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. The resource may be used to encompass a variety of services covering the entire health care spectrum, including promotion, prevention, diagnostics, hospital and ambulatory care, home care, long-term care and other health-related and community services. Select roles filled by the specified practitioner. Select roles filled by the specified organization. Endodontist Certified Orthodontist GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? Shasta Select HealthcareServices providing the specified category of services. To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. Telephone wait time for practice/plan to answer: within 10 minutes, Telephone call back wait time practice/provider office: by the end of the next business day, Telephone call back wait time triage: within 30 minutes. [parameter=value]&_revinclude=PractitionerRole:network, GET [base]/Organization?[parameter=value]&_revinclude=OrganizationAffiliation:participating-organization. Provider Directory for Members - CenCal Health CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. San Bernardino New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. A Increase font size. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. 734-436-0455 [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? Alliance Care IHSS Price Transparency Tool. Groups: The practice a doctor works in. Learn best practices and earn CBI payments for ACE screenings at your practice. Accepting new patients: The doctor is taking new patients. CCHP discourages the use of family members, friends or minors to interpret or translate materials. Language Assistance If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. 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. Medical group: This information is collected from the group at the time they initially join the network. See our linguistic access and accessibility policy. [parameter=value]&_include=Organization:partof, GET [base]/Organization? Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. Provider Directory - Community Behavioral Health Lassen Search - Provider Directory Mandarin Alliance members must use a pharmacy that works with MedImpact. 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. Cantonese. Tulare The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. 2020 K Street, NW - Suite 660 Washington, D.C. 20006. You can get these documents for free in other formats, such as large print, braille, or audio. Facilities may also notify us at any time regarding changes to their accreditation status. Calaveras 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. Current time in Gunzenhausen is now 07:51 PM (Saturday). 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. Select HealthcareServices available at the specified location. Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. Colusa Yuba, Specialty: We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. Select OrganizationAffiliations providing the specified service. Results are as of 12/1/2020 unless otherwise noted. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. 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. There are more protections for immigrants and their families to use public benefits. Call 866-610-2273 (TTY 711). San Francisco PDF Medi-Cal Merced Provider Directory - ccah-alliance.org Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. CCA Senior Care Options, CCA Medicare Value, and CCA Medicare Preferred are available in 10 counties in Massachusetts: Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. Hindi Accessible with a Wheelchair: The office is handicap accessible. . Del Norte Dont miss our bimonthly newsletter for community partners. They will be able to assist you in making the best health plan choice for you. Providers in the CCRMC network are certified in languages spoken in addition to English. Select Organizations that are part of the specified organization. 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 Please select a language Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. View Urgent Visit Access Offices in Monterey County. Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. Select PractitionerRoles with the specified role. Member Handbook The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? The doctor provides an excellent patient experience. Tehama Sierra The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. ccah provider directory Tagalog Golden Road 365 Detox - Transform Your Health in 21 Days San Joaquin Periodontist CCP checks this information at least every 3 years. ccah provider directory Prosthodontist If you are a member or potential member it is important for you to understand how our two networks are organized. It requires CenCal Health to meet both time and distance standards based on county population density. 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). Members have the choice to refuse professional interpreters and use adult family members or friends. Select Practitioners with the specified given name. You are now being transferred to the CCA corporate website. Enrollment for these plans ends December 7. Search - Provider Directory What care are you looking for? CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. 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). This is not a guarantee they will be available to accept additional patients at the time you contact them. Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. This certificate expires, so CCP checks it at least every 3 years. Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. Member Handbook 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. Select Locations with the specified address. A Decrease font size. Sonoma A doctor may work with other doctors. View Urgent Visit Access Offices in Santa Cruz County. The doctor or hospital gives CCP this information on their application when they join the health plan. Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. SHALL: An absolute requirement for all implementations. 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. We are dedicated to providing the highest quality of care for your furry family members. Health and Wellness Rewards Orange Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. Select services available in a region described by the specified location. 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. ProcessLogoff - provider.portal.ccah-alliance.org 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. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? + Decrease font size. Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. * Translation services available for most languages. This directory is for informational use only. Connecting, solving and transforming healthcare business challenges. Stanislaus Farsi **In Dukes and Nantucket Counties: CCA health plans are not yet available. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). Learn best practices and earn CBI payments for ACE screenings at your practice. Provider Directory | Community Cares Plan A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. This directory gives members, potential members and providers access to our two networks (Regional Medical Center (RMC) and the Community Provider Network (CPN) of physicians, pharmacies, hospitals and ancillary providers.
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