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Provider Directory

Welcome to Contra Costa Health Plan's Provider Online Search Engine


Begin Your Search Here


Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. 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.

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.

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. If you are a member or potential member it is important for you to understand how our two networks are organized.

CCHP has 2 Provider Networks to choose from.

Our Regional Medical Center Network (RMC) has 10 Health Centers conveniently located throughout the county and the Regional Medical Center Hospital in Martinez. This network contains both primary and specialty care providers to choose from. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. 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.

Our Community Provider Network (CPN) is a network of community based private providers of primary and specialty care. Most hospitals in Contra Costa County and the immediate surrounding area are participants. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network.

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. 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. You can also access the Kaiser online directory.

This directory is for informational use only. 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 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.

Potential members may contact our Marketing Department at 1-877-661-6230 option 6. They will be able to assist you in making the best health plan choice for you.

Updates

The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. To report incorrect provider information, members can contact member services by calling 1-877-661-6230 option 2 or by email: member.services@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.

Validations and Limitations

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 information is subject to change without notice. To report incorrect provider information, members can contact member services by calling 1-877-661-6230 option 2 or by email: member.services@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.

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. The online search engine updates nightly based on information entered that day. 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. Hospital information is verified by viewing the information listed on their website.

Accepting New Patients: This provider accepts both new and existing patients. We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. If the provider no longer accepts new patients, the provider is required to notify CCHP within five (5) business days. We are dependent on the accuracy and timeliness of changes to the information being reported to CCHP by the 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. The most current board certification status can be verified at The American Board of Medical Specialties website. Board certifications for most Doctors of Osteopathic Medicine (D.O.) can be viewed free at osteopathic.org

CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) Services require prior authorization and are limited to Members who meet specific eligibility criteria.

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. PCP's are not required to have hospital privileges. All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members.

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. CCHP does not verify these skills. Providers in the CCRMC network are certified in languages spoken in addition to English. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. 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. Providers must document this choice in the member's medical record. 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.

Medical group: This information is collected from the group at the time they initially join the network. On a quarterly basis, CCHP emails a Network Update link for the group to report any changes to the information CCHP has on file.

Specialty: A provider's specialty is identified when they join the health plan network. Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. 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.

Facility: CCHP updates facility information daily as changes are reported by the facility. 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.

Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. 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). Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies.

Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. By entering a hospital name, the accreditation status and quality measures are listed. Information regarding quality is obtained by the Joint Commission at the time of survey, as new information becomes available and at resurvey.

Accreditation: This information is collected at the time the facility initially joins the network and then every three years thereafter. 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. Facilities may also notify us at any time regarding changes to their accreditation status. To verify the current status of a hospital visit jointcommission.org

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.

Timely access standards include:

  • 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
  • Emergency Care: Immediate
  • 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
  • Mental Health – Emergency: immediate
  • 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.
  • 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
  • Waiting time in provider office: within 45 minutes or less from the time of the patient’s appointment until they are taken to the exam room.
  • Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request

Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. Interpreter services are available at all CCHP points of contact where members may reasonably need such services.

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.

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. Documents will be mailed within five (5) business days of receiving request. To report any errors, click on the link below.



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* Translation services available for most languages. See our linguistic access and accessibility policy.


DISCLAIMER: This assessment of facility accessibility is not intended to provide an overall assessment of ADA components of the subject area and is not to certify subject area is in complete compliant.