Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. 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=Organization:partof, GET [base]/Organization? can be viewed free at osteopathic.org. FAQs, Case Studies, Issue Briefs, and more. Cantonese. Connecting, solving and transforming healthcare business challenges. Enrollment for these plans ends December 7. Language Assistance + Increase font size. Select Locations with the specified postal code address. Solano Del Norte Health and Wellness Rewards Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. Fresno 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 For further assistance, members can contact Member Services at 1-877-661-6230 option 2 and providers can access interpreter services at 1-877-800-7423 option 4 or directly at 1-866-874-3972. Enhanced Care Management and Community Supports, Utilization Management: Authorization and Referrals, Request Printed Copy of Provider Directory, The American Board of Medical Specialties website, linguistic access and accessibility policy, Urgent care appointments not requiring prior authorization: within 48 hours of request, Urgent care appointments requiring prior authorization: within 96 hours of request, Non-urgent appointments for primary care: within 10 business days of request, Non-urgent appointments with specialists: within 15 business days of request, Non-urgent appointments for ancillary services for the diagnosis or treatment of injury, illness or other health conditions: within 15 business days of request, First Prenatal Visit: within 14 calendar days of request, Mental Health Routine Non-Urgent: within 10 business days of request, Mental Health Routine Non-Urgent Follow-Up: within 10 business days of request, Mental Health Urgent: within 48 hours of request. Benefits of CCAH Provider Portal The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Waiting time in provider office: within 45 minutes or less from the time of the patients appointment until they are taken to the exam room. Provider Directory Information Update Form Provider Directory Information Update Form Senate Bill 137 requires the Alliance to solicit updated information from providers on a regular basis to ensure that the most accurate data for your practice is included in our Provider Directories. Frequently Asked Questions, GRIEVANCE FORM Providers in the CCRMC network are certified in languages spoken in addition to English. Find-A-Dentist. The hospital gets reviewed by national organizations to see if they meet these standards. The hospital reports the safety and quality of its care. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Please select a county It requires CenCal Health to meet both time and distance standards based on county population density. Only submit information below that needs to be changed in the directory. GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. Alliance members must use a pharmacy that works with MedImpact. 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. Facilities may also notify us at any time regarding changes to their accreditation status. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. Hours: When the office or hospital is open to see patients. Prosthodontist [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? See our linguistic access and accessibility policy. [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? Modoc GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? You can also access the Kaiser online directory. . San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Our directories are printed by county. CCP checks this information at least every 3 years. Specialty: The area of medicine the doctor provides care to patients. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. Select Locations that are part of the specified location. We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. Dental Clinics Serving Medi-Cal Members. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. Below we describe the information in the fields in the provider directory. By entering a hospital name, the accreditation status and quality measures are listed. Please indicate below any changes to the directory listing for the practice listed above. 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. Senate Bill 137 requires the Alliance to solicit updated information from providers on a regular basis to ensure that the most accurate data for your practice is included in our Provider Directories. Please select the county where you live. GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? 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. 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 local timezone is named Europe / Berlin with an UTC offset of 2 hours. The number to call in each county is. Registered Dental Hygienists in Alternative Practice. Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. A doctor may work with other doctors. ccah provider directory400,000 mile ecoboost. As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. Thai This is not a guarantee they will be available to accept additional patients at the time you contact them. Tuolumne If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. Arabic Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. Select Locations managed by the specified organization. Trinity 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. Frequently Asked Questions, GRIEVANCE FORM Calaveras Sierra CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Los Angeles You are now being transferred to the CCA corporate website. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. Location Name: Name of the doctor's office or hospital address. Select Practitioners with the specified given name. A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. 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? Facility: CCHP updates facility information daily as changes are reported by the facility. Our Provider and Pharmacy Directory make it easy to find the care you need. Sutter Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. As of Feb. 24, Medi-Cal Rx PA requirements reinstated for 46 Standard Therapeutic Classes, COVID-19 Therapeutics Warmline and treatment webinars, Thursday training for Adverse Childhood Experiences (ACEs) screening. 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. PCP's are not required to have hospital privileges. Llame al 866-610-2273 (TTY 711). Select PractitionerRoles available at the specified location. Select PractitionerRoles providing the specified service. Select products with the specified identifier. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. Nevada 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. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! **In Dukes and Nantucket Counties: CCA health plans are not yet available. CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. This network contains both primary and specialty care providers to choose from. Yolo Chinese San Francisco Japanese You can get these documents for free in other formats, such as large print, braille, or audio. Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. This is not a guarantee they will be available to accept additional patients at the time you contact them. 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).
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