Current time in Gunzenhausen is now 07:51 PM (Saturday). ASL Interpreter Available: The office can translate into American Sign Language. 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. These are the resources and the endpoints available with the Alliance Provider Directory API. Locations can range in scope from a room in a building to a geographic region/area. Armenian The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. 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). A doctor may work with other doctors. Documents will be mailed within five (5) business days of receiving request. Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. Cambodian Member Handbook Members have the choice to refuse professional interpreters and use adult family members or friends. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. ccah provider directory400,000 mile ecoboost. The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. 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. Lassen Location: The doctors office or hospital address. Amador + Decrease font size. San Benito Who are Providers? Sutter Select products that are administered by the specified organization. Sometimes, there is not a needed provider close enough. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Sometimes, there is not a needed provider close enough. A Practitioner is a person who is directly or indirectly involved in the provisioning of health care. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. A network is typically owned by a payer. Modoc If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? Select Organizations of the specified type. You can also use the filters to search for more specific information. Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. 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. 6HUYLFHV GHSDUWPHQW DW HPDLO directory@ccah-alliance.org RU VHQG D UHTXHVW E\ PDLO WR Central California Alliance for Health Attn: Member Services 1600 Green Hills Road Suite 101 Scotts Valley, CA 95066 If you are a provider or member of the public and would like a printed copy of the provider directory, please call (877) 778-3915. can be viewed free at osteopathic.org. Hindi Tagalog The online Beacon Provider Directory can be found at the link below. CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. Oral Surgeon Santa Clara Accepting new patients: The doctor is taking new patients. 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. Select HealthcareServices available at the specified location. [parameter=value]&_revinclude=PractitionerRole:network, GET [base]/Organization?[parameter=value]&_revinclude=OrganizationAffiliation:participating-organization. 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. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. This makes sure that Medi-Cal members have access to covered services. Accessible with a Wheelchair: The office is handicap accessible. This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. 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. GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. 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 The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. Medi-Cal Dental Dental Portal Medi-Cal Provider Directory Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. Member Handbook Health and Wellness Rewards The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. Solano Resources in the Conformance category are used to represent metadata about the datatypes, resources, and CCAH Provider Directory API features of the FHIR specification and can be used to create derived specifications. To report any errors, click on the link below. This is not a guarantee they will be available to accept additional patients at the time you contact them. CCHP discourages the use of family members, friends or minors to interpret or translate materials. On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. Sometimes CCP does not receive a notice that the information has changed. Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. Santa Barbara 734-436-0455 They might also work in different offices or clinics. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. 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. All Rights Reserved. Select PractitionerRoles available at the specified organization. Gender: A doctors sex, either Male or Female. 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. 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 Search by plan name, specialty, location, or provider name. Japanese San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Siskiyou Alameda 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. Select services available in a region described by the specified location. Arabic All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. This information is subject to change without notice. Alliance. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. Nurse Advice Line For more information, please call the doctors office. Select PractitionerRoles with the specified role. The most current board certification status can be verified at The American Board of Medical Specialties website. Select OrganizationAffiliations providing the specified service. 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. Laotian Alliance Care IHSS Price Transparency Tool. Select Locations with the specified postal code address. Accessibility Use the Provider Directory Information Update Form to alert us to any changes to your provider information. 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. Shasta [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. FAQs, Case Studies, Issue Briefs, and more. Below we describe the information in the fields in the provider directory. Orange Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. Punjabi [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? MAY: An optional inclusion for the implementation; not a requirement. 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. Contra Costa Health (CCH) has been notified by the Martinez Refining Company of planned maintenance work at its facility that will cause flaring visible from Interstate 680 and Marina Vista Ave from Friday through Monday, March 6th. 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. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. If you are a member and would like to choose one of our PCPs, please contact our Member Services department at 1-877-661-6230 option 2. Medical group: This information is collected from the group at the time they initially join the network. PCP's are not required to have hospital privileges. Alliance members must use a pharmacy that works with MedImpact. Select products with the specified identifier. [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? Tuolumne [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? **In Dukes and Nantucket Counties: CCA health plans are not yet available. Call 866-610-2273 (TTY 711). Select products that are owned by the specified organization. Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. 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. San Diego Authentication is not required to access the Conformance resource. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. Kings You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . Dental Clinics Serving Medi-Cal Members. Select services associated with the specified specialty. Then click the magenta Get Location button. 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. GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. 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. 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). 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. Alliance Care IHSS Price Transparency Tool. By entering a hospital name, the accreditation status and quality measures are listed. 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. This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. Specialty: A provider's specialty is identified when they join the health plan network. Please select a language Name: The doctor or hospital that is part of the CCP network. Enrollment for these plans ends December 7. Find-A-Dentist. Del Norte Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. English Step 3a: GET [base]/Location? Medi-Cal Dental Program. To set your current location, click the green Use Current Location button. Taiwanese Interpreter services are available at all CCHP points of contact where members may reasonably need such services. CCA will not contact you unless we have questions about your request. The hospital gets reviewed by national organizations to see if they meet these standards. If you are a member or potential member it is important for you to understand how our two networks are organized. [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? Calaveras Adoption Directory Sonoma You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). A Reset font size. Learn best practices and earn CBI payments for ACE screenings at your practice. 2020 K Street, NW - Suite 660 Washington, D.C. 20006. Tulare 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. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Location Name: Name of the doctor's office or hospital address. Imperial Certificate. 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). Select insurance plans of the specified type. Riverside 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]. San Francisco CORE Certification Merced Please select the county where you live. Napa We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. Hospitals: The network hospitals a doctor can see their patients in. Online Provider Directory http://www.ccah-alliance.org/providerdirectory.html Click on Provider Directory Search Effective January 2015 CENTRAL CALIFORNIA ALLIANCE FOR HEALTH Provider Directory / Gua de Proveedores / Phau Ntawv Teev Cov Kws Khomob A.2 Primary Care Physicians/ Doctores de Cuidado Primario/ Cov Thawj Kws Khomob Phone Number: The doctors office or hospital phone number. Alpine View Urgent Visit Access Offices in Santa Cruz County. [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? See our linguistic access and accessibility policy. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. To verify the current status of a hospital visit jointcommission.org. CCA Senior Care Options Directory by County (2023) view: Bristol, Norfolk, Plymouth Essex Franklin, Hampden, Hampshire Middlesex Suffolk Worcester CCA Senior Care Options Directory by County - Spanish (2023) view: Bristol, Norfolk, Plymouth-Spanish Essex-Spanish Franklin, Hampden, Hampshire-Spanish Middlesex-Spanish Suffolk-Spanish Our directories are printed by county. Oral Pathologist The call is free. Ventura . The doctor or hospital gives CCP this information on their application when they join the health plan. Select Locations with the specified address. Butte You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. Nevada Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. Sacramento Humboldt Together, we can bring uncommon care to more people with significant needs. [parameter=value]&_include=Location:partof, GET [base]/Location? As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits.
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