contra costa health plan provider directory

The CCHP payer ID is CCHS. This directory covers the . Special Needs Plans (SNP) Model of Care Training (PDF) 2021 2022, Special Needs Plans (SNP) Model of Care Training (Video) 2021 2022, Training Attestation Form (PDF) 2021 2022. We are requesting that providers send us a quick email when you have a question. 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. See more information designed specifically for health care providers. You must register with Availityin order to submit EDI claims to CCHP. Providers in the CCRMC network are certified in languages spoken in addition to English. This network contains both primary and specialty care providers to choose from. this directory is for contra costa county, california, and the cities are: alamo, antioch, bay point, bethel island, blackhawk, brentwood, byron, clayton, clyde, concord, crockett, danville, diablo, discovery bay, el cerrito, el sobrante, hercules, knightsen, lafayette, martinez, moraga, oakley, orinda, pacheco, pinole, pittsburg, pleasant hill, Request a provider directory or pharmacy directory 2023 Provider Directory Los Angeles, Orange, San Bernardino and Riverside Counties . Providers must document this choice in the member's medical record. CCHS COVID-19 Testing; CDPH Test Information and At-Home Tests; TREATMENT INFORMATION Infusion Center. BASS - Infectious Disease Doctors We will respond within 1 to 3 business days, as opposed to having your staff call and wait on the line. The health plan cannot undertake a review until or unless such form/documentation is obtained. Fax: 925-646-9907. CCHP is a California licensed Knox-Keene health plan and offers a variety of commercial products for small and large group employers as well as products for individuals. 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. recover meaning in hebrew dan wesson snub nose. Please take a moment to go over the provided information in the PDF file link below. 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. 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. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. If you are already one of thousands working with CCHP, your CCHP Provider resources can be found below. Lake Forest, CA 92609. Medi-Cal Managed Care Health Plan Directory When you first qualify for Medi-Cal, you are covered under Medi-Cal Fee-for-Service. Contra Costa has 1,953 commercial real estate spaces for lease, representing 15,620,946 sqft space. Please call, email or submit form if you find any inaccuracies with the provider information on our website. Health (4 days ago) P.O. Accepting New Patients: This provider accepts both new and existing patients. Medi-Cal Member Authorization eFax Numbers: Commercial Member Authorization eFax Numbers: Interactive No Authorization Required List, Utilization Management: Authorization and Referrals. See more information designed specifically for. 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. Download details of the CMS Non-Contracted Provider Dispute Process (PDF). Provider Tool Kit - Better Communication Better Care. PCP's are not required to have hospital privileges. 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. Phone: 877-800-7423, option 6. We provide flyers you can post in your office which state: Point to your language! 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. Contra Costa Health Plan Specialty: A provider's specialty is identified when they join the health plan network. Seeks resolution of a billing determination or other contractual dispute. 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. can be viewed free at osteopathic.org. See more information designed specifically for health care providers . Attention: Provider Dispute Resolution Area, Disputes can also be faxed to: 1-415-955-8815. If you need assistance with using interpreters for Telehealth Appointments, you can email: otiutin@cchealth.org or call 925-313-6063. 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. denver real property records alternative search; pennsylvania travel baseball rankings; plusgrade board of directors; obscurus lip presets; asio buffer size; China; Fintech; wpf combobox selected item template; Policy; testicular cancer survivor stories; Entertainment; synology ssh not accepting password; 2023 honda crv hybrid; esuhsd lunch . We consider our health care providers as our customers and vital partners in serving our Members. Provider/Pharmacy Directory Directorio de Proveedores/Farmacias Alameda, San Francisco, San Mateo, Santa Clara, Contra Costa Bay Area CA. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. We are here to help! This information is subject to change without notice. 2022 CCHP Health Plan. See more information designed specifically for health care providers . 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. Our service area includes San Francisco and San Mateo counties. 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. Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. In order to set a COVID-19 . This provider resource was developed by ICE - Industry Collaboration Effort as a helpful tool to care for Diverse Populations. If you do not choose a plan within 30 days, the State will choose a plan for you. Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. Home CCHP For Providers CCHP COVID-19 Information CCHP COVID-19 Information. Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. 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. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. Contra Costa Health Plan :: Health Plan :: Contra Costa Health Health (4 days ago) Contra Costa Health Plan. By downloading this toolkit you will find a variety of useful resources such as: Communicating with diverse patients and addressing health literacy issues Email Credentialing Related Questions: CCHPcredentialing@cchealth.org. 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 . - SNAP Office A Provider is a caregiver who works for Consumers receiving In-Home Supportive Services (IHSS). CCHP now serves over 180,000 people in Contra Costa County and continues to be at the forefront of offering comprehensive, quality health coverage. 578 buildings are. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. Join Our Provider Network :: Health Plan :: Contra Costa Health Services CCHP does not verify these skills. Already a CCHP Provider? All rights reserved | Email: [emailprotected], Contra costa health plan provider directory, Contra costa health plan authorization form, Gwinnett county health department immunizations, Providence health prior authorization form. See our linguistic access and accessibility policy. The most current board certification status can be verified at The American Board of Medical Specialties website. Give the Medi-Cal county office your updated contact so you can stay enrolled. . 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. 925-313-6000 925-313-6002 fax Facility: CCHP updates facility information daily as changes are reported by the facility. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. Download the Waiver of Liability Statement (PDF). Most hospitals in Contra Costa County and the immediate surrounding area are participants. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. To select the Kaiser Permanente Medical Group as your PCP for Medi-Cal, you must have been a recent Kaiser member or meet other criteria to qualify. 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. 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. If you would like a Provider Directory or Pharmacy Directory mailed to you, you may call the number above, request one at the website link below, or email memberservices@centralhealthplan.com. 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. 925-313-6002 fax. Email Contract Related Questions: CCHPcontracts@cchealth.org. You can go online to. Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. COUNTY CONTACT LIST MARIN COUNTY Department of Health and Human Services 10 North San Pedro Rd., Suite 1002 San Rafael, CA 94903 24 HR. 595 Center Avenue, Suite 100. To check a CCHP plan drug list, a comprehensive formulary and pharmacy can be found below under CCHP Drug List. 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. * Translation services available for most languages. You can also use this page to report any changes in the providers information such as phone number, language, and location. 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. Public Detail: Visit URL Fax Numbers for Prior Authorization Requests: Email Behavioral Health Related Questions: IT Support to reset password or access issues. 595 Center Avenue, Suite 100 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. Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. If you have any questions, please contact Member Services. View (Section 1300.67.241) (PDF) to read the complete DMHC regulations specifying the process. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. Contra Costa Health Plan (CCHP) uses Availity as our clearinghouse. Please note, this form should also be used to request Prior Authorizations for Medicare plans. You can download your very own copy of CCHP Provider Manual: The Centers for Medicare and Medicaid Services (CMS) requires annual fraud, waste and abuse training for organizations providing health, prescription drug, or administrative services to Medicare Advantage (MA) or Prescription Drug Plan (PDP) enrollees on behalf of a health plan. Providers must be knowledgeable with the federal requirements and information regarding fraud, waste and abuse. To report any errors, click on the link below. Email Credentialing Related Questions: CCHPcredentialing@cchealth.org. CCHP is a health maintenance organization (or HMO) delivering full-suite of quality health plan coverage to over 23,000 Members. Special Needs Plans (SNP) Model of Care Training (PDF) 2021, Special Needs Plans (SNP) Model of Care Training (Video) 2021, (New) Prescription Drug Prior Authorization Request Form (PDF), Medicare Advantage/Prescription Drug System (MARx) March 2022 Payment Information, Notice of Change to Provider Compensation, View patients health plan benefits and summaries, View patients healthcare claims and deductible/out of pocket balances, Challenges, appeals or requests reconsideration of a claim (including a bundled group of similar claims) that has been denied, adjusted or contested. Facilities may also notify us at any time regarding changes to their accreditation status. 3214 for assistance. 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. 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. CCHP's Senior Program (HMO) is for people with Medicare Parts A and B. CCHP's Senior Select Program (HMO D-SNP, Special Needs Plan) is for people with Medi-Cal and Medicare Parts A and B. A provider dispute is a written notice from a provider that: Providers must use a Provider Dispute Resolution and Appeal Request Form (PDF). Claims Information :: Health Plan :: Contra Costa Health Services. *Please note that our response time may be delayed if we experience a high number of requests or inquiries. Provider Relations Department. Utilization Management: Authorization and Referrals, Request Printed Copy of Provider Directory, The American Board of Medical Specialties website, linguistic access and accessibility policy, Urgent care appointments not requiring prior authorization: within 48 hours of request, Urgent care appointments requiring prior authorization: within 96 hours of request, Non-urgent appointments for primary care: within 10 business days of request, Non-urgent appointments with specialists: within 15 business days of request, Non-urgent appointments for ancillary services for the diagnosis or treatment of injury, illness or other health conditions: within 15 business days of request, First Prenatal Visit: within 14 calendar days of request, Mental Health Routine Non-Urgent: within 10 business days of request, Mental Health Routine Non-Urgent Follow-Up: within 10 business days of request, Mental Health Urgent: within 48 hours of request. Martinez, CA 94553 [ Directions] 925-313-6000. **All Fax numbers are secure and confidential. 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). 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. Provider Dispute Resolution and Appeal Request Form (PDF). 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). 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 [ help with PDF files ]help with PDF files ] 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 & Resources FSR Tool Health Education Resources Interactive No Authorization . All paper claims must be submitted using a CMS 1500 form (for professional providers) and a UB-92 form (for institutional providers). Phone: 877-800-7423, option 6. Box 5122. Contra Costa Health Services (CCHS) Coronavirus Call Center: 844-729-8410 (8 a.m. - 5 p.m.) TESTING INFORMATION. If you are a member or potential member it is important for you to understand how our two networks are organized. Email General Questions: ProviderRelations@cchealth.org. Has your contact information changed in the past two years? If you find only one health plan, the county has chosen this plan for you. You may download Instructions for Submitting Provider Disputes (PDF) or call CCHP Provider Relations at 1-415-955-8800, ext. In addition, on a quarterly basis, CCHP emails a Network Update link to each provider, provider group or facility to report any changes to the information CCHP has on file. reports 2022 Housing market forecast revised to 380,630 units sold and a statewide median price of $863,390. All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. 925-313-6705 925-313-6465 . 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. By entering a hospital name, the accreditation status and quality measures are listed. A non-contract provider, on his or her own behalf, is permitted to file a standard appeal for a denied claim only if the non-contract provider completes a waiver of liability statement, which provides that the non-contract provider will not bill the Medicare member regardless of the outcome of the appeal. Email Contract Related Questions: CCHPcontracts@cchealth.org. For questions, please contact Provider Network Management at 1-415-955-8800 #3474. The Contra Costa County Superior Court is calling on residents to serve their community and apply to join the county's Civil Grand Jury Service for the fiscal year 2020-21 term.. "/> python interpolation. E-mail. 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). However, you must choose a health plan within 30 days. 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. Fax: 925-646-9907. CMS Non-Contracted Provider Dispute Process (PDF). On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file. This directory is for informational use only. Become a CCHP provider, get references for plan coverages, or do a quick Eligibility & Claims Inquiry with our Provider Resource page. Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. 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. . Learn More About Your CCHP Coverage & Latest News On COVID-19. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. Martinez, CA 94553 [Directions] 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. Effective September 1, 2019, the claim submission timeframe for Contra Costa Health Plan (CCHP) is one-hundred and eighty (180) days from Challenges a request for reimbursement for an overpayment of a claim. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. Committee About Us Provider Directory Popular Pages COVID-19 Vaccine . CCHP discourages the use of family members, friends or minors to interpret or translate materials. Effective July 1, 2014, the new Prescription Drug Prior Authorization Request Form is required for non-Medicare plans. 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