HomeMy WebLinkAboutMINUTES - 04222014 - C.31RECOMMENDATION(S):
Approve the list of providers recommended by the Contra Costa Health Plan's Medical Director on March 26, 2014,
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:
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: 04/22/2014 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: April 22, 2014
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: T Scott, C Rucker, L. Maria Perez
C. 31
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:April 22, 2014
Contra
Costa
County
Subject:Approve New and Recredentialing Providers and New and Recredentialing Organizational Providers in Contra Costa
Health Plan’s Community Provider Networ
CHILDREN'S IMPACT STATEMENT:
Not applicable.
ATTACHMENTS
Attachment
Contra Costa Health Plan
Providers Approved by Medical Director
March 26, 2014
CREDENTIALING PROVIDERS MARCH 2014
Name Specialty
Auza, Michael, M.D. Psychiatry
Chang, Shuinn, N.P. Primary Care
Family Medicine
Essa, Nadia, M.D. Primary Care
Pediatrician
Frankel, Linda, M.D. Psychiatry
Gilbert, Sarah, N.P. Mid-Level
Family Planning
Gluckstein, Lawrence, M.D. Anesthesiology
Harmon, Anne, MFT Mental Health Services
Lemen, Jessica, N.P. Mid-Level
Pain Management
Lorenzo, Alexander, BCBA Behavior Analysis
Youdon, Tenzin, LCSW Mental Health Services
Yun, Thomas, M.D. Psychiatry
RECREDENTIALING PROVIDERS MARCH 2014
Name Specialty
Gilbert, David, M.D. Ophthalmology
Kolade, Akindele, M.D. Psychiatry
Mampalam, Thomas, M.D. Surgery – Neurological
Ray, Subhransu, M.D. Ophthalmology
Scott, Tara, M.D. Family Planning
CREDENTIALING ORGANIZATIONAL PROVIDERS
MARCH 2014
Provider Name
Provide the Following
Services
Location
Bio-Medical Applications of
California, Inc.
dba: FMC Dialysis Services of Santa
Rosa North
Dialysis Santa Rosa
Fresenius Medical Care Balboa, LLC
dba: Fresenius Medical Care
Imperial Valley Home
Dialysis El Centro
Contra Costa Health Plan
Providers Approved by Medical Director
March 26, 2014
Page 2 of 2
RECREDENTIALING ORGANIZATIONAL PROVIDER
MARCH 2014
Provider Name
Provide the Following
Services
Location
Bio-Medical Applications of
California, Inc.
dba: Bio-Medical Applications
Ardenwood
Dialysis Newark
bopl-March 26, 2014