If you are already one of thousands working with CCHP, your CCHP Provider resources can be found below. You can also use this page to report any changes in the providers information such as phone number, language, and location. Documents will be mailed within five (5) business days of receiving request. The CCHP payer ID is CCHS. Become a CCHP provider, get references for plan coverages, or do a quick Eligibility & Claims Inquiry with our Provider Resource page. E-mail. 595 Center Avenue, Suite 100 Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. Medi-Cal Managed Care Health Plan Directory When you first qualify for Medi-Cal, you are covered under Medi-Cal Fee-for-Service. reports 2022 Housing market forecast revised to 380,630 units sold and a statewide median price of $863,390. Status updates will be provided for managed inquiries. Contra Costa Residents: Help us improve your online experience. Download details of the CMS Non-Contracted Provider Dispute Process (PDF). Public Detail: Visit URL Email Contract Related Questions: CCHPcontracts@cchealth.org. 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. Facilities may also notify us at any time regarding changes to their accreditation status. Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. This provider resource was developed by ICE - Industry Collaboration Effort as a helpful tool to care for Diverse Populations. See more information designed specifically for. Email and usage of our ccLink Provider Portal is the preferred method of communicating with CCHP staff. CCHP does not verify these skills. Email General Questions: ProviderRelations@cchealth.org. CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. recover meaning in hebrew dan wesson snub nose. 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, 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. For information, please call our Member Services at 1-415-834-2118. Providers must be knowledgeable with the federal requirements and information regarding fraud, waste and abuse. 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. A provider dispute is a written notice from a provider that: Providers must use a Provider Dispute Resolution and Appeal Request Form (PDF). The online search engine updates nightly based on information entered that day. 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. 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. This information is subject to change without notice. Members have the choice to refuse professional interpreters and use adult family members or friends. 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. Committee About Us Provider Directory Popular Pages COVID-19 Vaccine . 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. Facility: CCHP updates facility information daily as changes are reported by the facility. *Please note that our response time may be delayed if we experience a high number of requests or inquiries. Providers must document this choice in the member's medical record. 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. 2022 CCHP Health Plan. 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. Martinez, CA 94553 [Directions] 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 . See more information designed specifically for health care providers. Most hospitals in Contra Costa County and the immediate surrounding area are participants. If you find only one health plan, the county has chosen this plan for you. 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. By entering a hospital name, the accreditation status and quality measures are listed. Join Our Provider Network :: Health Plan :: Contra Costa Health Services PCP's are not required to have hospital privileges. You may download Instructions for Submitting Provider Disputes (PDF) or call CCHP Provider Relations at 1-415-955-8800, ext. Home CCHP For Providers CCHP COVID-19 Information CCHP COVID-19 Information. CMS Non-Contracted Provider Dispute Process (PDF). Email Contract Related Questions: CCHPcontracts@cchealth.org. 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. We are committed to serving our community and are devoted to delivering the highest quality health plan to the people and organizations we serve. 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. Attention: Provider Dispute Resolution Area, Disputes can also be faxed to: 1-415-955-8815. However, you must choose a health plan within 30 days. Request a provider directory or pharmacy directory 2023 Provider Directory Los Angeles, Orange, San Bernardino and Riverside Counties 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. Martinez, CA 94553 [ Directions] 925-313-6000. All paper claims must be submitted using a CMS 1500 form (for professional providers) and a UB-92 form (for institutional providers). Provider Tool Kit - Better Communication Better Care. 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. All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. Box 5122. Accepting New Patients: This provider accepts both new and existing patients. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. Below is the contact information of the various CCHP departments who can help answer your questions. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. 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). 925-313-6705 925-313-6465 . Health Coverage Contra Costa Health Services. This directory is for informational use only. We provide flyers you can post in your office which state: Point to your language! If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. Please take a moment to go over the provided information in the PDF file link below. Health If you live in Contra Costa County and you need health coverage, call 1-800-771-4270. 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. Where are Imperial Health Plan's providers located? 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). Email Credentialing Related Questions: CCHPcredentialing@cchealth.org. In the CCHP provider online search engine above you can search for providers that participate with CCHP's two networks consisting of over 5,000 primary care providers and specialists. BASS - Infectious Disease Doctors Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. The health plan cannot undertake a review until or unless such form/documentation is obtained. 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. Contra Costa has 1,953 commercial real estate spaces for lease, representing 15,620,946 sqft space. 3214 for assistance. Seeks resolution of a billing determination or other contractual dispute. Has your contact information changed in the past two years? Provider Relations Department. Effective September 1, 2019, the claim submission timeframe for Contra Costa Health Plan (CCHP) is one-hundred and eighty (180) days from Email General Questions: ProviderRelations@cchealth.org. Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. 925-313-6002 fax. This network contains both primary and specialty care providers to choose from. This directory covers the . You must register with Availityin order to submit EDI claims to CCHP. 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. They will be able to assist you in making the best health plan choice for you. See more information designed specifically for health care providers . 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. 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. You may begin your registration process here. CCHP discourages the use of family members, friends or minors to interpret or translate materials. It is our goal as a health plan to embrace and leverage technology. Medicare Fraud, Waste and Abuse and Compliance Training (PDF). CCHP is a health maintenance organization (or HMO) delivering full-suite of quality health plan coverage to over 23,000 Members. Specialty: A provider's specialty is identified when they join the health plan network. Please call, email or submit form if you find any inaccuracies with the provider information on our website. You can also access the Kaiser online directory. 578 buildings are. unity ik foot placement x x - SNAP Office A Provider is a caregiver who works for Consumers receiving In-Home Supportive Services (IHSS). 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). All Rights Reserved. If you do not choose a plan within 30 days, the State will choose a plan for you. 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. 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. CCHP will resolve each provider dispute within 45 business days following receipt of the dispute, and will provide the provider with a written determination stating the reasons for the determination. Effective July 1, 2014, the new Prescription Drug Prior Authorization Request Form is required for non-Medicare plans. Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. 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. Lake Forest, CA 92609. 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. 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. Already a CCHP Provider? Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. * Translation services available for most languages. If you need assistance with using interpreters for Telehealth Appointments, you can email: otiutin@cchealth.org or call 925-313-6063. By downloading this toolkit you will find a variety of useful resources such as: Communicating with diverse patients and addressing health literacy issues Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. CCHP has a Provider Dispute Resolution (PDR) process that ensures provider disputes are handled in a fast, fair and cost effective manner. 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. 595 Center Avenue, Suite 100. Contra Costa Health Plan 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. 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. Claims Information :: Health Plan :: Contra Costa Health Services. 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. Inquiries will be quickly acknowledged (same day), triaged, sent to the appropriate CCHP team for review. 925-313-6002 fax Phone: 877-800-7423, option 6. We will respond within 1 to 3 business days, as opposed to having your staff call and wait on the line. To report any errors, click on the link below. . consider the following class definition public class book. CCHS COVID-19 Testing; CDPH Test Information and At-Home Tests; TREATMENT INFORMATION Infusion Center. To verify the current status of a hospital visit jointcommission.org. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the providers. If you have any questions, please contact Member Services. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. 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. Board certifications for most Doctors of Osteopathic Medicine (D.O.) 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 our linguistic access and accessibility policy. Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. 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 . Health (4 days ago) P.O. COUNTY CONTACT LIST MARIN COUNTY Department of Health and Human Services 10 North San Pedro Rd., Suite 1002 San Rafael, CA 94903 24 HR. 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. . 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.
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