The number to call in each county is. 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. 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. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Lassen Spanish The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. A Reset font size. Lake Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. Health and Wellness Rewards View Urgent Visit Access Offices in Monterey County. All Rights Reserved. Learn best practices and earn CBI payments for ACE screenings at your practice. Location: The doctors office or hospital address. Mongolian Accepting new patients: The doctor is taking new patients. Please indicate the name of your practice in the box above. CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. Updates will be posted at cchealth.org. 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). Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. Pedodontist We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. Vietnamese Monterey The FHIR server is recommended to return this data. Results are as of 12/1/2020 unless otherwise noted. Marin Language Assistance Select PractitionerRoles available at the specified location. County: Select PractitionerRoles associated with the specified specialty. [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? Preferred Provider: A doctor that meets strict quality standards. + Reset font size. Enrollment for these plans ends December 7. Kern Solano The ACA has taken operating rules to a new level. Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation: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). Select services available in a region described by the specified location. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? 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. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. 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. This certificate expires, so CCP checks it at least every 3 years. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. The online Beacon Provider Directory can be found at the link below. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. [parameter=value]&_include=Location:partof, GET [base]/Location? The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Select HealthcareServices providing the specified category of services. 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. Some doctors might have all the patients they can fit in, while still giving you the best care. Armenian [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? Health and Wellness Rewards [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. 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. Please select a language Tagalog Alliance Care IHSS Price Transparency Tool. Hospitals: The network hospitals a doctor can see their patients in. Registered Dental Hygienists in Alternative Practice. Select Locations with the specified state address. CCHP discourages the use of family members, friends or minors to interpret or translate materials. It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. 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. Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. Sierra Locations can range in scope from a room in a building to a geographic region/area. Yolo These are the resources and the endpoints available with the Alliance Provider Directory API. [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. Dont miss our bimonthly newsletter for community partners. Facilities may also notify us at any time regarding changes to their accreditation status. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? View Urgent Visit Access Offices in Merced County. Select products with the specified identifier. 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. [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? 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. Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? Merced Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). We can explain what hospitals are near you. 6HUYLFHV GHSDUWPHQW DW HPDLO
[email protected] 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. 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. Sonoma We share our providers dedication to assuring the highest levels of care and service for people with complex health needs. Glenn Select Locations managed by the specified organization. San Mateo Taiwanese CCP checks this information at least every 3 years. Only submit information below that needs to be changed in the directory. CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. You can also access the Kaiser online directory. Prosthodontist [parameter=value]&_include=Location:organization, GET [base]/Location? Downloadable PDF Directories Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. Select PractitionerRoles available at the specified organization. InsureKidsNow Search. Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. 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. 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. 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. 1 Percent of ICO + SCO members weighted together who have at least one qualifying touch by a care team member within a given month (Rolling three-month average, 7/2021), 2Combined CCA ICO + SCO rate per 1,000 members; hospitalization rates are consistently below the per capita averages during COVID-19 pandemic. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. Select Organizations that are part of the specified organization. San Bernardino Mandarin 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. Together, we can bring uncommon care to more people with significant needs. Groups: The practice a doctor works in. This directory is for informational use only. 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.