Sometimes, there is not a needed provider close enough. Benefits of CCAH Provider Portal Shasta Vietnamese Nevada Select Locations with the specified city address. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. 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. Documents will be mailed within five (5) business days of receiving request. 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]. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. Learn best practices and earn CBI payments for ACE screenings at your practice. Yuba, Specialty: Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. Our directories are printed by county. Mariposa Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! To report any errors, click on the link below. Provider Directories - Maryland Department of Human Services Facilities may also notify us at any time regarding changes to their accreditation status. Select roles offered by the specified organization. Alliance Care IHSS Price Transparency Tool. 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. Our Provider and Pharmacy Directory make it easy to find the care you need. Includes companies, institutions, corporations, departments, community groups, health care practice groups, payer/insurer, etc. [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. Certified Orthodontist A Increase font size. Location Name: Name of the doctor's office or hospital address. San Mateo The CCAH provider portal gives you the information, tools and resources you need to support the day-to-day needs of your patients and office. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. 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. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. Use the Provider Directory Information Update Form to alert us to any changes to your provider information. Providers in the CCRMC network are certified in languages spoken in addition to English. Taiwanese Select Locations managed by the specified organization. This makes sure that Medi-Cal members have access to covered services. Fresno Learn best practices and earn CBI payments for ACE screenings at your practice. . **In Dukes and Nantucket Counties: CCA health plans are not yet available. Santa Barbara 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. To find a pharmacy, use Medi-Cal Rx's online pharmacy directory using the link below: The Central California Alliance for Health (the Alliance) contracts with a company called MedImpact to provide pharmacy services. Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. Select services associated with the specified specialty. [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? 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. 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. Hospitals: The network hospitals a doctor can see their patients in. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. You can also call the Medi-Cal Rx Customer Service Center at 800-977-2273 (TTY: Dial 7-1-1). Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. Hindi Healthcare Provider Directory | Commonwealth Care Alliance MA Select OrganizationAffiliations providing the specified service. Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. Plumas Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. Pedodontist Select PractitionerRoles with the specified role. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. This is not a guarantee they will be available to accept additional patients at the time you contact them. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. Who are Providers? Hospital information is verified by viewing the information listed on their website. Llame al 866-610-2273 (TTY 711). Humboldt Hmong Search for providers using a specific location or your current location. Amador CCHP does not verify these skills. Select PractitionerRoles available at the specified location. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. Alliance. Periodontist Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. A Network refers to a health care provider insurance network. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? Select PractitionerRoles associated with the specified specialty. Dont miss our bimonthly newsletter for community partners. 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. Select Organizations that are part of the specified organization. Frequently Asked Questions, GRIEVANCE FORM [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? Please indicate below any changes to the directory listing for the practice listed above. Tuolumne You can also use the filters to search for more specific information. 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. CAQH CORE is the author of the final set of ACA-mandated operating rules for remaining HIPAA transactions, which include healthcare claims, enrollment and disenrollment in a health plan, premium payments, prior authorization and claims attachments. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? Select Practitioners with the specified given name. Found inside - Page 57. Alpine Operating rule development for these transactions is currently underway. Together, we can bring uncommon care to more people with significant needs. A doctor may work with other doctors. Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. Medical group: This information is collected from the group at the time they initially join the network. Merced Were committed to achieving: Partnering with you to keep your patients living safely and independently in their homes and communities is at the heart of our mission. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? We are dedicated to providing the highest quality of care for your furry family members. If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. General Practitioner We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. Thai Sometimes CCP does not receive a notice that the information has changed. 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. Alliance Care IHSS Price Transparency Tool. CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. PCP's are not required to have hospital privileges. A Decrease font size. 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. InsureKidsNow Search. Medi-Cal Dental Dental Portal - California Select Locations that are part of the specified location. 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. Health and Wellness Rewards Mono Golden Road 365 Detox - Transform Your Health in 21 Days Below we describe the information in the fields in the provider directory. 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. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. We can explain what hospitals are near you. 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. Then click the magenta Get Location button. Select health insurance provider networks available in a region described by the specified location. 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. Select roles where the practitioner is a member of the specified health insurance provider network. Lake Select roles filled by the specified organization. The FHIR server may return the data, but there is no requirement to do so. CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. El Dorado For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Specialty: A provider's specialty is identified when they join the health plan network. A Decrease font size. Gender: A doctors sex, either Male or Female.