ccah provider directory
Language Assistance 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]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. Whether or not a member is assigned to the RMC or the CPN network, if specialty care is not available in their assigned network, CCHP and the assigned primary care provider (PCP) may arrange for whatever referrals, authorizations, and treatments necessary to see a specialist in a non-assigned network. 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. FAQs, Case Studies, Issue Briefs, and more. San Mateo ccah provider directory400,000 mile ecoboost. Select OrganizationAffiliations with the specified role. Select Practitioners with the specified family name. Location Name: Name of the doctor's office or hospital address. Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. Sometimes, there is not a needed provider close enough. Downloadable PDF Directories The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. The number to call in each county is. CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. [parameter=value]&_include=Location:partof, GET [base]/Location? Hindi 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. Merced Providers in the CCRMC network are certified in languages spoken in addition to English. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Select Locations that are part of the specified location. See our linguistic access and accessibility policy. Kings Certified Orthodontist Learn best practices and earn CBI payments for ACE screenings at your practice. [parameter=value]&_include=Organization:partof, GET [base]/Organization? 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 Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. Select HealthcareServices available at the specified location. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. Hospital Quality: The hospitals performance rating. Madera If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. Sutter 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. Please select a county If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. If you cannot find a dentist in your area who is accepting new patients, please contact the Medi-Cal Telephone Service Center for additional help at 1-800-322-6384. Select OrganizationAffiliations available at the specified location. Armenian 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. Riverside [parameter=value]&_revinclude=PractitionerRole:network, GET [base]/Organization?[parameter=value]&_revinclude=OrganizationAffiliation:participating-organization. The DaVinci PDEX Plan-Net Practitioner profile is based on the core FHIR US Core Practitioner resource. 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. Nevada * Translation services available for most languages. You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. Select HealthcareServices provided by the specified organization. [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. 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. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. The Central California Alliance for Health (the Alliance) is an award-winning regional Medi-Cal managed care plan that provides health insurance for children, adults, seniors. Dont miss our bimonthly newsletter for community partners. Waiting time in provider office: within 45 minutes or less from the time of the patients appointment until they are taken to the exam room. 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. Pedodontist By entering an e-mail in this field I am confirming that the e-mail provided is intended for patient communication and is regularly monitored and maintained in a manner consistent with State and Federal laws. The FHIR server may return the data, but there is no requirement to do so. To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. Using read-only RESTful GET API calls (PUT and POST are not currently supported), you can create an application to access information about our providers and pharmacies. Health and Wellness Rewards Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. This is not a guarantee they will be available to accept additional patients at the time you contact them. . Language Assistance Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. To verify the current status of a hospital visit jointcommission.org. Siskiyou This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. Dont miss our bimonthly newsletter for community partners. They might also work in different offices or clinics. A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. Ventura 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. All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. Hospitals: The network hospitals a doctor can see their patients in. CCHP does not verify these skills. 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. The call is free. San Bernardino 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 HealthcareServices of the specified type. Fresno CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Please Note: Be sure to include your full address with City, State, and ZIP. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? Member Handbook Mandarin 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. Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. This is not a guarantee they will be available to accept additional patients at the time you contact them. 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. A Increase font size. ASL Interpreter Available: The office can translate into American Sign Language. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Select Locations with the specified city address. Trinity Public Health, * Language: [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? Cultural Competency Training: The office staff is trained to meet the needs of people of all different cultures. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. Cantonese. The hospital gets reviewed by national organizations to see if they meet these standards. Alameda 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. Humboldt 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. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . + Reset font size. 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. InsureKidsNow Search. [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service.