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Select HealthcareServices provided by the specified organization. This specification uses SHALL, SHOULD and MAY as a guideline for required, recommended and optional data FHIR standards. Imperial To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. English Implements RESTful behaviors according to the FHIR specification. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. Accessibility Tehama Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. Select HealthcareServices providing the specified category of services. 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. Provider Directory Information Update Form Provider Directory Information Update Form Senate Bill 137 requires the Alliance to solicit updated information from providers on a regular basis to ensure that the most accurate data for your practice is included in our Provider Directories. Merced Riverside General Practitioner A Location is the physical place where health care services are provided, practitioners are employed, organizations are based, etc. Large healthcare providers may achieve CORE Certification. There are more protections for immigrants and their families to use public benefits. Who are Providers? We can assist you with your selection for primary care provider. The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Select health insurance provider networks available in a region described by the specified location. 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. Sonoma [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? We share our providers dedication to assuring the highest levels of care and service for people with complex health needs. Select PractitionerRoles associated with the specified specialty. Yuba, Specialty: These are the resources and the endpoints available with the Alliance Provider Directory API. All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. Then click the magenta Get Location button. ccah provider directory 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. 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. County: Operating rule development for these transactions is currently underway. The FHIR server is recommended to return this data. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Shasta If you are a member or potential member it is important for you to understand how our two networks are organized. The doctor or hospital gives CCP this information on their application when they join the health plan. GET [base]/PractitionerRole/[id]/_history/vid, GET [base]/PractitionerRole? Farsi By entering a hospital name, the accreditation status and quality measures are listed. The online search engine updates nightly based on information entered that day. Operating rule development for these transactions is currently underway. The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. El Dorado 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. Ventura Fresno 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). You can also access the Kaiser online directory. 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 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). As of 01/01/2022, Medi-Cal Rx is the administrator of Medi-Cal Pharmacy Benefits. Select products with the specified identifier. Gender: A doctors sex, either Male or Female. A Reset font size. CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. 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. 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. Specialty: The area of medicine the doctor provides care to patients. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. Public Health, * Language: Use the Provider Directory Information Update Form to alert us to any changes to your provider information. To report any errors, click on the link below. In addition, on a quarterly basis, CCHP emails a Network Update link to each facility to report any changes to the information CCHP has on file. We can explain what hospitals are near you. Downloadable PDF Directories Thank you for the opportunity to partner with you. Japanese Spanish Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. *In Barnstable and Berkshire Counties: CCA One Care is available; CCA Senior Care Options, CCA Medicare Value, and CCA Medicare Preferred are not yet available. Phone Number: The doctors office or hospital phone number. Health and Wellness Rewards 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? Select roles filled by the specified organization. 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. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. 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. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. Laotian CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . Select HealthcareServices of the specified type. CCA will not contact you unless we have questions about your request. Please give us a call, toll-free at 1-877-814-1861, and we can assist in the following ways: 2023 CenCal Health. [parameter=value]&_include=OrganizationAffiliation:location, GET [base]/OrganizationAffiliation? 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. Glenn Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. Select Locations that are part of the specified location. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization?