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HomeMy WebLinkAboutMINUTES - 01112011 - C.113RECOMMENDATION(S): Approve the lists of providers recommended by the Contra Costa Health Plan's Medical Director on October 26, 2010 and by the Contra Costa Health Plan's Peer Review and Credentialing Committee at their November 9, 2010 meeting, and by the Health Services Director, as required by the State Departments of Health Care Services and Managed Health Care, and the Centers for Medicare and Medicaid Services. FISCAL IMPACT: None. BACKGROUND: The National Committee on Quality Assurance (NCQA) 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 Medical Director and CCHP’s Peer Review and Credentialing Committee. APPROVE OTHER RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE Action of Board On: 01/11/2011 APPROVED AS RECOMMENDED OTHER Clerks Notes: VOTE OF SUPERVISORS AYES 4 NOES ____ ABSENT ____ ABSTAIN ____ RECUSE ____ Contact: Patricia Tanquary, 313-6004 I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown. ATTESTED: January 11, 2011 David J. Twa, County Administrator and Clerk of the Board of Supervisors By: June McHuen, Deputy cc: Tasha Scott, Barbara Borbon, l. Maria Perez C.113 To:Board of Supervisors From:William Walker, M.D., Health Services Director Date:January 11, 2011 Contra Costa County Subject:Approve New and Recredentialing Providers in Contra Costa Health Plan’s Community Provider Network CONSEQUENCE OF NEGATIVE ACTION: If this action is not approved, Contra Costa Health Plan's Providers would not be appropriately credentialed and not be in compliance with the NCQA. CHILDREN'S IMPACT STATEMENT: Not applicable. Page 1 of 3 Contra Costa Health Plan Providers Approved by Medical Director October 26, 2010 CREDENTIALING PROVIDERS OCTOBER 2010 Name Specialty Boora, Kamaljeet, M.D. Psychiatry Goodwin, Susan, DC Chiropractic Jensen, Kirk, M.D. Orthopaedic Surgery Milani, Cannon, M.D. Hematology/Oncology Rooney, Michelle, NP Hematology/Oncology Rudnick, Craig, M.D. Psychiatry Villanueva, Lee, M.D. Primary Care Family Medicine RECREDENTIALING PROVIDERS OCTOBER 2010 Name Specialty Buenviaje, Sarah, NP Hematology/Oncology Eaglin, Olga, PA Primary Care Family Medicine Goodman, Suzan, M.D. Family Planning Iaroli, Doris, PA Family Planning Junnila, Rick, DC Chiropractic McLaughlin, Ina, PA Primary Care Family Medicine Merriman, William, DC Chiropractic Patel, Nisha, DPM Podiatry Shipman, Elizabeth, O.D. Optometry Swope, Brian, M.D. Primary Care Pediatrician Tinio, Susanna, PA Surgery – Vascular Varela, Francis, Ph.D. Mental Health Services Wood, Monica, MFT Mental Health Services Page 2 of 3 Contra Costa Health Plan Providers Approved by Peer Review and Credentialing Committee November 9, 2010 CREDENTIALING PROVIDERS NOVEMBER 2010 Name Specialty Ally, Zahora, M.D. Radiation Oncology Beatty, Kelly, M.D. Primary Care Pediatrician Burgham, Jennifer, M.D. Primary Care Pediatrician Chang, S. Ming, M.D. Primary Care Pediatrician Falsafi, Sassan, M.D. Otolaryngology (ENT) Fulkerson, Eric, M.D. Orthopaedic Surgery Holden, Jennifer, M.D. Primary Care Pediatrician Huang, Harry, M.D. Primary Care Pediatrician Jhatakia, Sejal, M.D. Hematology/Oncology Kalra, Ruben, M.D. Pain Management Kamath, Sachin, M.D. Radiation Oncology Kronick, John, M.D. Orthopaedic Surgery Longton, William, M.D. Pain Management Mariotti, Eric, M.D. Surgery – Plastic Quan, Jessica, M.D. Primary Care Pediatrician Schram, Ethan, M.D. Hematology/Oncology Shah, Nishant, M.D. Family Planning Shenkin, Budd, M.D. Primary Care Pediatrician Shinaman, Richard, M.D. Pain Management Toma, Louay, M.D. Orthopaedic Surgery Tracy, Ryan, M.D. Primary Care Pediatrician Veal, Ulanda, M.D. Primary Care Pediatrician Wu, Jenny, M.D. Primary Care Pediatrician Yang, Lucia, M.D. Primary Care Pediatrician Page 3 of 3 RECREDENTIALING PROVIDERS NOVEMBER 2010 Name Specialty Akera-Dow, Chika, M.D. Primary Care Family Medicine Barocio, Azucena, PA Primary Care Family Medicine Cleveland, Aaron, M.D. Primary Care Family Medicine Denman, Sara, Psy.D. Mental Health Services Enz, Jose, M.D. Primary Care Pediatrician Fahlsing, Michelle, N.P. Family Planning Giessman, Dale, DC Chiropractic Golchehreh, Mehran, DC Chiropractic Gourlay, Stuart, M.D. Surgery – General Greene, Paulette, N.P. Family Planning Hopkins, Frederick, M.D. Family Planning Jumper, James, M.D. Ophthalmology Landau, Kathryn, PA Surgery – Vascular Massullo, Vincent, M.D. Radiation Oncology Neuman, Raymond, MFT Mental Health Services Rostkowski, John, M.D. Psychiatry Said, Bassem, M.D. Otolaryngology (ENT) Toranto, Terry, M.D. Psychiatry Zapata, Carlos, M.D. Psychiatry bopl-October 26, 2010 and November 9, 2010