COUNTY CONTACT LIST MARIN COUNTY Department of Health and Human Services 10 North San Pedro Rd., Suite 1002 San Rafael, CA 94903 24 HR. Committee About Us Provider Directory Popular Pages COVID-19 Vaccine . Contra Costa Health Plan (CCHP) uses Availity as our clearinghouse. We are here to help! All Rights Reserved. You can also access the Kaiser online directory. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. Email Contract Related Questions: CCHPcontracts@cchealth.org. CCHP is a health maintenance organization (or HMO) delivering full-suite of quality health plan coverage to over 23,000 Members. See more information designed specifically for health care providers. Box 5122. If you do not choose a plan within 30 days, the State will choose a plan for you. If you are a member or potential member it is important for you to understand how our two networks are organized. All paper claims must be submitted using a CMS 1500 form (for professional providers) and a UB-92 form (for institutional providers). can be viewed free at osteopathic.org. To report any errors, click on the link below. This directory gives members, potential members and providers access to our two networks (Regional Medical Center (RMC) and the Community Provider Network (CPN) of physicians, pharmacies, hospitals and ancillary providers. 578 buildings are. palomino gunner stallion; nami ca conference 2022 The project represents the most substantial collection of discount oriented retail within East Contra Costa County, a regional trade area of +/-275,000 people in the East San Francisco Bay Area.More info. A provider dispute is a written notice from a provider that: Providers must use a Provider Dispute Resolution and Appeal Request Form (PDF). Sign-in to get CCHP Member eligibility and claims information: For general provider-based inquiries, such as: Please contact us at Provider.Services@cchphealthplan.com. 1-888-775-7888 (toll free) 1-415-834-2118 (local) Moday-Saturday: 9:00 a.m. to 5:00 p.m. CCHP prefers claims be submitted electronically. 3214 for assistance. New CMS Provider Sequestration Deductions, Provider Portal Eligibility & Claims Inquiry. To check a CCHP plan drug list, a comprehensive formulary and pharmacy can be found below under CCHP Drug List. Effective July 1, 2014, the new Prescription Drug Prior Authorization Request Form is required for non-Medicare plans. CCHP does not verify these skills. In addition, CCHP is contracted with the Centers for Medicare and Medicaid Services (CMS) to offer a Medicare Advantage HMO plan (Part C), a Medicare Advantage Special Needs Program (HMO D-SNP), and an integrated Medicare Advantage Prescription Drug Plan (Part D). Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. 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. More Search Options Fewer Search Options Start Over Find A Facility Updates received from our network providers are generally added to the Find a Provider or Hospital search tool once a week. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. Request a provider directory or pharmacy directory 2023 Provider Directory Los Angeles, Orange, San Bernardino and Riverside Counties In addition, on a quarterly basis, CCHP emails a Network Update link to each provider to report any changes to the information CCHP has on file. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. Here you can search for providers that participate with Contra Costa Health Plan's two networks consisting of over 5000 primary care providers and specialists. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. Contra costa health plan provider directory, Contra costa health plan provider portal, Contra costa health plan authorization form, Duke university health system directory, Gwinnett county health department immunizations, Providence health prior authorization form, 2021 health-improve.org. Follow-up on missed appointments: Providers are expected to review all members that do not show up for scheduled appointments and to identify those requiring follow-up, based on their medical condition. Email General Questions: ProviderRelations@cchealth.org. Provider Dispute Resolution and Appeal Request Form (PDF). CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. We provide flyers for your reception area. This directory is for informational use only. See more information designed specifically for. Documents will be mailed within five (5) business days of receiving request. Formulary for Individual, Family and Covered CA, CCHP Pharmaceutical Management Procedures (PDF), Formulary (List of Covered Drugs) for Commercial Plans, CCHP Pharmacy Directory All Plans (PDF), CCHP Senior Program (HMO) Comprehensive Formulary (PDF) 2022, 2023, CCHP Senior Select Program (HMO) Comprehensive Formulary (PDF) 2022, 2023, CCHP Senior Select Program (HMO SNP) Comprehensive Formulary (PDF) 2022, 2023, Medicare Advantage/Prescription Drug System (MARx) March 2022 Payment Information (updated date 2/24/2022), Notice of Change to Provider Compensation (Effective April 1, 2022 and July 1, 2022), 2022 CCHP Member Satisfaction Survey (CAHPS), 1-888-371-3060 (Individual & Family, Commercial). You must register with Availityin order to submit EDI claims to CCHP. Medi-Cal Member Authorization eFax Numbers: Commercial Member Authorization eFax Numbers: Interactive No Authorization Required List, Utilization Management: Authorization and Referrals. Learn More About Your CCHP Coverage & Latest News On COVID-19. CMS Non-Contracted Provider Dispute Process (PDF). Fax: 925-646-9907. California home sales and price curb in June as housing demand cools, C.A.R. By downloading this toolkit you will find a variety of useful resources such as: Communicating with diverse patients and addressing health literacy issues 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 directoryupdates@cchealth.org or by calling 1-877-800-7423 option 6. We provide flyers you can post in your office which state: Point to your language! If the specialty needed is not available within the assigned network, which may be due to, but is not limited to the provider being unable to make an appointment in a timely manner, the provider is located unreasonably far away, or you require a specialty not present in the RMC network, CCHP and the assigned PCP may arrange for whatever referrals, authorizations, and treatments necessary with a specialist that is available in a non-assigned network. Join Our Provider Network :: Health Plan :: Contra Costa Health Services unity ik foot placement x x See more information designed specifically for health care providers . We will respond within 1 to 3 business days, as opposed to having your staff call and wait on the line. **All Fax numbers are secure and confidential. 