Last Updated: 2023-03-16. diabetes and asthma), and Prenatal and Postpartum Care. Toll Free: 1.888.839.9909| TTY: 711 lacare.org L.A. Care Health Plan Medi-Cal Program Provider Directory | Directorio de proveedores 2018 LA0266 10/18 LAPD0266. Our Member Services department is available 24 hours a day, seven days a week. WebMedi-Cal managed care members are eligible for the ECM benefit if they meet specific eligibility criteria of a population of focus. This information is also subject to change at any time. Call our FREE Behavioral Health Navigation LineOpen 7 day a week, from 7 a.m. 7 p.m. for tools, resources and connections. Please always contact the provider directly to check their status and availability. Use your transportation benefit. If you go out-of-network, youll need to fill out a claim form. Los Angeles, CA 90017 You may request a printed copy of the Member Handbook for these by calling our Member Services department at +1-855-270-2327(TTY/TDD 711). L.A Nationally Recognized Criteria for Delegated Medical Groups and Vendors UM Decisions. Help your patients with redetermination. WebServices from an out-of-network provider not related to sensitive care may not be covered. Provider Directory Disclosures and Disclaimer The cost of out-of-pocket home care services in the U.S. has steadily risen. For more information regarding your particular L.A. Care Health Plan, please refer to your Member Handbook or Evidence of Coverage. Dental care. L.A. Care Health Plan, A Public Entity 2000-2023 Nursing homes are generally reimbursed by all-inclusive rates for EmblemHealth Medicaid members. Has your contact information changed in the past two years? Certain physician providers are also evaluated on Member experience measures, such as getting timely appointments and how timely Members' questions are answered when they contact the physician provider's office. .page-section--page-hero .billboard-image .billboard-image__inner { WebL.A. Get care for low-level urgent conditions through a video chat with a provider, 24/7, on your computer or mobile device. L.A. Care's Health In Motion program helps you reach your health goals with our experienced staff of Certified Health Coaches and Registered Dietitians. As part of that commitment, we work with our network providers to improve their capabilities around meeting state and federal quality measures. If you are an L.A. Care member and you feel that you reasonably relied upon the information published in this Online Provider Directory and you feel it was inaccurate, incomplete or misleading, you may file a grievance or complaint by contacting Member Services at the same toll free number and address listed above, marked Attention: Appeals & Grievances. L.A Username Password. WebForm 1095-A: The 1095-A form will be mailed by Covered California to individuals enrolled in an L.A. Care Covered (subsidized or unsubsidized) plan. Visit our Community Resource Centers for free classes, programs and services to enhance your health and well-being. We are committed to providing excellent member services. Find your city. WebAbout Intermountain Healthcare . L.A. Care is not responsible for any information, content, services or products on any external Internet website. 1-888-839-9909 (TTY 711) 24 hours a day. WebTalk to a health plan consultant: 833-828-6962 (TTY: 711) Mon-Fri, 8 a.m. to 8 p.m. ET/CT, 7 a.m. to 7 p.m. MT/PT. Sign in to your secure L.A. Care Connect member account. color: #0C0050; L.A. Care Health Plan representatives are available 24 hours a day, 7 days a week, including holidays to help you. Accessible walkway and entrance to the building where ramps and stairs have handrails; doors open wide enough, door handles are easy to use; elevators are easy to use. height: 100vw; Welcome Care Providers of Minnesota new members! We published tip sheets for both ConnectiCare and EmblemHealth to assist your practice with enhancing your Medicare patients health care outcomes. If you have any concerns about your health, please contact your health care provider's office. Web$0 Co-Pays & Premiums Do you have these cards? Members Session Logoff. .header--billboard a { Staying in-network means you save money, with no paperwork. Call L.A. Care at1-888-452-2273(TTY 711) (1-888-4LA-CARE) at least 10 business days before the doctor visit to request an interpreter. Forgot your username or password? Our Platinum HMO plan provides you with rich coverage and the lowest out of pocket expenses of all plans including no annual deductibles and a low annual out of pocket maximum.2023 L.A. Care Covered Direct Platinum 90 HMO SBC, L.A. Care Covered Direct Gold 80 HMO You can get more information about accessibility by calling Member Services for your health plan. Providers A referral means that your PCP must give you approval before you can see someone