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. San Luis Obispo If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. There are more protections for immigrants and their families to use public benefits. Certificate. Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. 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. + Reset font size. Modoc 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. 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). Frequently Asked Questions, GRIEVANCE FORM An example is a doctor who works only with the heart, cancer, or bones. Select products with the specified identifier. Locations can range in scope from a room in a building to a geographic region/area. On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. By entering a hospital name, the accreditation status and quality measures are listed. It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. Calaveras This network contains both primary and specialty care providers to choose from. View rating by specialty and compare nearby hospitals. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. Nevada Learn best practices and earn CBI payments for ACE screenings at your practice. A network is typically owned by a payer. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? Languages: The languages a doctor speaks. Website: The internet address that the doctor and practice information can be found. , California Learn More. This information is subject to change without notice. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Provider Directory - Central California Alliance for Health can be viewed free at osteopathic.org. Facilities may also notify us at any time regarding changes to their accreditation status. Ventura Alliance Care IHSS Price Transparency Tool. The FHIR server may return the data, but there is no requirement to do so. 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. * Translation services available for most languages. Telephone wait time for practice/plan to answer: within 10 minutes, Telephone call back wait time practice/provider office: by the end of the next business day, Telephone call back wait time triage: within 30 minutes. Search for providers using a specific location or your current location. Benefits of CCAH Provider Portal San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Select roles where the organization is a member of the specified health insurance provider network. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. Fresno The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. 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. Tulare 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 providerrelations@cchealth.org or by calling 1-877-800-7423 option 6. A doctor may work with other doctors. 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. Then click the magenta Get Location button. Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. Select PractitionerRoles associated with the specified specialty. Lassen CAQH CORE Operating Rules are helping streamline administrative transactions for health plans, healthcare providers and vendors. Butte El Dorado [parameter=value]&_include=HealthcareService:coverage-area, GET [base]/HealthcareService? MAY: An optional inclusion for the implementation; not a requirement. Our directories are printed by county. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. FAQs, Case Studies, Issue Briefs, and more. 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. We can explain what hospitals are near you. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. 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. Madera The hospital reports the safety and quality of its care. 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. Find-A-Dentist. Select products that are offered in the specified location. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. 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. Select HealthcareServices of the specified type. General Practitioner Medi-Cal Dental Dental Portal - California [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? More than 130 participating organizations representing healthcare providers, health plans, government agencies and the organizations setting the standards for healthcare and data exchange are part of the CAQH CORE multi-stakeholder collaboration. GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? Select roles filled by the specified organization. SHOULD: A best practice or recommendation for the implementation. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Select Practitioners with the specified name (matches against any of the elements in the HumanName data type). We are dedicated to providing the highest quality of care for your furry family members. View Urgent Visit Access Offices in Santa Cruz County. + Increase 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.