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. [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? 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. Select Organizations with the specified name. , California Plumas 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. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Please select the county where you live. A Decrease font size. You can also use the filters to search for more specific information. Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! Solano Orange Website: The internet address that the doctor and practice information can be found. [parameter=value]&_revinclude=InsurancePlan:owned-by, GET [base]/Organization? 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. If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. Select PractitionerRoles with the specified role. The number to call in each county is. Search for providers using a specific location or your current location. Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. In those situations, CenCal Health can still get you care. Alameda Select PractitionerRoles providing the specified service. To report incorrect provider information, members can contact member services by calling 1-877-661-6230 option 2 or by email: [email protected] and Providers or the general public can contact Provider Relations at [email protected] or by calling 1-877-800-7423 option 6. Nurse Advice Line Sonoma Hospitals: The network hospitals a doctor can see their patients in. Results are as of 12/1/2020 unless otherwise noted. Stanislaus Select insurance plans of the specified type. Armenian Periodontist Amador . Hindi 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. 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. San Joaquin You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. [parameter=value]&_include=OrganizationAffiliation:service, GET [base]/OrganizationAffiliation?[parameter=value]&_include=OrganizationAffiliation:network. 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 Dont miss our bimonthly newsletter for community partners. To set your current location, click the green Use Current Location button. The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. Merced Select PractitionerRoles available at the specified location. The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. 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. Select roles where the organization is a member of the specified health insurance provider network. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? The call is free. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Lake The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. Mariposa This directory is for informational use only. CAQH technology-enabled solutions, operating rules and research help nearly 1,000 health plans, 2 million providers, government entities and vendors connect, exchange information and operate more efficiently. 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. [parameter=value]&_include=Organization:coverage-area, GET [base]/Organization? Select services associated with the specified specialty. Nevada You are now being transferred to the CCA corporate website. CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. 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. Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. Together, we can bring uncommon care to more people with significant needs. Select roles filled by the specified organization. Gender: A doctors sex, either Male or Female. Hours: When the office or hospital is open to see patients. Facilities may also notify us at any time regarding changes to their accreditation status. Health and Wellness Rewards Yuba, Specialty: 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. Select organizations with the specified address (matches any of the string elements of an address). 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). Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. Alliance Care IHSS Price Transparency Tool. [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? [parameter=value]&_revinclude=OrganizationAffiliation:location, GET [base]/Location?[parameter=value]&_revinclude=PractitionerRole:location. Use the Provider Directory Information Update Form to alert us to any changes to your provider information. Electronic Funds Transfer (EFT) Enrollment Form, Behavioral/Mental Health Substance Use Disorder. [parameter=value]&_include=Location:organization, GET [base]/Location? It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. Imperial Chinese 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. If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. 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. Russian Provider Directory Welcome to Contra Costa Health Plan's Provider Online Search Engine Begin Your Search Here Request Printed Copy of Provider Directory Or call: 1-877-661-6230 (Option 2) Or write: Contra Costa Health Plan Attn: Member Services 595 Center Avenue, Suite 100 Martinez, CA 94553 View/Download Copy of Provider Directory Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. Updates will be posted at cchealth.org. Location: The doctors office or hospital address. Oral Pathologist Below we describe the information in the fields in the provider directory. Preferred Provider: A doctor that meets strict quality standards. The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. [parameter=value]&_include=Location:partof, GET [base]/Location? Enrollment for these plans ends December 7. 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. Specialty: A provider's specialty is identified when they join the health plan network. Select services available in a region described by the specified location. This section describes the FHIR profiles, resources and RESTful capabilities that the Provider Directory API supports. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Certificate. Modoc You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . PCP's are not required to have hospital privileges. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? To report any errors, click on the link below. If CenCal Health cannot find you an appointment with a closer specialist, we will arrange transportation to see the specialist, if needed. Certified Orthodontist The doctor provides an excellent patient experience. Authentication is not required to access the Conformance resource. 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. Search by plan name, specialty, location, or provider name. Select health insurance provider networks available in a region described by the specified location.