that is not your PCP. Member IMPORTANT: Are you enrolled in Medi-Cal? Care is one of 11 carriers offered on Californias State Exchange: Covered California. Provider Directory for all Lines of Business can be found here. This information is also subject to change at any time. 4. L.A. Care may not cover the service or drug if you don't get approval. Last Name. Use Intermountain Connect Care Get care for low-level urgent conditions through a video chat with a provider, 24/7, on your computer or mobile device. background-color: #4a00e2; Give your county office your updated contact information so you can stay enrolled. The elevator has enough room for a wheelchair or scooter user to turn around. You are now leaving the L.A. Care website. All Rights Reserved. L.A. Care is not responsible for any information, content, services or products on any external Internet website. Care Medi-Cal. The Ombudsman Office helps Medi-Cal beneficiaries to fully use their rights and responsibilities as a member of a managed care plan. Please select your type of health plan to go to your online member materials: The provider directory is available for free in other languages and different formats, including large print and audio. WebL.A. L.A Plan Partners WebMember Services 1.855.270.2327 (TTY 711) Covered California 1.800.300.1506 or go to Covered California Contact us. Go to benefitscal.com or call the Los Angeles County Department of Public Social Services at 1-866-613-3777. Handrails are provided on both sides of the ramp. Please call your doctor for the most up to date information. Care Provider Portal. WebAs a member of the following plans: L.A. Care Covered. 22-342 Find CalAIM Resources, Trainings and Tools in One Central Place Health Net English (PDF) 22-325m Resources to Help You with ECM and Community Supports Referrals. You or your PCP can call Carelon's Behavioral Health Hotline at 1-877-344-2858 (TTY 1-800-735-2929) to get an appointment. Care Create an Account. WebFind a provider in the following locations or search for one here: California; All providers L.A. Care Health Plan L.A. Care Covered/Direct Member Services. You can pick a different doctor for each enrolled member. Help your patients with redetermination. Find A Provider. 2023 Evidence of Coverage (Member Handbook). WebIf you have trouble getting a standing referral or want a copy of the L.A. Care referral policy, call Member Services at 1-888-839-9909 (TTY: 711). L.A. Care is proud to participate in Covered California to offer affordable health insurance to Los Angeles County residents. Care Covered Direct Bronze 60 HMO Evidence of CoverageL.A. Costs for most durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) are included in these all-inclusive rates paid to the facility. L.A. Care's physician provider network is based on specific criteria that determines the selection of the Participating Physician Groups (PPGs) and other physician providers. Members must now enter an email address or a text message compatible cell phone number to request a 6 digit security code in order to login every time. Provide free aids and services to people with disabilities to communicate effectively with us, such as: Written information in other formats (large print, audio, accessible electronic formats and other formats). If you are a Pharmacy service provider wishing to join the L.A. Care network, you must have an NPI and NCPDP number and be enrolled as a Medi-Cal Fee-for-Service provider. Prescription medications, including Part D prescription coverage. InsureKidsNow Search. Updates received from our network providers are generally added to the Find a Provider or Hospital search tool once a week. If you think there is an error with the information in this provider directory, please let us know. PASC-SEIU Member L.A For more information on the services covered and assistance locating participating providers, contact Liberty Dental at 1-888-700-5243 (TTY/TDD 1-877-855-8039 ). WebThe University Health Care Plus provider network includes access to 46 hospitals in the state of Utah and all University of Utah Health Care providers as well as over 5,600 Have questions about renewing your Medi-Cal? 1055 West 7th Street Payments WebSee how choosing L.A. Care Health Plan opens more options for you and your loved ones. If you are receiving care now from a doctor not listed in this provider directory and you want to continue getting care from that doctor, call us right away. A = RECEPTION/WAITING AREA Provider Portal: Correctly Verifying Member Eligibility. The provider directory includes providers' names, office locations, gender, specialty, hospital affiliation, medical group affiliation, new patient information and languages spoken. If you are interested in providing pharmacy services to our members, please contact Navitus Health