miss our bimonthly newsletter for community partners. Sonoma Select products that are owned by the specified organization. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Select PractitionerRoles with the specified role. Found inside - Page 57. Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. We are dedicated to providing the highest quality of care for your furry family members. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. Certified Orthodontist Click to see Board of Directors Meeting Schedule/Upcoming Agenda. Showing of + Decrease font size. Thank you for the opportunity to partner with you. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. Amador The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. 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. To set your current location, click the green Use Current Location button. Monterey Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. Hospitals: The network hospitals a doctor can see their patients in. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? 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 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. 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. To report any errors, click on the link below. Select PractitionerRoles available at the specified organization. Certificate. The call is free. [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? Trinity Hospital Affiliation: This information is collected from the provider at the time they initially join the network and verified upon initial and recredentialing, quarterly through the Network Update link, and reviewed on an annual basis. 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). A Reset font size. Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . 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. A network is typically owned by a payer. Select Practitioners with the specified given name. Select HealthcareServices provided by the specified organization. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. This is not a guarantee they will be available to accept additional patients at the time you contact them. PCP's are not required to have hospital privileges. Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. 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. San Mateo Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. The hospital gets reviewed by national organizations to see if they meet these standards. 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 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. CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. Select PractitionerRoles available at the specified location. The Central California Alliance for Health (the Alliance) is an award-winning regional Medi-Cal managed care plan that provides health insurance for children, adults, seniors. Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Taiwanese + Reset font size. View rating by specialty and compare nearby hospitals. 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. Please Note: Be sure to include your full address with City, State, and ZIP. You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). San Joaquin Only submit information below that needs to be changed in the directory. 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. You can also access the Kaiser online directory. Select health insurance provider networks available in a region described by the specified location. Orange Lassen Yuba, Specialty: Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. [parameter=value]&_include=Location:partof, GET [base]/Location? Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? CORE Certification 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. Select OrganizationAffiliations providing the specified service. 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. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. 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. 2020 K Street, NW - Suite 660 Washington, D.C. 20006. Select Organizations with the specified name. Russian 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). 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? ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Then click the magenta Get Location button. Name: The doctor or hospital that is part of the CCP network. Website: The internet address that the doctor and practice information can be found. *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. Select Locations with the specified state address. Select PractitionerRoles associated with the specified specialty. 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. [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? 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. Select roles offered by the specified organization. Downloadable PDF Directories Medical group: This information is collected from the group at the time they initially join the network. Laotian Our directories are printed by county. 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. Please indicate the name of your practice in the box above. Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. Current time in Gunzenhausen is now 07:51 PM (Saturday). Facility: CCHP updates facility information daily as changes are reported by the facility. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Alliance Care IHSS Price Transparency Tool. 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. Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. Below we describe the information in the fields in the provider directory. Facilities may also notify us at any time regarding changes to their accreditation status. Select organizations with the specified address (matches any of the string elements of an address). To verify the current status of a hospital visit jointcommission.org. 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. GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? Select OrganizationAffiliations with the specified role. 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). Potential members may contact our Marketing Department at 1-877-661-6230 option 6. Enrollment for these plans ends December 7. 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. Tulare 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. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. MAY: An optional inclusion for the implementation; not a requirement. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Search by plan name, specialty, location, or provider name. Adoption Directory * Translation services available for most languages. Registered Dental Hygienists in Alternative Practice.

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