Sierra Operating rule development for these transactions is currently underway. Sometimes, there is not a needed provider close enough. Below we describe the information in the fields in the provider directory. Imperial San Joaquin Hospitals: The network hospitals a doctor can see their patients in. Sutter Thank you for the opportunity to partner with you. Fresno Implements RESTful behaviors according to the FHIR specification. To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? Please Note: Be sure to include your full address with City, State, and ZIP. Yuba, Specialty: Shasta Accessibility 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. You are now being transferred to the CCA corporate website. Sonoma San Bernardino San Benito Health and Wellness Rewards The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. The online Beacon Provider Directory can be found at the link below. 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. Please select a county The FHIR server may return the data, but there is no requirement to do so. If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. can be viewed free at osteopathic.org. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. 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 The hospital gets reviewed by national organizations to see if they meet these standards. Kings Select roles offered by the specified organization. [parameter=value]&_revinclude=PractitionerRole:network, GET [base]/Organization?[parameter=value]&_revinclude=OrganizationAffiliation:participating-organization. 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. Found inside - Page 57. Name: The doctor or hospital that is part of the CCP network. If you are a solo practitioner, enter your name in the box above. Modoc 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 Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. Updates will be posted at cchealth.org. Medi-Cal Dental Program. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? 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. 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. Solano 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. ProcessLogoff - provider.portal.ccah-alliance.org Search - Provider Directory What care are you looking for? [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? Select products with the specified identifier. Japanese The online search engine updates nightly based on information entered that day. 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. 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. * 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. 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. English Board Certifications: A doctor gets a certificate after completing extra training in their specialty. Select Locations with the specified city address. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. **In Dukes and Nantucket Counties: CCA health plans are not yet available. 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. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Public Health, * Language: If you have a timely access concern, you can contact CCHP's Utilization Management at 1-877-661-6230 option 4 or file a complaint with the California Department of Managed Health Care by calling the DMHC Toll-free provider complaint line at: 1-877-525-1295. Select PractitionerRoles providing the specified service. 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. Laotian On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? Mariposa This certificate expires, so CCP checks it at least every 3 years. 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 An example is a doctor who works only with the heart, cancer, or bones. Select Organizations that are part of the specified organization. As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. Members have the choice to refuse professional interpreters and use adult family members or friends. 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 directoryupdates@cchealth.org or by calling 1-877-800-7423 option 6. [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. Medi-Cal Dental Provider Directory Search. A network is typically owned by a payer. Some doctors might have all the patients they can fit in, while still giving you the best care. Nurse Advice Line CCHP discourages the use of family members, friends or minors to interpret or translate materials. 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. Search from our 29,112 In-network providers, 5,058 primary care providers State (Required) * Location (Required) * Provider Name Optional Search Criteria Plan Name Specialty For Dentist, select "General Dentistry" in specialty drop down box above Need more specialty options? 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. Endodontist To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. Adoption Directory Dont miss our bimonthly newsletter for community partners. Specialty: A provider's specialty is identified when they join the health plan network. Please select the county where you live. The hospital reports the safety and quality of its care. Medical group: This information is collected from the group at the time they initially join the network. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. Glenn This directory is for informational use only. 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. Click to see Board of Directors Meeting Schedule/Upcoming Agenda. ASL Interpreter Available: The office can translate into American Sign Language. A Decrease font size. Chinese El Dorado The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Stanislaus [parameter=value]&_include=Location:partof, GET [base]/Location? In those situations, CenCal Health can still get you care. GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? Learn More. + Reset font size. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. 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). The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. Santa Cruz We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. By entering a hospital name, the accreditation status and quality measures are listed. + Increase font size. Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Periodontist San Francisco Select organizations with the specified address (matches any of the string elements of an address). 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. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? Board certifications for most Doctors of Osteopathic Medicine (D.O.) Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? 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. CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. Facility: CCHP updates facility information daily as changes are reported by the facility. 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 Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. You can get these documents for free in other formats, such as large print, braille, or audio. [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. 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. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Accessible with a Wheelchair: The office is handicap accessible. Select roles filled by the specified organization. Select HealthcareServices with the specified name. 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.