Nevada The number to call in each county is. Riverside Select organizations with the specified address (matches any of the string elements of an address). 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. San Bernardino The online Beacon Provider Directory can be found at the link below. Punjabi Select PractitionerRoles with the specified role. English Oral Pathologist Our Provider and Pharmacy Directory make it easy to find the care you need. 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. 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. SHOULD: A best practice or recommendation for the implementation. Board Certifications: A doctor gets a certificate after completing extra training in their specialty. 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. Specialty: The area of medicine the doctor provides care to patients. CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. Cantonese. Who are Providers? * 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. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. Select Organizations of the specified type. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Please select a county Marin 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. 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). [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. Search by plan name, specialty, location, or provider name. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. Select HealthcareServices of the specified type. Facilities may also notify us at any time regarding changes to their accreditation status. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. Call 866-610-2273 (TTY 711). Public Health, * Language: Humboldt Medical group: This information is collected from the group at the time they initially join the network. Health and Wellness Rewards 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. Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. As of Feb. 24, Medi-Cal Rx PA requirements reinstated for 46 Standard Therapeutic Classes, COVID-19 Therapeutics Warmline and treatment webinars, Thursday training for Adverse Childhood Experiences (ACEs) screening. Adoption Directory CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. There are more protections for immigrants and their families to use public benefits. Thai The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. Endodontist The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. A health care provider insurance network is an aggregation of organizations and individuals that deliver a set of services across a geography through health insurance products/plans. 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. Lake Imperial Mariposa The RESTful capabilities are discussed in further detail below. Kern 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. Then click the magenta Get Location button. Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. Gender: A doctors sex, either Male or Female. This directory is for informational use only. The Organization Affiliation resource describes relationships between two or more organizations, including the services one organization provides another, the location(s) where they provide services, the availability of those services, electronic endpoints and other relevant information. In those situations, CenCal Health can still get you care. A network is typically owned by a payer. Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. Select PractitionerRoles available at the specified location. The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. A doctor may work with other doctors. Select products that are owned by the specified organization. Hospital Quality: The hospitals performance rating. This is not a guarantee they will be available to accept additional patients at the time you contact them. 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. To report any errors, click on the link below. Click to see Board of Directors Meeting Schedule/Upcoming Agenda. Kings Downloadable PDF Directories Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. The doctor or hospital gives CCP this information on their application when they join the health plan. Select roles where the organization is a member of the specified health insurance provider network. This certificate expires, so CCP checks it at least every 3 years. Frequently Asked Questions, GRIEVANCE FORM The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Siskiyou Providers in the CCRMC network are certified in languages spoken in addition to English. 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. Sometimes, there is not a needed provider close enough. 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. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Hospitals: The network hospitals a doctor can see their patients in. CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. 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. Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. General Practitioner Sonoma * Translation services available for most languages. Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. Select PractitionerRoles available at the specified organization. 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. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Language Assistance If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? Website: The internet address that the doctor and practice information can be found. Accessible with a Wheelchair: The office is handicap accessible. [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? Monterey Los Angeles In those situations, CenCal Health can still get you care. CCHP discourages the use of family members, friends or minors to interpret or translate materials. Accepting New Patients: This provider accepts both new and existing patients. They will be able to assist you in making the best health plan choice for you. Butte For further assistance, members can contact Member Services at 1-877-661-6230 option 2 and providers can access interpreter services at 1-877-800-7423 option 4 or directly at 1-866-874-3972. 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. Providers must document this choice in the member's medical record. We are dedicated to providing the highest quality of care for your furry family members. This program arms you with the information to reduce your toxic exposure, increase your liver's biotransformation of toxins, and to enhance your elimination of these transformed toxins from your body. Select HealthcareServices providing the specified category of services.