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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. 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. Medi-Cal Dental Program. Only submit information below that needs to be changed in the directory. 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. 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. 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. Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. PCP's are not required to have hospital privileges. 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. CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. Select Organizations that are part of the specified organization. Languages: The languages a doctor speaks. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. Pedodontist The local timezone is named Europe / Berlin with an UTC offset of 2 hours. New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. Call 866-610-2273 (TTY 711). Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. Health and Wellness Rewards Hospital Quality: The hospitals performance rating. Website: The internet address that the doctor and practice information can be found. San Joaquin Together, we can bring uncommon care to more people with significant needs. If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. Dont miss our bimonthly newsletter for community partners. Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. Kern Languages Spoken: These abilities are self-reported by the providers in the CPN network when the provider joins the network and at the time of recredentialing. The DaVinci PDEX Plan-Net Network profile is based on the core FHIR Organization resource, and the DaVinci PDEX Plan-Net Organization profile is based on the core FHIR US Core Organization resource. Please indicate the name of your practice in the box above. We can help you understand and assist you with obtaining referrals to see specialists, explain when referrals are not needed, and help you find a specialist in your area. Downloadable PDF Directories Cantonese. . 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. Location Name: Name of the doctor's office or hospital address. San Luis Obispo Gunzenhausen in Regierungsbezirk Mittelfranken (Bavaria) with it's 16,477 habitants is a city located in Germany about 262 mi (or 422 km) south-west of Berlin, the country's capital town. San Mateo Large healthcare providers may achieve CORE Certification. A network is typically owned by a payer. Medical group: This information is collected from the group at the time they initially join the network. 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. Farsi If you are a member or potential member it is important for you to understand how our two networks are organized. Select PractitionerRoles available at the specified organization. Japanese The FHIR server may return the data, but there is no requirement to do so. 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). The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. Siskiyou 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. Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. * Translation services available for most languages. The hospital gets reviewed by national organizations to see if they meet these standards. General Practitioner In those situations, CenCal Health can still get you care. Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. Select HealthcareServices providing the specified category of services. The ACA has taken operating rules to a new level. Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. Glenn Thai 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. Click to see Board of Directors Meeting Schedule/Upcoming Agenda. Select services available in a region described by the specified location. View rating by specialty and compare nearby hospitals. Santa Barbara Most hospitals in Contra Costa County and the immediate surrounding area are participants. This makes sure that Medi-Cal members have access to covered services. Alpine Inyo [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? Merced Select Locations with the specified state address. Kings Calaveras View Urgent Visit Access Offices in Santa Cruz County. Yuba, Specialty: The voluntary certification program enables organizations to demonstrate that they have adopted and are adhering to CAQH CORE Operating Rules. 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. The most current board certification status can be verified at The American Board of Medical Specialties website. The online search engine updates nightly based on information entered that day. 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). + Decrease font size. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. Learn More. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. 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. Please select the county where you live. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? A Reset font size. In those situations, CenCal Health can still get you care. CCHP does not verify these skills. Nurse Advice Line The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. + Reset font size. To verify the current status of a hospital visit jointcommission.org. 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. 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. There are more protections for immigrants and their families to use public benefits. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. 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. The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. Periodontist [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. Ventura Prosthodontist The call is free. 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. Registered Dental Hygienists in Alternative Practice. Select Practitioners with the specified family name. There are more protections for immigrants and their families to use public benefits. Endodontist The number to call in each county is. Contra Costa Select OrganizationAffiliations with the specified role. Member Handbook Alliance Care IHSS Price Transparency Tool. Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. The online Beacon Provider Directory can be found at the link below. Select Locations with the specified address. To change your primary care provider or get detailed information about your healthcare benefits and prior authorization requirements, call our Member Services team at 866-610-2273(TTY 711).