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. CCAH Provider Portal - provider.portal.ccah-alliance.org 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. Dont miss our bimonthly newsletter for community partners. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. We can explain what hospitals are near you. Russian Laotian Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. A Network refers to a health care provider insurance network. View Urgent Visit Access Offices in Santa Cruz County. Certified Orthodontist 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. Siskiyou Benefits of CCAH Provider Portal Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. 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). Select HealthcareServices provided by the specified organization. Destination Guide: Gunzenhausen (Bavaria, Regierungsbezirk 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. In those situations, CenCal Health can still get you care. Please select a specialty 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. Solano If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. They might also work in different offices or clinics. Locations can range in scope from a room in a building to a geographic region/area. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. Medical group: This information is collected from the group at the time they initially join the network. Alliance members must use a pharmacy that works with MedImpact. Implements RESTful behaviors according to the FHIR specification. 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. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. Alliance. Hospital Quality: The hospitals performance rating. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. Search - Provider Directory We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. PDF Monterey and Santa Cruz Medi-Cal Provider Directory Gua de Proveedores Search by plan name, specialty, location, or provider name. The Alliance FHIR server SHALL be capable of returning a HealthcareService resource using: The Alliance FHIR server SHOULD be capable of returning a HealthcareService resource using: The Alliance FHIR server SHALL be capable of supporting the following _include parameters: The Alliance FHIR server SHALL be capable of supporting the following _revinclude parameters: The Alliance FHIR server SHALL be capable of returning an InsurancePlan resource using: The Alliance FHIR server SHOULD be capable of returning an InsurancePlan resource using: The Alliance FHIR server SHALL be capable of returning a Location resource using: The Alliance FHIR server SHOULD be capable of returning an Organization resource using: The Alliance FHIR server SHALL be capable of returning an Organization resource using: The Alliance FHIR server SHALL be capable of returning an OrganizationAffiliation resource using: The Alliance FHIR server SHOULD be capable of returning an OrganizationAffiliation resource using: The Alliance FHIR server SHALL be capable of returning a Practitioner resource using: The Alliance FHIR server SHOULD be capable of returning a Practitioner resource using: The Alliance FHIR server SHALL be capable of supporting the following _revinclude parameter: The Alliance FHIR server SHALL be capable of returning a PractitionerRole resource using. CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. CCA Provider Homepage | Commonwealth Care Alliance MA Nevada Korean 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. Language Assistance Santa Barbara Oral Pathologist If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. They will be able to assist you in making the best health plan choice for you. Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. Farsi Our directories are printed by county. [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? Yuba, Specialty: Alpine The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. The FHIR server must return this data. Select HealthcareServices of the specified type. 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. 2020 K Street, NW - Suite 660 Washington, D.C. 20006. The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. You are now being transferred to the CCA corporate website. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? Taiwanese Select OrganizationAffiliations providing the specified service. 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). Arabic Ventura Del Norte The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. You are now being transferred to the CCA corporate website. Languages: The languages a doctor speaks. Select Locations with the specified state address. 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. PCP's are not required to have hospital privileges. Member Handbook CCHA | Find a Provider - Colorado Community Health Alliance Inpatient mental health services and services for the treatment of severe mental health conditions continue to be covered through county mental health departments, not the Alliance. This directory is for informational use only. Providers | CAQH Healthcare Provider Directory | Commonwealth Care Alliance MA [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. 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. Alameda Provider Directory | Community Cares Plan 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. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. Updates will be posted at cchealth.org. Our Provider and Pharmacy Directory make it easy to find the care you need. Select roles filled by the specified practitioner. CORE Certification If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Select products that are administered by the specified organization. The CAQH CORE Phase III Operating Rules for EFT & ERA have been mandated by HHS and since January 2014 any provider should be asking forthe streamlined electronic transactions that can result due to these operating rules and their affiliated standards. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. Found inside - Page 57. Find-A-Dentist. Providers must document this choice in the member's medical record. Contra Costa There are more protections for immigrants and their families to use public benefits. Fresno Please indicate below any changes to the directory listing for the practice listed above. 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. A Decrease font size. Punjabi FAQs, Case Studies, Issue Briefs, and more. Language Assistance [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? Hmong Click to see Board of Directors Meeting Schedule/Upcoming Agenda. Please Note: Be sure to include your full address with City, State, and ZIP. * 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. Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. GET [base]/Location? The local timezone is named Europe / Berlin with an UTC offset of 2 hours. A profile is a set of rules which allows a resource to be constrained, or to include extensions, so the resource can add additional attributes. 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. 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. The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. Armenian Plumas You can also use the filters to search for more specific information. You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). Call 866-610-2273 (TTY 711). [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? Then click the magenta Get Location button. Groups: The practice a doctor works in. These are the resources and the endpoints available with the Alliance Provider Directory API. Sacramento Provider Directory - Community Behavioral Health We can assist you with your selection for primary care provider. If you are a member or potential member it is important for you to understand how our two networks are organized. Select PractitionerRoles with the specified role. Llame al 866-610-2273 (TTY 711). Most hospitals in Contra Costa County and the immediate surrounding area are participants. Modoc 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). Select OrganizationAffiliations associated with the specified specialty. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? Facilities may also notify us at any time regarding changes to their accreditation status. Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible.