CCHP discourages the use of family members, friends or minors to interpret or translate materials. Ventura Select products that are administered by the specified organization. Napa Lake 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. 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). This is not a guarantee they will be available to accept additional patients at the time you contact them. Learn best practices and earn CBI payments for ACE screenings at your practice. 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. Search - Provider Directory What care are you looking for? CORE Certification Languages: The languages a doctor speaks. A doctor may work with other doctors. 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. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. It mandated healthcare operating rules for HIPAA claims-related electronic transactions, and CAQH CORE was named by the Secretary of Health and Human Services (HHS) as the authoring entity of these operating rules. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. Lassen Placer 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. Endodontist If you are a member or potential member it is important for you to understand how our two networks are organized. Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. Cantonese. ccah provider directory 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. Spanish Mongolian Board certifications for most Doctors of Osteopathic Medicine (D.O.) Kern The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. 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]. Authentication is not required to access the Conformance resource. Health and Wellness Rewards 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. 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. Alpine Please select the county where you live. We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. Select Locations managed by the specified organization. Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. Board Certification: Information on board certification is verified at the time of credentialing and re-verified at least every three years at the time of re-credentialing. Certified Orthodontist A Reset font size. This network contains both primary and specialty care providers to choose from. Downloadable PDF Directories Select HealthcareServices providing the specified category of services. CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. San Luis Obispo To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. Select Practitioners with the specified given name. Follow-up on missed appointments: Providers are expected to review all members that do not show up for scheduled appointments and to identify those requiring follow-up, based on their medical condition. Tuolumne There are more protections for immigrants and their families to use public benefits. 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. Select Practitioners with the specified family name. *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. Please select a specialty 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. 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. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? The doctor or hospital gives CCP this information on their application when they join the health plan. The RESTful capabilities are discussed in further detail below. 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. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? Click to see Board of Directors Meeting Schedule/Upcoming Agenda. Marin It requires CenCal Health to meet both time and distance standards based on county population density. Select OrganizationAffiliations providing the specified service. A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. Select organizations with the specified address (matches any of the string elements of an address). We are dedicated to providing the highest quality of care for your furry family members. Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. Farsi San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. General Practitioner Please select a language This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. 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). View Urgent Visit Access Offices in Monterey County. Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. + Decrease font size. To find a pharmacy, use Medi-Cal Rx's online pharmacy directory using the link below: The Central California Alliance for Health (the Alliance) contracts with a company called MedImpact to provide pharmacy services. [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? Sutter The local timezone is named Europe / Berlin with an UTC offset of 2 hours. You can get these documents for free in other formats, such as large print, braille, or audio. Frequently Asked Questions, GRIEVANCE FORM 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. * If your language is not listed, please call the Telephone Service Center at 1-800-322-6384 for free translation services during a dental appointment. Who is CenCal Health/What is a Local Health Plan? Location Name: Name of the doctor's office or hospital address. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. 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). View rating by specialty and compare nearby hospitals. CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP.
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