HomeMy WebLinkAboutMINUTES - 02072012 - C.75RECOMMENDATION(S):
APPROVE the list of providers recommended by the Contra Costa Health Plan's Medical
Director on December 7 and December 19, 2011, 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 Medical Director.
CONSEQUENCE OF NEGATIVE ACTION:
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 02/07/2012 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I
Supervisor
Mary N. Piepho, District III
Supervisor
Karen Mitchoff, District IV
Supervisor
Federal D. Glover, District V
Supervisor
ABSENT:Gayle B. Uilkema, District II
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 7, 2012
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: Tasha Scott, Demetria Gary, L. Maria Perez
C.75
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:February 7, 2012
Contra
Costa
County
Subject:Approve New and Recredentialing Providers and New Organizational Provider 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\2011\bopl-December 7 and December 19, 2011.doc
Page 1 of 2
Contra Costa Health Plan
Provider Approved by Medical Director
December 7, 2011
CREDENTIALING PROVIDER DECEMBER 2011
Name Specialty
Hoffman, Joan, M.D.
Primary Care
Family Medicine
Providers Approved by Medical Director
December 19, 2011
RECREDENTIALING PROVIDERS DECEMBER 2011
Name Specialty
Addes, Shirley, DPM Podiatry
Cecchi, Gary, M.D. Hematology/Medical Oncology
Chung, Christine, M.D. Radiation Oncology
Doud, Robert, M.D. Nephrology
Dea, Doris, MFT Mental Health Services
Farinas, Ingrid, O.D. Optometry
Hoh, David, O.D. Optometry
Hom, Charles, O.D. Optometry
Levine, Michael, M.D. Therapeutic Radiology
Marinoff, David, M.D. Perinatology
Marlow, Patricia, LCSW Mental Health Services
Moore, Kyle, M.D. Primary Care
Internal Medicine
Mortazavi, Anousheh, O.D. Optometry
Quismorio, William, M.D. Primary Care
Internal Medicine
Tuan, David K., M.D. OB/GYN
Tuan, Karen P., M.D. OB/GYN
Verne, Allen, M.D. Ophthalmology
Warden, Billie, MFT Mental Health Services
Page 2 of 2
Contra Costa Health Plan
Providers Approved by Medical Director
December 7 and December 19, 2011
CREDENTIALING ORGANIZATIONAL PROVIDER
DECEMBER 2011
Provider Name
Provide the Following
Services
Location
Fresenius Medical Care Diablo
Nephrology Clinics, LLC
dba: Fresenius Medical Care Diablo
East Antioch
Dialysis Center
Antioch
bopl-December 7 and December 19, 2011