Solutions Provider Services line at 1-608-298-5775. View our FAQs. Company Overview. The Office for Civil Rights also offers different complaint formsonline. Learn We encourage you to visit this page and dig into the many resources weve collected for your use. Your Doctor is Called a Primary Care Physician or "PCP". Mental and behavioral health care. L.A. Care wants to make your experience with us as enjoyable as possible and here are some helpful tips on getting started: Your L.A. Care Member ID Card has the name of your health plan, your member ID number, and your Primary Care Provider (PCP) with his/her number. We published a new provider guide to Social Determinants of Health (SDOH). WebMedical and hospital care. Use your Member ID Card when you visit your doctor, pharmacy and other health care providers. Mental Health and Substance Use Disorder (MH/SUD) benefits are covered through Carelon Behavioral Health. WebL.A. Any information provided on this Website is for informational purposes only. 1-800-MEDICARE: You can contact this program with questions about your Medicare benefits. L.A Members can receive information and assistance in their preferred language other than English. EB = EXTERIOR BUILDING As a reaction to that, some providers are proactively relying less on their private-pay If you are looking for la care health plan provider portal, check the results below : LA Care Provider Central. Provider Information Line: 1-866-522-2736 (1-866-LACARE6) The WebServices We Offer. You may call the TTY/TDD Statewide access number at 1-888-877-5379 (Sprint) or 1-800-735-2922 voice (MCI). Please always contact the provider directly to check their status and availability. L.A L.A If you want a career that truly contributes to the good of all, join us as we work towards a healthier L.A. Our mission, vision and values not only define our organization and what we stand for, they are also a road map to your employment experience. L.A WebIf you need further assistance, contact L.A. Care Member Services at 1.888.452.2273 (1.888.4LA.Care) (TTY 711), 24 hours a day, 7 days a week, including holidays. Fax: 1-213-689-3257 Review the tip sheets to see how you play a vital role in this process. This plan is designed for those who want affordable coverage and protection in the case of an unexpected medical event. If you are interested, please call 1.888.522.2732. Visit Website. Call us when you have made your choice. L.A. Care Health Plan, A Public Entity 2000-2023 Call Health Care Options at 1-800-430-4263 (TTY: 1-800-430-7077 or 711) to choose a new plan. Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. Member These providers are committed to quality health care for our Medi-Cal members. WebWe do not guarantee that each provider is still accepting new members. Registered Dental Hygienists in Alternative Practice. WebSign-In. Username Password. Intermountain Healthcare: Home To get started, visit L.A. Care Connect. Our Companies, Lines of Business, Networks, and Benefit Plans, Medicaid, HARP, and CHPlus (State-Sponsored Programs), Cultural Competency Continuing Education and Resources, Medicaid Cultural Competency Certification, Find a center near you, view classes and events, and more, Vendor-Managed Utilization Management Programs, Physical and Occupational Therapy Program, Radiology-Related Programs and Privileging Rules for Non-Radiologists, New Century Health Medical Oncology Policies, UM and Medical Management Pharmacy Services, EmblemHealth Guide for Electronic Claims Submissions, Consolidated Appropriations Act/No Surprise Billing Information, Payment processes unique to our health plans, EmblemHealth Guide for NPIs and Taxonomy Codes, 2023 Provider Networks and Member Benefit Plans, EmblemHealth Spine Surgery and Pain Management Therapies Program, Outpatient Diagnostic Imaging Privileging, Benefits to Participation in Dental Network, Reminder of DMEPOS Costs for Medicaid Members Residing in Nursing Homes, Provider Portal Frequently Asked Questions. If you lose your Member ID Card, you may request a new one through L.A. Care Connect, or call Member Services at 1-855-270-2327 (TTY 711 ) to request a replacement. Please always contact the provider directly to check their status and availability. