HomeMy WebLinkAboutMINUTES - 09162008 - C.105 i
TO: BOARD OF SUPERVISORS ` ` ��' Contra
CostaFROM: William Walker, M.D., Health Services Director a ":ane►`. '
By: Jacqueline Pigg, Contracts Administrator .;
DATE: Aubvst 26, 2008 County
SUBJECT: Approve New and Recredentialing Providers and New Organizational
Providers in Contra Costa Health Plan's Community Provider Network
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATION:
Approve the providers listed on the attachment recommended by the Contra Costa Health
Plan's Credentialing Committee at the August 19, 2008 meeting, as recommended by the
Health Services Director.
FISCAL IMPACT:
BACKGROUND:
The National Committee on Quality Assurance (NCAA) has requested evidence of Board
Approval for each CCHP provider be contained within the provider's credentials file.
The recommendations were made by CCHP's Credentialing Committee.
CONTINUED ON ATTACHMENT: xx YES SIGNATURE:
1� RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
__4_,--APPROVE OTHER
SINATURE(S):
ACTION OF BOARD ON APPROVE AS RECOMMENDED OT R
VOTE OF SUPERVISORS
/ I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN
AND ENTERED ON THE MINUTES OF THE BOARD
AYES: NOES: OF SUPERVISO ON THE DATE SHOWN.
ABSENT: ABSTAIN: /
ATTESTE[ 6
LAft ,ToA9 =II OF THE BT& OF
Contact Person: Patricia Tanquary,CCHP CEO SOBS AND GOUNIY AMNISIWOR
CC. William Walker, MD, HSD
Terri Lieder, MPA, Provider Relations BY: DEPUTY
595 Center Avenue, Suite 100
Martinez,CA 94553
GA/off
Providers Approved by Credentialing Committee
August 19, 2008
CREDENTIALING PROVIDERS AUGUST 2008
Name Specialty
Collingham,Justin,M.D. Perinatology
Risgalla, H.Edward, M.D. Primary Care
Family Medicine
Superfin,Diana, M.D. Medical Oncology
RECREDENTIALING PROVIDERS AUGUST 2008
Name Specialty
Martin,Jose,MFT Mental Health Services
Mossor,Karen,D.C. Chiropractic
CREDENTIALING ORGANIZATIONAL PROVIDERS
AUGUST 2008
Name Provide the Following DBA& Location
Services
Aspen Surgery Center,LLC Outpatient Surgery Sierra Surgi-Center,
Walnut Creek.
_ —T..........._
Brentwood Surgery Center, Outpatient Surgery Brentwood Surgery Center,
LLC Brentwood.
.................._......................................._..._........................................._._._ _ ___._ .............--................
Mount Diablo Surgery Outpatient Surgery Mount Diablo Surgery
Center, LLC Center,
Concord.
....................................................................._.............................. ................--...__...-._._........._...................... --.............-........_._...........-_._..................___................._._.....--............
Vintage Estates, III, Inc. Skilled Nursing Facility Vintage Estates of
Richmond,
Richmond.
dbopl-August08