HomeMy WebLinkAboutMINUTES - 03122013 - C.94RECOMMENDATION(S):
Approve the list of providers recommended by the Contra Costa Health Plan's Medical Director on February 15,
2013, 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 Medical Director.
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.
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 03/12/2013 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I Supervisor
Candace Andersen, 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: March 12, 2013
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: T Scott, D Gary, L Maria Perez
C.94
To:Board of Supervisors
From:William Walker, M.D., Health Services
Date:March 12, 2013
Contra
Costa
County
Subject:Approve New and Recredentialing Provider in Contra Costa Health Plan’s Community Provider Network
CHILDREN'S IMPACT STATEMENT:
Not applicable.
ATTACHMENTS
G:\NON CONTRACTS\bopl-February 15, 2013.doc
Page 1 of 2
Contra Costa Health Plan
Providers Approved by Medical Director
February 15, 2013
CREDENTIALING PROVIDERS FEBRUARY 2013
Name Specialty
Blaufarb, Alexandra, N.P.
Primary Care
Family Medicine
Chin, Stephanie, PA Mid-Level
Cardiology
Chu, Debbie, PA Mid-Level
Cardiology
Dunn, Sean, PA Mid-Level
Dermatology
Eldridge, Cheryl, PA Mid-Level
Cardiology
Fitterer, Kathleen, N.P. Mid-Level
Hematology/Oncology
Gratton, Mary, N.P. Mid-Level
Cardiology
He, Wanyi, L.Ac. Acupuncture
Kapila, Kiran, M.D. Primary Care
Internal Medicine
Ketcham, Adryon, BCBA Behavior Analyst
Moats Mead, Alexandra, PA Mid-Level
Cardiology
Sieu, Katherine, N.P. Mid-Level
Hematology/Oncology
Stanford, Claire, BCBA Behavior Analyst
Woo, Sandi, PA Mid-Level
Cardiology
RECREDENTIALING PROVIDERS FEBRUARY 2013
Name Specialty
Arora, Ravinder, M.D. Medical Oncology
Connolly, Edward, M.D. Primary Care
Pediatrician
Duckett, Stacey, DC Chiropractic
Medicine
Gee, Doris, PA Primary Care
Pediatrics/Allergy & Immunology
Halbach, Van, M.D. Interventional Neuroradiology
Higashida, Randall, M.D. Interventional Neuroradiology
Horowitz, Joel, DC Chiropractic
Medicine
Contra Costa Health Plan
Providers Approved by Medical Director
February 15, 2013
Page 2 of 2
Jones, Sharon, M.D. Primary Care
Internal Medicine
Kankipati, Shoba, M.D. Hematology/Oncology
Ludmer, Paul, M.D. Cardiovascular Disease
Maher, Terry, M.D. Nephrology
McWhirter, Paul, M.D. Cardiovascular Disease
Melnyk, Ostap, M.D. Hematology/Oncology
Nibley, Carleton, M.D. Cardiovascular Disease
Rao, Deepak, M.D. Psychiatry
Sanchez-Salazar, Javier, OD Optometry
Speights, Sharlene, MFT Mental Health Services
Tsai, Clark, M.D. Ophthalmology
Walt, Annette, MFT Mental Health Services
CREDENTIALING ORGANIZATIONAL PROVIDER
FEBRUARY 2013
Provider Name
Provide the Following
Services
Location
Warm Springs Home Health, Inc.
dba: Warm Springs Home Health,
Inc.
Home Health Fremont
bopl-February 15, 2013