HomeMy WebLinkAboutMINUTES - 07082014 - C.126RECOMMENDATION(S):
Approve the list of providers recommended by the Contra Costa Health Plan's Peer Review and Credentialing
Committee on June 10, 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 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: 07/08/2014 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: July 8, 2014
David Twa, County Administrator and Clerk of the Board of Supervisors
By: Stephanie L. Mello, Deputy
cc: T Scott, C Rucker, L Maria Perez
C.126
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:July 8, 2014
Contra
Costa
County
Subject:Approve New and Recredentialing Providers and Recredentialing Organizational Providers in Contra Costa Health
Plan’s Community Provider Network
CHILDREN'S IMPACT STATEMENT:
Not applicable.
ATTACHMENTS
Attachment
Contra Costa Health Plan
Providers Approved by Peer Review and Credentialing Committee
June 10, 2014
CREDENTIALING PROVIDERS JUNE 2014
Name Specialty
Bharadwaj, Amitabh, M.D. Ophthalmology
Carrasco, Byron, DPM Podiatry
Carson, Sarah, LCSW Mental Health Services
Chance, Robert, D.C. Chiropractic Medicine
Ford, Lloyd, M.D. Head/Neck/Surgery
Haug, Sara, M.D. Ophthalmology
Kang, Eugenia, M.D. Surgery – General
McNeil, Sarah, M.D. Family Planning
Nagi, Jasdeepa, M.D. Hematology/
Medical Oncology
Narron, Matthew, Psy.D. Mental Health Services
Richardson, Beverly, N.P. Mid-Level
OB/GYN
Sekhon, Roobal, D.O. Psychiatry
Taft, Wesley, M.D. Primary Care
Pediatrician
RECREDENTIALING PROVIDERS JUNE 2014
Name Specialty
Bernhoft, Jerome, M.D. Surgery - Orthopaedic
Brand, David, PA Mid-level
Orthopaedic Surgery Assistant
Castro, Laura, PsyD Mental Health Services
Cook, David, M.D. Allergy & Immunology
Coufal, Christopher, M.D. Surgery - Orthopaedic
Fang, Ming, M.D. Gastroenterology
Hill, Toby, HAD Hearing Aid Dispensing
Johnson, Sara, M.D. OB/GYN
Karpel, Barbara, M.D. Allergy & Immunology
Kou, Joseph, M.D. Surgery – Foot & Ankle
Lange, Douglas, M.D. Surgery - Orthopaedic
Lodewick, Matthew, M.D. Allergy & Immunology
Moorthy, Murali, M.D. Surgery – Foot & Ankle
Prasad, Gautam, M.D. Radiation Oncology
Pryde, Julie, PA Mid-level
Orthopaedic Surgery Assistant
Qureshi, Abid A., M.D. Surgery - Orthopaedic
Contra Costa Health Plan
Providers Approved by Peer Review and Credentialing Committee
June 10, 2014
Page 2 of 2
RECREDENTIALING PROVIDERS JUNE 2014
Name Specialty
Richmond, Leon, M.D. Perinatology
Runyon, Theresa, N.P. Mid-Level
Nephrology
Sheppard, Barry, M.D. Surgery – Thoracic Cardiovascular
Teicher, Stacey, N.P. Mid-Level
Medical Oncology Assistant
Wiseman, Craig, M.D. Surgery - Orthopaedic
Wyzykowski, Richard, M.D. Surgery – Orthopaedic
Hand and Upper
Extremity
RECREDENTIALING ORGANIZATIONAL PROVIDERS
JUNE 2014
Provider Name
Provide the Following
Services
Location
Bay Area Laser Surgery A Medical
Corporation
dba: Bay Area Laser Surgery Center
Outpatient Surgery Pinole
Pankaj K. Patel, DMD & Shailesh K.
Patel, DDS
A Professional Corporation
dba: Salida Surgery Center
Outpatient Surgery
(Dental)
Salida
Premier Healthcare Services, LLC
dba: Premier Healthcare Services
Home Health Sacramento
bopl-June 10, 2014