If you are a solo practitioner, enter your name in the box above. By entering a hospital name, the accreditation status and quality measures are listed. Groups: The practice a doctor works in. Korean Tagalog Adoption Directory 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. Then click the magenta Get Location button. A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. MAY: An optional inclusion for the implementation; not a requirement. CORE Certification The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. Mendocino 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). Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. You can also access the Kaiser online directory. Operating rule development for these transactions is currently underway. 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. Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. Colusa 2020 K Street, NW - Suite 660 Washington, D.C. 20006. They will be able to assist you in making the best health plan choice for you. Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. 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. Taiwanese To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. Step 3a: In addition, on a quarterly basis, CCHP emails a Network Update link to each facility to report any changes to the information CCHP has on file. [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? PDF Monterey and Santa Cruz Medi-Cal Provider Directory Gua de Proveedores . The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. Providers must document this choice in the member's medical record. Periodontist 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. 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. Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. In those situations, CenCal Health can still get you care. Provider Search - CCHP Health Plan 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. Mandarin CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. After reviewing the listing for your practice that you received via email or fax, please confirm that all information is correct, or indicate any changes for each provider in your practice (including mid-level practitioners). Who are Providers? 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. 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. We share our providers dedication to assuring the highest levels of care and service for people with complex health needs. Office of Licensing and Monitoring Provider Directories It should be noted that this is an all-inclusive resource directory of DHS licensed programs; however, not every provider listed is contracted with DHS to provide services to youth in placement. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. Monterey Hospital Quality: The hospitals performance rating. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. There are more protections for immigrants and their families to use public benefits. Select health insurance provider networks available in a region described by the specified location. Search - Provider Directory Health and Wellness Rewards Public Health, * Language: Vietnamese The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Please select the county where you live. [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. Select Locations managed by the specified organization. Cantonese. 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 Select OrganizationAffiliations associated with the specified specialty. Orange The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. Large healthcare providers may achieve CORE Certification. 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. Del Norte Destination Guide: Gunzenhausen (Bavaria, Regierungsbezirk Accepting New Patients: This provider accepts both new and existing patients. Ventura Select roles offered by the specified organization. Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. 734-436-0455 Select insurance plans of the specified type. San Benito Alliance Care IHSS Price Transparency Tool. 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. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. Sutter 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. 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. 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. 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. 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. Connecting, solving and transforming healthcare business challenges. Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. 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. Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Please refer to the Kaiser Assignment Criteria document located at cchealth.org/CCHPmaterials or contact Member Services at 1-877-661-6230 (press 2) for more information. Yolo + Increase font size. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. Provider Directories - Maryland Department of Human Services Sacramento **In Dukes and Nantucket Counties: CCA health plans are not yet available. CORE is bringing the healthcare industry together to accelerate interoperability, increase automation and align administrative and clinical activities. CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. Cambodian Mono Endodontist Yuba, Specialty: Mariposa Merced CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. If you are a member or potential member it is important for you to understand how our two networks are organized. Provider Directory for Members - CenCal Health Amador 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.
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