In those situations, CenCal Health can still get you care. [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? Search - Provider Directory What care are you looking for? The CCA uncommon care model has demonstrated success in reaching and engaging individuals with significant medical, behavioral, and social needsimproving quality of care while keeping patients and members safely at home. Timely Access to Care: The California Department of Managed Health Care (DMHC) has regulations set forth in Title 28, Section 1300.67.2.2 for health plans to provide timely access to care for our members. Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. Japanese CCA will not contact you unless we have questions about your request. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. Amador CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Mandarin Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. The online search engine updates nightly based on information entered that day. San Francisco Siskiyou Select health insurance provider networks available in a region described by the specified location. We can explain what hospitals are near you. Marin Select Locations with the specified state address. Please indicate the name of your practice in the box above. Trinity [parameter=value]&_include=Location:organization, GET [base]/Location? Showing of Tagalog [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. Enrollment for these plans ends December 7. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. Sometimes CCP does not receive a notice that the information has changed. Hospital Quality: The hospitals performance rating. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Cantonese. The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. It requires CenCal Health to meet both time and distance standards based on county population density. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? MAY: An optional inclusion for the implementation; not a requirement. Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. Placer GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. Nurse Advice Line This certificate expires, so CCP checks it at least every 3 years. Hospitals: The network hospitals a doctor can see their patients in. 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]. 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. 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. Fresno Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. We can help you understand and assist you with obtaining referrals to see specialists, explain when referrals are not needed, and help you find a specialist in your area. Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? El Dorado [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. Select roles where the organization is a member of the specified health insurance provider network. View Urgent Visit Access Offices in Merced County. Languages: The languages a doctor speaks. Select Locations with the specified city address. 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. Riverside You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer specialist. Tehama Gender: A doctors sex, either Male or Female. 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. Select services available in a region described by the specified location. Find-A-Dentist. 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. 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 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. Select products that are owned by the specified organization. Select roles filled by the specified organization. Select services associated with the specified specialty. Farsi Alliance members must use a pharmacy that works with MedImpact. Below we describe the information in the fields in the provider directory. Madera This is not a guarantee they will be available to accept additional patients at the time you contact them. To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. Authentication is not required to access the Conformance resource. Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. Search for providers using a specific location or your current location. Select Locations with the specified address. All Rights Reserved. The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. CCHP discourages the use of family members, friends or minors to interpret or translate materials. 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. Tulare Select roles where the practitioner is a member of the specified health insurance provider network. 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. Laotian The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. Certified Orthodontist A Decrease font size. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. Operating rule development for these transactions is currently underway. Who is CenCal Health/What is a Local Health Plan? Then click the magenta Get Location button. If you are a solo practitioner, enter your name in the box above. In addition, on a quarterly basis, CCHP emails a Network Update link to each provider to report any changes to the information CCHP has on file. CORE Certification The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. 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. Provider Directory Welcome to Contra Costa Health Plan's Provider Online Search Engine Begin Your Search Here Request Printed Copy of Provider Directory Or call: 1-877-661-6230 (Option 2) Or write: Contra Costa Health Plan Attn: Member Services 595 Center Avenue, Suite 100 Martinez, CA 94553 View/Download Copy of Provider Directory The number to call in each county is. In addition, on a quarterly basis, CCHP emails a Network Update link to each provider, provider group or facility to report any changes to the information CCHP has on file. [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? A Reset font size. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? Llame al 866-610-2273 (TTY 711). To select the Kaiser Permanente Medical Group as your PCP for Medi-Cal, you must have been a recent Kaiser member or meet other criteria to qualify. Languages Spoken: These abilities are self-reported by the providers in the CPN network when the provider joins the network and at the time of recredentialing. Please select a specialty Public Health, * Language: County: The information reported on this Web site is based on the information provided to CCHP from the participating provider and/or verified by licensing and accrediting entities. Yolo + Increase font size. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. Facilities may also notify us at any time regarding changes to their accreditation status. 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. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? Glenn Search by plan name, specialty, location, or provider name. Hours: When the office or hospital is open to see patients. Select PractitionerRoles associated with the specified specialty. Select HealthcareServices provided by the specified organization. The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. 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). 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.