HomeMy WebLinkAboutMINUTES - 02082011 - C.74RECOMMENDATION(S):
Approve the list of providers recommended by the Contra Costa Health Plan's Peer Review
and Credentialing Committee at their December 29, 2010 and January 11, 2011 meetings,
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 of
Supervisors Approval for each CCHP provider be contained within the provider’s
credentials file.
The recommendations were made by CCHP’s Peer Review and Credentialing Committee.
CONSEQUENCE OF NEGATIVE ACTION:
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 02/08/2011 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I
Supervisor
Gayle B. Uilkema, District II
Supervisor
Mary N. Piepho, District III
Supervisor
Karen Mitchoff, District IV
Supervisor
Federal D. Glover, District V
Supervisor
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: February 8, 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.74
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:February 8, 2011
Contra
Costa
County
Subject:Approve New and Recredentialing Providers in Contra Costa Health Plan’s Community Provider Network
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.
ATTACHMENTS
G:\C&G DIRECTORY\NON CONTRACTS\bopl-January 11, 2011.doc
G:\C&G DIRECTORY\NON CONTRACTS\bopl-December 29, 2010.doc
Page 1 of 1
Contra Costa Health Plan
Providers Approved by Peer Review and Credentialing Committee
January 11, 2011
CREDENTIALING PROVIDERS JANUARY 2011
Name Specialty
Bell, Jaromy, DC Chiropractic
Brown, Antonio, PA Surgery – Neurological
Dixit, Rajiv, M.D. Rheumatology
Dixit, Rashmi, M.D. Rheumatology
Foster, Zuzana, M.D. Rheumatology
Gharagozlou, Parham, M.D. Internal Medicine/Sleep Medicine
Grossman, Daniel, M.D. Family Planning
Kanai, Kuniyoshi, OD Optometry
Krishnan, Vidya, M.D. Psychiatry
Loeb, John, M.D. Rheumatology
Memmel, Lisa, M.D. Family Planning
Niimi, Joycelyn, OD Optometry
Padula, Anthony, M.D. Rheumatology
Tagore, Simranjeet, NP Family Planning
Wu, David, M.D. Rheumatology
RECREDENTIALING PROVIDERS JANUARY 2011
Name Specialty
Austin, Melanie, CNM Midwife
Cherry, Suraj, M.D. Ophthalmology
Dorrell, Sarah, Ph.D. Mental Health Services
Fair, Naomi, MFT Mental Health Services
Hsieh, Park, OD Optometry
Kim, Edward, M.D. Nephrology
Kim, Young, M.D. OB/GYN
bopl-January 11, 2011
Page 1 of 1
Contra Costa Health Plan
Providers Approved by Medical Director
December 29, 2010
CREDENTIALING PROVIDER DECEMBER 2010
Name Specialty
Beck, Joseph, M.D. Therapeutic Radiology
Radiation Oncology
RECREDENTIALING PROVIDERS DECEMBER 2010
Name Specialty
Caicedo, Andres, M.D. Surgery – General
Curbelo, Gustavo, M.D. Primary Care
Family Medicine
Dokhanchifar, Poopak, DC Chiropractic
Ferguson, Darrin, DC Chiropractic
Iota-Herbei, Claudia, M.D. Nephrology
Jaffin, Henry, M.D. Orthopaedic Surgery
Nevarez, Carmen, M.D. Family Planning
Nguyen, Dat., M.D. Surgery – Bariatric
Ong, Winson, OD Optometry
Shelton-Pryor, Ruth, M.D. Family Planning
Skarda, Stephen, DC Chiropractic
Yu, John, M.D. Primary Care
Family Medicine
CREDENTIALING ORGANIZATIONAL PROVIDERS
DECEMBER 2010
Provider Name
Provide the Following Services
DBA & Location
Horizon Home Health
Care, Inc.
Home Health Horizon Home Health
Care,
Pleasant Hill.
Maxim Healthcare
Services
Home Health Maxim Healthcare
Services,
Concord.
Solnus Four, LLC Skilled Nursing Facility San Pablo Healthcare &
Wellness Center,
San Pablo.
bopl-December 29, 2010