HomeMy WebLinkAboutMINUTES - 05072013 - C.81RECOMMENDATION(S):
Approve the list of providers recommended by the Contra Costa Health Plan's Medical Director on March 21, 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:
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.
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.
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 05/07/2013 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: May 7, 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. 81
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:May 7, 2013
Contra
Costa
County
Subject:Approve New and Recredentialing Providers in Contra Costa Health Plan’s Community Provider Network
ATTACHMENTS
Providers List
Page 1 of 3
Contra Costa Health Plan
Providers Approved by Medical Director
March 21, 2013
CREDENTIALING PROVIDERS MARCH 2013
Name Specialty
Chew, Phillip, PA Primary Care
Internal Medicine
Devane, Barbara, D.O. Ophthalmology
Kennedy, Sara, M.D. Family Planning
Paulson, Aimee, N.P. Primary Care
Family Medicine
Ramos, Brenda, DC Chiropractic Medicine
Respicio, S. Gabriel, OD Optometry
Richardson, Diana, LEP Behavior Analyst
Rofagha, Soraya, M.D. Ophthalmology
Stephens, Thomas, PA Mid-Level
Cardiovascular Disease
RECREDENTIALING PROVIDERS MARCH 2013
Name Specialty
Bamberger, Debbie, N.P. Mid-Level
Family Planning
Bordow, Richard, M.D. Pulmonary Disease
Caldeira, Joyce, MFT Mental Health Services
Challenor, Peter, L.Ac. Acupuncture
Davis, Katrece, N.P. Mid-Level
Family Planning
Frey, Barbara, MFT Mental Health Services
Gould, Toby, MFT Mental Health Services
Han, Suzette, N.P. Mid-Level
Family Planning
Harris, Rick, DC Chiropractic Medicine
Heifetz, Claude, DC Chiropractic Medicine
Helm, Aurora, P.A. Mid-Level
Family Planning
Hopewell, Lucinda, P.A. Mid-Level
Family Planning
Hufbauer, Ellen, M.D. Family Planning
Hunt, I. Lenore, MFT Mental Health Services
Le, Tuong-Vi, O.D. Optometry
Martinovsky, Gary, M.D. Pain Medicine
Pizano, Annette, PA Primary Care
Family Medicine
Page 2 of 3
Rivera-Lopez, Hector, Ph.D. Mental Health Services
Rusby, Marsha, MFT Mental Health Services
Saul, Audra, DC Chiropractic Medicine
Swann, Beverly, MFT Mental Health Services
Tracy, Martha, M.D. Hematology/Oncology
CREDENTIALING ORGANIZATIONAL PROVIDERS
MARCH 2013
Provider Name
Provide the Following
Services
Location
Bio Medical Applications of
California, Inc.
dba: BMA Calexico
Dialysis Calexico
Bio Medical Applications of
California, Inc.
dba: BMA of Central Valley Rural
Dialysis
Dialysis Reedley
Bio Medical Applications of
California, Inc.
dba: Desert Valley Dialysis Center
Dialysis El Centro
Bio Medical Applications of
California, Inc.
dba: Fresenius Medical Care San
Jose
Dialysis San Jose
Bio Medical Applications of
California, Inc.
dba: Fresenius Medical Care Van
Nuys
Dialysis Van Nuys
Bio Medical Applications of Eureka,
Inc.
dba: BMA Eureka
Dialysis Eureka
Bio Medical Applications of Fresno,
Inc.
dba: San Joaquin Valley Dialysis
Center
Dialysis Fresno
Bio Medical Applications of Los
Gatos, Inc.
dba: BMA Los Gatos
Dialysis Los Gatos
LHCG XXXVIII, LLC
dba: Addus HealthCare – Modesto
Home Health Modesto
LHCG XXXVIII, LLC
dba: Addus HealthCare – Walnut
Creek
Home Health Walnut Creek
Page 3 of 3
RECREDENTIALING ORGANIZATIONAL PROVIDERS
MARCH 2013
Provider Name
Provide the Following
Services
Location
Bio Medical Applications of
California, Inc.
dba: FMC Dialysis of Santa Rosa
Dialysis Santa Rosa
Bio Medical Applications of
California, Inc.
dba: FMC of Petaluma
Dialysis Petaluma
bopl-March 21, 2013