HomeMy WebLinkAboutMINUTES - 07122011 - C.98RECOMMENDATION(S):
Approve the list of providers recommended by the Contra Costa Health Plan's Peer Review
and Credentialing Committee at their May 10, 2011 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:
Not applicable.
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: 07/12/2011 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: July 12, 2011
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: Tasha Scott, Demetria Gary, L. Maria Perez
C. 98
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:July 12, 2011
Contra
Costa
County
Subject:Approve New and Recredentialing Providers and New and Recredentialing Organizational Providers in
Contra Costa Health Plan’s Community 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-May 10, 2011.doc
Page 1 of 2
Contra Costa Health Plan
Providers Approved by Peer Review and Credentialing Committee
May 10, 2011
CREDENTIALING PROVIDERS MAY 2011
Name Specialty
Bernett, Jorge, M.D. Infectious Disease/
HIV/Aids
Casey, Brooke, LM Midwife
Dzubur, Valerie, NP Primary Care
Family Medicine
Fillmore, Kimberley, M.D. OB/GYN
Huerta, Sara, NP Primary Care
Pediatrician
Husni, Claudia, M.D. Primary Care
Internal Medicine
Isaacs, Mark, M.D. Phlebology
Joseph, Elouise, M.D. Primary Care
Pediatrician
Sato, Ronald, M.D. Plastic and Reconstructive Surgery –
Hyperbaric Medicine
Wasserman, Ronald, M.D. Infectious Disease/
HIV/Aids
RECREDENTIALING PROVIDERS MAY 2011
Name Specialty
Bui, Ho Q., M.D. Primary Care
Family Medicine
Serebrakian, Armen, M.D. Otolaryngology
(ENT)
Weissman, Richard, L.Ac. Acupuncture
Page 2 of 2
Contra Costa Health Plan
Providers Approved by Peer Review and Credentialing Committee
May 10, 2011
CREDENTIALING ORGANIZATIONAL PROVIDERS
MAY 2011
Provider Name
Provide the Following
Services
Location
US Dental Surgery Centers, Inc.
dba: Children’s Dental Surgery
Center
Dental Surgery Center Stockton
RECREDENTIALING ORGANIZATIONAL PROVIDERS
MAY 2011
Provider Name
Provide the Following
Services
Location
Bio-Medical Applications of
California Inc.
dba: FMC DS Berkeley
Dialysis Berkeley
Diablo Dialysis Access Center, Inc.
Dialysis Access
Procedures
Concord
Fresenius Medical Care Diablo
Nephrology Clinics, LLC
dba: Fresenius Medical Care Diablo
Brentwood
Dialysis Brentwood
Fresenius Medical Care Diablo
Nephrology Clinics, LLC
dba: Fresenius Medical Care Diablo
Central Pittsburg
Dialysis Pittsburg
Fresenius Medical Care Diablo
Nephrology Clinics, LLC
dba: Fresenius Medical Care Diablo
Concord
Dialysis Pleasant Hill
Fresenius Medical Care Diablo
Nephrology Clinics, LLC
dba: Fresenius Medical Care Diablo
Walnut Creek
Dialysis Walnut Creek
Fresenius Medical Care Diablo
Nephrology Clinics, LLC
dba: Fresenius Medical Care Diablo
West Antioch
Dialysis Antioch
bopl-May 10, 2011