HomeMy WebLinkAboutMINUTES - 05142013 - C.37RECOMMENDATION(S):
Approve the list of providers recommended by the Contra Costa Health Plan's Peer Review and Credentialing
Committee at their April 9, 2013 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:
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:
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: 05/14/2013 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 14, 2013
David Twa, County Administrator and Clerk of the Board of Supervisors
By: Stacey M. Boyd, Deputy
cc: T Scott, D Gary, L Maria Perez
C.37
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:May 14, 2013
Contra
Costa
County
Subject:Approve New and Recredentialing Providers and New Organizational Providers in Contra Costa Health Plan’s
Community Provider Network
CHILDREN'S IMPACT STATEMENT:
Not applicable.
ATTACHMENTS
Provider Attachment
Contra Costa Health Plan
Providers Approved by Peer Review and Credentialing Committee
April 9, 2013
CREDENTIALING PROVIDERS APRIL 2013
Name Specialty
Diez Gonzalez, Yarigtnetzilem, OD Optometry
Elliott, Robert, M.D. Primary Care
Pediatrician
Mook, Melanie, OD Optometry
RECREDENTIALING PROVIDERS APRIL 2013
Name Specialty
Ballard, Beverly, Ph.D. Mental Health Services
Bradley, Gerri, MFT Mental Health Services
Chin, Brian, M.D. Surgery – General
Colladay, Jonathan, MFT Mental Health Services
Daniels, Stewart, M.D. Ophthalmology
Duran, Gretchen, P.A. Mid-Level
Family Planning
Feldman, Robert, M.D. Cardiovascular Disease
Forster, Hollis, N.P. Mid-Level
Family Planning
Graham, Karen, M.D. Ophthalmology
Grosserode, Robert, M.D. Ophthalmology
Harrison, Steven, M.D. Ophthalmology
Hsu, Hwei-Jung, M.D. Primary Care
Family Medicine
Kindy, Nadine, M.D. Ophthalmology
Maximova, Madlena, MFT Mental Health Services
Mikesell, Beth, MFT Mental Health Services
Moulton-Barrett, Rex, M.D. Surgery – Plastic and
Reconstructive
Otolaryngology
Myers, Nancy, LCSW Mental Health Services
Nachtwey, Frederick, M.D. Pulmonary Disease
Nadoolman, Wolffe, M.D. Primary Care
Pediatrician
Peymani, Parissa, DC Chiropractic Medicine
Rixen, Daniel, DC Chiropractic Medicine
Sokoloff, Barbara, CNM Midwife
Wong, Jason, DC Chiropractic Medicine
Zimmerman, Daniel, M.D. OB/GYN
Contra Costa Health Plan
Providers Approved by Peer Review and Credentialing Committee
April 9, 2013
Page 2 of 2
CREDENTIALING ORGANIZATIONAL PROVIDERS
APRIL 2013
Provider Name
Provide the Following
Services
Location
Bio-Medical Applications of
California, Inc.
dba: Fresenius Medical Care Fresno
North
Dialysis Fresno
Bio-Medical Applications of
California, Inc.
dba: Fresenius Medical Care
Imperial County
Dialysis El Centro
Bio-Medical Applications of
California, Inc.
dba: Fresenius Medical Care
McKinleyville
Dialysis McKinleyville
Bio-Medical Applications of
California, Inc.
dba: Fresenius Medical Care of
Brawley
Dialysis Brawley
Bio Medical Applications of
Fremont, Inc.
dba: Fresenius Medical Care
Fremont
Dialysis Fremont
RAI Care Centers of Northern
California I, LLC
dba: RAI-Chadbourne-Fairfield
Dialysis Fairfield
RAI Care Centers of Northern
California I, LLC
dba: RAI-West March-Stockton
Dialysis Stockton
RAI Care Centers of Northern
California II, LLC
dba: RAI-Fairway-Rocklin
Dialysis Rocklin
RAI Care Centers of Northern
California II, LLC
dba: RAI-Sterling Pkwy-Lincoln
Dialysis Lincoln
bopl-April 9, 2013