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage. Your doctors office hours may have changed due to COVID-19. New members select a primary care physician or "PCP" when they first join L.A. Care. For the hearing impaired TDD, please call 1-800-952-8349. WebYour doctors office hours may have changed due to COVID-19. Search for a doctor or hospital near you. Renewing Coverage for Medicaid, HARP, CHPlus, and Essential Plan, Our Companies, Lines of Business, Networks, and Benefit Plans, Medicaid, HARP, and CHPlus (State-Sponsored Programs), Cultural Competency Continuing Education and Resources, Medicaid Cultural Competency Certification, Find a center near you, view classes and events, and more, Vendor-Managed Utilization Management Programs, Physical and Occupational Therapy Program, Radiology-Related Programs and Privileging Rules for Non-Radiologists, New Century Health Medical Oncology Policies, UM and Medical Management Pharmacy Services, EmblemHealth Guide for Electronic Claims Submissions, Consolidated Appropriations Act/No Surprise Billing Information, Payment processes unique to our health plans, EmblemHealth Guide for NPIs and Taxonomy Codes, 2023 Provider Networks and Member Benefit Plans, EmblemHealth Spine Surgery and Pain Management Therapies Program, Outpatient Diagnostic Imaging Privileging, Benefits to Participation in Dental Network, Provider Portal Frequently Asked Questions. WebBlue Shield of California Promise Health Plan has a large provider network including primary care physicians, specialists, hospitals and ancillary providers. Search for a doctor or hospital near you. L.A. Care evaluates, on an ongoing basis, physician providers in its network for quality measures and requires physician providers, such as primary care physicians, to meet minimum clinical quality measures in many areas of care including preventive services (e.g. If you are not an L.A. Care member, please fill out ourReport a Provider Inaccuracy form. L.A WebFind an in-network eye doctor. WebSpecialty. L.A Our Companies, Lines of Business, Networks, and Benefit Plans, Medicaid, HARP, and CHPlus (State-Sponsored Programs), Cultural Competency Continuing Education and Resources, Medicaid Cultural Competency Certification, Find a center near you, view classes and events, and more, Vendor-Managed Utilization Management Programs, Physical and Occupational Therapy Program, Radiology-Related Programs and Privileging Rules for Non-Radiologists, New Century Health Medical Oncology Policies, UM and Medical Management Pharmacy Services, EmblemHealth Guide for Electronic Claims Submissions, Consolidated Appropriations Act/No Surprise Billing Information, Payment processes unique to our health plans, EmblemHealth Guide for NPIs and Taxonomy Codes, 2023 Provider Networks and Member Benefit Plans, EmblemHealth Spine Surgery and Pain Management Therapies Program, Outpatient Diagnostic Imaging Privileging, Benefits to Participation in Dental Network, a new provider guide to Social Determinants of Health (SDOH), Provider Portal Frequently Asked Questions. Your doctors office hours may have changed due to COVID-19. WebLogin. }}. Select a doctor, clinic, or medical group. Dental benefits are available to Medi-Cal members who qualify through Denti-Cal provided by the Department of Health Care Services (DHCS). Members can also view and download a PDF version of the provider directory. L.A. Care Health Plan If you would like paper copies of any of the information available on the website, please contact us at 1-866-LA-CARE6 ( 1-866-522-2736 ). If you have any other questions or concern(s) on this matter, please call L.A. Care at1-888-839-9909. This plan is ideal for those who still want to receive rich benefits but don't mind having slightly higher out of pocket expenses.2023 L.A. Care Covered Direct Gold 80 HMO SBC. WebSpecialty Care Provider (SCP) mission to provide high quality health care services to L .A . L.A. Care Health Plan: Home | L.A. Care Medicare @media (min-width: 480px) { Care Provider Portal. Lifts are available to assist with patient. Care Connect. Oncologists care for patients with cancer. Call Member Services. Find the specific content you are looking for from our extensive Provider Manual. The lead care manager serves as the member's primary point of contact and works with all their providers such as doctors, specialists, pharmacists, social services providers, and othersto make sure everyone is in agreement about the member's Care Provider Portal. More Search Options. } 6759 (TTY 711) Stairs, if present, have handrails. OnlineIf you are an L.A. Care member, please email us from your member account inL.A. Care Connect. L.A. Care has a leadership development program for providers from community health centers in L.A. County. } WebOur provider search tool lets you see if your preferred doctor and hospital accepts the plan youre considering. Your inquiry will go to L.A. Care's Member Services. More Search Options. We do not guarantee that each provider is still accepting new members. Please call your doctor for the most up to date information. Grievance & Appeal Form If looking for a personalized search result, members can create and sort search results and turn them into a PDF document, which can be emailed or printed. If you have any concerns about your health, please contact your health care provider's office. L.A. Care Health Plan