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. 925-313-6002 fax. consider the following class definition public class book. Imperial Health Plan of California, Inc. (HMO) (HMO SNP) 2021 Provider Directory This directory is current as of 10/01/2020. You may download Instructions for Submitting Provider Disputes (PDF) or call CCHP Provider Relations at 1-415-955-8800, ext. Seeks resolution of a billing determination or other contractual dispute. Martinez, CA 94553 [ Directions] 925-313-6000. 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. The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. 925-313-6002 fax 46,000 SF. Below is the contact information of the various CCHP departments who can help answer your questions. Contra Costa Health Plan - Local Health Plans of California Health (7 days ago) Contra Costa Health Plan (CCHP) was the first federally qualified, state licensed, county sponsored HMO in the United States. By entering a hospital name, the accreditation status and quality measures are listed. Contra Costa Health Plan Member Services Join Us For Providers Bulletins CalAIM Programs Case Management Programs ccLink Provider Portal Claims Information Clinical Guidelines COVID-19 Information Forms . Please refer to the Kaiser Assignment Criteria document located at cchealth.org/CCHPmaterials or contact Member Services at 1-877-661-6230 (press 2) for more information. Board certifications for most Doctors of Osteopathic Medicine (D.O.) Email Contract Related Questions: CCHPcontracts@cchealth.org. It is our goal as a health plan to embrace and leverage technology. Challenges a request for reimbursement for an overpayment of a claim. . Already a CCHP Provider? 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. If you have a timely access concern, you can contact CCHP's Utilization Management at 1-877-661-6230 option 4 or file a complaint with the California Department of Managed Health Care by calling the DMHC Toll-free provider complaint line at: 1-877-525-1295. For further assistance, members can contact Member Services at 1-877-661-6230 option 2 and providers can access interpreter services at 1-877-800-7423 option 4 or directly at 1-866-874-3972. Members have the choice to refuse professional interpreters and use adult family members or friends. Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. Give the Medi-Cal county office your updated contact so you can stay enrolled. CCHPs Senior Program (HMO) is for people with Medicare Parts A and B. CCHPs Senior Select Program (HMO D-SNP, Special Needs Plan) is for people with Medi-Cal and Medicare Parts A and B. 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. Please take a moment to go over the provided information in the PDF file link below. 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. CCHP has a Provider Dispute Resolution (PDR) process that ensures provider disputes are handled in a fast, fair and cost effective manner. Timely Access to Care: The California Department of Managed Health Care (DMHC) has regulations set forth in Title 28, Section 1300.67.2.2 for health plans to provide timely access to care for our members. Email Credentialing Related Questions: CCHPcredentialing@cchealth.org. Fax: 925-646-9907. If you find only one health plan, the county has chosen this plan for you. Where are Imperial Health Plan's providers located? reports 2022 Housing market forecast revised to 380,630 units sold and a statewide median price of $863,390. View (Section 1300.67.241) (PDF) to read the complete DMHC regulations specifying the process. See more information designed specifically for health care providers . On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. You may begin your registration process here. They will be able to assist you in making the best health plan choice for you. Contra Costa Residents: Help us improve your online experience. See our linguistic access and accessibility policy. Provider Relations Department. PCP's are not required to have hospital privileges. CCHP now serves over 180,000 people in Contra Costa County and continues to be at the forefront of offering comprehensive, quality health coverage. Learn about Health Care Reform Contra Costa Health Plan 595 Center Avenue, Suite 100 Martinez, CA 94553 [ Directions] 925-313-6000 925-313-6002 fax E-mail ANNOUNCEMENTS Sep 19, 2022 2022 CCHP Health Plan. Facilities may also notify us at any time regarding changes to their accreditation status. recover meaning in hebrew dan wesson snub nose. Contra Costa Health Services (CCHS) Coronavirus Call Center: 844-729-8410 (8 a.m. - 5 p.m.) TESTING INFORMATION. Claims Information :: Health Plan :: Contra Costa Health Services. Provider Tool Kit - Better Communication Better Care. Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. Email and usage of our ccLink Provider Portal is the preferred method of communicating with CCHP staff. . Phone: 877-800-7423, option 6. Health Coverage Contra Costa Health Services. Health (4 days ago) P.O. Our service area includes San Francisco and San Mateo counties. Hospital information is verified by viewing the information listed on their website. * Translation services available for most languages. 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. Provider/Pharmacy Directory Directorio de Proveedores/Farmacias Alameda, San Francisco, San Mateo, Santa Clara, Contra Costa Bay Area CA. This directory covers the . Medical group: This information is collected from the group at the time they initially join the network. Inquiries will be quickly acknowledged (same day), triaged, sent to the appropriate CCHP team for review. Email General Questions: ProviderRelations@cchealth.org. - SNAP Office A Provider is a caregiver who works for Consumers receiving In-Home Supportive Services (IHSS). For information, please call our Member Services at 1-415-834-2118. You can also use this page to report any changes in the providers information such as phone number, language, and location. Accepting New Patients: This provider accepts both new and existing patients. Status updates will be provided for managed inquiries. CCHP discourages the use of family members, friends or minors to interpret or translate materials. We will get you an interpreter. Provider Relations Department. 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). 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