COUNTY CONTACT LIST MARIN COUNTY Department of Health and Human Services 10 North San Pedro Rd., Suite 1002 San Rafael, CA 94903 24 HR. Non-Contracted Provider Dispute Resolution Process For CMS Medicare Advantage Plan Members. 595 Center Avenue, Suite 100 Accepting New Patients: This provider accepts both new and existing patients. Learn More About Your CCHP Coverage & Latest News On COVID-19. By entering a hospital name, the accreditation status and quality measures are listed. Email Credentialing Related Questions: CCHPcredentialing@cchealth.org. 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. 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. consider the following class definition public class book. You can also access the Kaiser online directory. Martinez, CA 94553 [Directions] 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. See more information designed specifically for health care providers . Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. Challenges a request for reimbursement for an overpayment of a claim. 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. Lake Forest, CA 92609. 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). 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. CCHP has a Provider Dispute Resolution (PDR) process that ensures provider disputes are handled in a fast, fair and cost effective manner. 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. You may also sign up for CCHP's ccLink Provider Portal where you can enter and submit claims directly to CCHP. 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. 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. CCHS COVID-19 Testing; CDPH Test Information and At-Home Tests; TREATMENT INFORMATION Infusion Center. 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. Facilities may also notify us at any time regarding changes to their accreditation status. Phone: 877-800-7423, option 6. If you are a member or potential member it is important for you to understand how our two networks are organized. This directory covers the . 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. In order to set a COVID-19 . All paper claims must be submitted using a CMS 1500 form (for professional providers) and a UB-92 form (for institutional providers). reports 2022 Housing market forecast revised to 380,630 units sold and a statewide median price of $863,390. Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. Please note, this form should also be used to request Prior Authorizations for Medicare plans. 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). Attention: Provider Dispute Resolution Area, Disputes can also be faxed to: 1-415-955-8815. fewer trips to the pharmacy and still get your medicine, Utilization Management: Authorization and Referrals, Interactive No Authorization Required List, Contra Costa Health Rated Among California's Top Health Systems, Important Medi-Cal Pharmacy Benefit Change. To report any errors, click on the link below. Provider Relations Department. We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. Join Our Provider Network :: Health Plan :: Contra Costa Health Services Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey. Providers must be knowledgeable with the federal requirements and information regarding fraud, waste and abuse. Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. CCHP discourages the use of family members, friends or minors to interpret or translate materials. Members have the choice to refuse professional interpreters and use adult family members or friends. Contra Costa has 1,953 commercial real estate spaces for lease, representing 15,620,946 sqft space. By sending us written questions it can also help us develop educational tools such as Frequently Asked Questions. Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. If you find only one health plan, the county has chosen this plan for you. 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. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. 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. You can also use this page to report any changes in the providers information such as phone number, language, and location. You must register with Availityin order to submit EDI claims to CCHP. Fax: 925-646-9907. Contra Costa Health Plan (CCHP) uses Availity as our clearinghouse. 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. Imperial Health Plan of California, Inc. (HMO) (HMO SNP) 2021 Provider Directory This directory is current as of 10/01/2020. You can go online to. For questions, please contact Provider Network Management at 1-415-955-8800 #3474. 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. Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. Provider Relations Department. Hospital information is verified by viewing the information listed on their website. The most current board certification status can be verified at The American Board of Medical Specialties website. We provide flyers you can post in your office which state: Point to your language! Martinez, CA 94553 [ Directions] 925-313-6000. Email General Questions: ProviderRelations@cchealth.org. 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. Become a CCHP provider, get references for plan coverages, or do a quick Eligibility & Claims Inquiry with our Provider Resource page. * Translation services available for most languages. CCHP is a health maintenance organization (or HMO) delivering full-suite of quality health plan coverage to over 23,000 Members. This information is subject to change without notice. Inquiries will be quickly acknowledged (same day), triaged, sent to the appropriate CCHP team for review. 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. See more information designed specifically for health care providers. Medi-Cal Member Authorization eFax Numbers: Commercial Member Authorization eFax Numbers: Interactive No Authorization Required List, Utilization Management: Authorization and Referrals. 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. Medi-Cal Managed Care Health Plan Directory When you first qualify for Medi-Cal, you are covered under Medi-Cal Fee-for-Service. Health (4 days ago) P.O. Medical group: This information is collected from the group at the time they initially join the network. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. 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. Information for individuals who are not eligible for the Basic Health Care Program. See more information designed specifically for. 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. 578 buildings are. unity ik foot placement x x . 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. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. 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