Cencal Health Care Management

Listing Websites about Cencal Health Care Management

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Enhanced Care Management (ECM) Frequently Asked …

(1 days ago) WebCenCal Health launched ECM on July 1, 2022 and has a phased implementation approach based on the Department of Health Care Services (DHCS) defined Populations of Focus or POFs. Please reference the table below for information on the implementation of the various POFs. Implementation timelines are subject to change …

https://www.cencalhealth.org/wp-content/uploads/2023/01/pcsecmfaq0123-e-emcfaqs20230125.pdf

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Population Health Management Programs - CenCal Health Medi …

(5 days ago) WebCalling CenCal Health’s Member Services Department at 1-877-814-1861 (TTY/TDD 1-833-556-2560 or 711), Monday – Friday, 8 a.m. – 5 p.m. or the Community Supports Department at 805- 562-1698; Self-Management Tools CenCal Health offers self-management tools on several topics to help you navigate health challenges and thrive.

https://www.cencalhealth.org/members/population-health-management-programs/

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Table of Contents Section I: Care Management Programs

(9 days ago) WebCenCal Health Care Management ensure that the needs of member are met across the continuum of care. Members are provided appropriate level of care management through person-centered interventions based on the intensity of health and social needs and services required. Coordination of care is done collaboratively with member and their PCP,

https://www.cencalhealth.org/wp-content/uploads/2023/04/Section-I-Care-Management-Programs-and-Community-Support-Services2023.pdf

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Radiology Benefit Manager - CenCal Health Medi-Cal …

(Just Now) WebCenCal Health has selected Care to Care, a URAC accredited as our new partner and together we are improving our Radiology Benefit Management (RBM) program for high-tech imaging to enhance the quality of services …

https://www.cencalhealth.org/providers/authorizations/radiology-benefit-manager/

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All About CalAIM - CenCal Health Medi-Cal …

(8 days ago) WebOur 2023 – 2025 Strategic Plan. Marking 40 years of serving the most vulnerable on the Central Coast, in 2022, CenCal Health developed a three-year Strategic Plan, outlining future objectives and strategies to support …

https://www.cencalhealth.org/explore-cencal-health/calaim/

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Home Page - Provider Directory - CenCal Health

(3 days ago) WebEnhanced Care Management ; Search For Medical Groups; Search For Pharmacies Welcome to our Provider Directory. Use the links above to search for Doctors, Hospitals and Specialists in your area. If you have any problem finding your doctor, please feel free to contact our Member Services Department at 1-877-814-1861 or for the …

https://provdir.cencalhealth.org/

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CenCal 2024 Community Report

(7 days ago) WebCenCal Health’s Quality Care Incentive Program is a pay-for-performance program that directly rewards plan providers who deliver exceptional medical care to CenCal Health patients. Since the program’s launch in March 2022, CenCal Health has distributed $27.0 million to 98 unique Central Coast primary care providers.

https://www.cencal2024.org/

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40 Years in the Making, CenCal Health Presents its …

(4 days ago) WebSANTA BARBARA, Calif. – April 6, 2023 – CenCal Health, the Medi-Cal Managed Care health plan for Santa Barbara and San Luis Obispo counties, has published its 2022-2023 Community Report.With this …

https://www.lhpc.org/press-release/40-years-making-cencal-health-presents-its-2022-2023-community-report

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New Provider Operations Guide Key Information for Medi-Cal …

(2 days ago) WebThis document highlights some of CenCal Health’s programs and requirements and meets the new provider training Medical Management (805) 562-1082 (800) 421-2560 ext. 1082 or other qualified health care professional who can report evaluation and management services, provided

https://wwwqa.cencalhealth.org/wp-content/uploads/2022/12/2022newprovideroperationsguide.pdf

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PROVIDER PORTAL USER GUIDE - CenCal Health

(1 days ago) WebThis document contains step-by-step instructions on how to access CenCal Health’s interactive portal for Providers, Administrators and Staff. Websites are not static documents they are updated and changed constantly to meet the needs of users, to improve functionality, and to meet nationally recognized standards and regulations in healthcare.

https://wwwqa.cencalhealth.org/wp-content/uploads/2021/10/202108providerportaluserguide.pdf

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CalAIM Enhanced Care Management & CenCal Health Case …

(5 days ago) WebCenCal Health Case Management (805) 562-1082 (option 2) (805) 681-8260 Contact CenCal Health's Member Services Department for benefit questions at (877) 814-1861 CalAIM Enhanced Care Management & CenCal Health Case Management Referral Form Member must be eligible with CenCal Health STEP 3 SUBMISSION .

https://wwwqa.cencalhealth.org/wp-content/uploads/2022/12/calaimenhancedcasemanagementreferral072022updated-826.pdf

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Contact Us CenCal Health Insurance Santa Barbara and San Luis …

(Just Now) WebCase Management; Search Our Provider Network; Quality of Care; Provider Profile and Practice Changes; Medi-Cal Redetermination FAQs; PHARMACY, CLAIMS, PORTAL INFO. Call CenCal Health’s Member Services Department, (Monday thru Friday, 8am – 5pm) (877) 814-1861. Are you a Provider? Click Here

https://www.cencalhealth.org/contact-us/

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Enhanced Care Management (ECM) - Central California Alliance for …

(8 days ago) WebAdult members 21 and over can complete our Adult ECM Member Referral Form to start the process. For members ages 20 and under, use the Youth Enhanced Care Management (ECM) Member Referral Form. Members can also call the Alliance Member Services Department at 800-700-3874 from 8 a.m. to 5:30 p.m., Monday through Friday.

https://thealliance.health/for-members/get-care/other-services/enhanced-care-management/

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Enhanced Care Management & Community Supports - DHCS

(Just Now) WebEnhanced Care Management (ECM) and Community Supports are foundational parts of the transformation of Medi-Cal focused on: Breaking down the traditional walls of health care, extending beyond hospitals and health care settings into communities; Introducing a better way to coordinate care; and. Providing high-need …

https://www.dhcs.ca.gov/CalAIM/ECM/Pages/Home.aspx

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Community Report

(7 days ago) WebCenCal Health is the community-based health plan that administers Medi-Cal benefits in Santa Barbara and San Luis Obispo counties. We partner with a vast network of doctors, hospitals, and other types of providers to deliver health care services to Medi-Cal members on the Central Coast — about one in four residents of Santa Barbara County and one in …

https://www.cencal2023.org/

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Log in - CCH_Member - CenCal Health

(Just Now) WebWith a CenCal Health member account, you can can do the following: Request, view or print your member ID card ; View who your doctor is ; Change your doctor ; View and update your personal information, like cell phone number ; Check claim status ; And much more! HOW A MEMBER ACCOUNT CAN HELP YOU

https://memberportal.cencalhealth.org/Identity/Account/Login

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Top 10 Questions Asked by New Members - Horizon NJ Health

(6 days ago) Webyour health care needs. If you receive care from a provider who does not participate with Horizon NJ Health without our approval, you may be responsible for the cost of the care. 3. Can I change my PCP? Answer: Call Member Services at 1-800-682-9090 (TTY 711) and they will help you choose a new PCP. You will get a new member ID card with the

https://www.horizonnjhealth.com/sites/default/files/2019-03/New_Members_FAQ_Online.pdf

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Hudsonview Health Care Center (UPDATED) - Get Pricing in

(3 days ago) WebHudsonview Health Care Center. 9020 Wall Street, North Bergen, NJ 07047. Calculate travel time. Nursing Home. Compare. For residents and staff. (201) 861-4040. For pricing and availability. (201) 571-1718.

https://www.seniorly.com/skilled-nursing-facility/new-jersey/north-bergen/hudsonview-health-care-center

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Care Management Programs - Horizon BCBSNJ

(2 days ago) WebVentilator management. An assigned Clinical Case Manager, who is a registered nurse, can help members examine their options regarding specialists, hospitals and medical care. If your patients are dealing with a complex medical condition, have them call 1-888-621-5894 and select option 2. Representatives are available Monday through Friday, from

https://www.horizonblue.com/sites/default/files/Care_Management_Programs_FINAL.pdf

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Multidrug-resistant Organisms (MDRO) Management Guidelines

(8 days ago) WebThe Containment Strategy Guidelines that address novel and targeted MDROs, such as Candida auris and carbapenemase-producing Enterobacterales, Pseudomonas spp., and Acinetobacter are available on the Healthcare-Associated Infection (HAI) website. This guideline provides recommendations for management of multidrug …

https://www.cdc.gov/infection-control/hcp/mdro-management/index.html

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Preventing VZV Transmission in Healthcare Settings

(1 days ago) WebHealthcare institutions are advised to offer those without evidence of immunity 2 doses of varicella vaccine, administered 4 to 8 weeks apart, when they begin employment. Healthcare institutions should establish protocols and recommendations for screening and vaccinating healthcare personnel. Additionally, protocols should be …

https://www.cdc.gov/shingles/hcp/infection-control/index.html

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Arosa North Jersey North Jersey Care Management & Home Care

(5 days ago) WebCare Management. Caregiving. Since 2003, our Arosa North Jersey team has provided exceptional home care services that enhance the quality of life for our clients and their families. That’s why we’re Northern New Jersey’s premier private home care provider for older adults, their families, and professional referral sources. Our unique

https://arosacare.com/locations/north-jersey/

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Clinical Overview of Chickenpox (Varicella) - CDC

(3 days ago) WebNosocomial transmission of VZV is well-recognized and can be life-threatening to certain groups of patients. Reports of nosocomial transmission are uncommon in the United States since the introduction of varicella vaccine. Patients, healthcare providers, and visitors with varicella or herpes zoster can spread VZV to susceptible patients and healthcare …

https://www.cdc.gov/chickenpox/hcp/clinical-overview/index.html

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About Diabetes Self-Management Education and Support

(6 days ago) WebYou'll work with a diabetes care and education specialist who will help you create a plan and teach you about the 7 key self-care behaviors: Healthy eating. Behing active. Taking medicine as prescribed. Monitoring your blood sugar levels, activity, and eating habits. Reducing risks to lower the chances of diabetes complications.

https://www.cdc.gov/diabetes/education-support-programs/index.html

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Diagnosis and Management of Obsessive Compulsive Disorders in …

(8 days ago) WebThis comparative effectiveness review will summarize the findings from: (1) Studies related to the diagnostic accuracy of brief assessment tools compared to reference standard methods to identify OCD in symptomatic youth, and (2) Studies of psychological and/or pharmacological treatments of OCD.

https://effectivehealthcare.ahrq.gov/products/obsessive-compulsive-disorder/draft-report

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7 keys to success with value-based care pay arrangements

(7 days ago) WebThe AMA, in cooperation with the health insurer trade group AHIP and the National Association of ACOs, lays out in the document (PDF) how to create successful and sustainable payment arrangements to encourage the ongoing growth of value-based care (VBC) in the U.S. In 2023, the collaboration’s first playbook (PDF) highlighted how best …

https://www.ama-assn.org/practice-management/payment-delivery-models/7-keys-success-value-based-care-pay-arrangements

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Approach Integrates Cancer Symptom Management into Routine …

(3 days ago) WebStepped collaborative care is an approach for managing symptoms such as depression, pain, and fatigue in people with cancer. It includes psychotherapy and medication if the symptoms are not reduced by psychotherapy alone. A person’s symptoms are assessed every 4 weeks. If the symptoms are not in the normal range, health care …

https://www.cancer.gov/news-events/cancer-currents-blog/2024/cancer-symptoms-stepped-collaborative-care

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VA says it's seeing more patients than ever and cutting wait times …

(6 days ago) WebEric Katz. . May 24, 2024. Veterans. Health Care Reform. The Veterans Affairs Department’s concerted efforts to see patients more quickly are paying dividends, the agency announced on Friday

https://www.govexec.com/management/2024/05/va-says-its-seeing-more-patients-ever-and-cutting-wait-times-them/396874/

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Home Page - Provider Directory

(8 days ago) WebEnhanced Care Management ; Search For Medical Groups; Search For Pharmacies Welcome to our Provider Directory. Use the links above to search for Doctors, Hospitals and Specialists in your area. If you have any problem finding your doctor, please feel free to contact our Member Services Department at 1-877-814-1861 or for the …

https://provdir.cencalhealth.org/Home/

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Pain Doctors Plead Guilty In $45 Million Healthcare Fraud

(Just Now) WebTwo pain management doctors who pantomimed injections on patients pleaded guilty today to healthcare fraud charges, announced U.S. Attorney for the Northern District of Texas Leigha Simonton. Drs. Desi Barroga, 51, and Deno Barroga, 51, were indicted in November 2023. The pair pleaded guilty Tuesday to one count each of …

https://www.justice.gov/usao-ndtx/pr/pain-doctors-plead-guilty-45-million-healthcare-fraud

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