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HomeMy WebLinkAboutMINUTES - 12162014 - C.98RECOMMENDATION(S): Approve the list of providers recommended by the Contra Costa Health Plan's Peer Review and Credentialing Committee on November 18, 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: 12/16/2014 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: December 16, 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. 98 To:Board of Supervisors From:William Walker, M.D., Health Services Director Date:December 16, 2014 Contra Costa County Subject:Approve New and Recredentialing Providers and Recredentialing Organizational Provider 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 November 18, 2014 CREDENTIALING PROVIDERS NOVEMBER 2014 Name Specialty Buffett, Wendy O., M.D. Primary Care Family Medicine Diamond, Jan, M.D. Primary Care Family Medicine Ingersoll, Otis P., N.P. Primary Care Family Medicine Jimenez, Douglas B., M.D. Family Planning Kirkham, Margaret, N.P. Primary Care Family Medicine McGrael-Souders, Adrienne L., M.D. Primary Care Family Medicine Murali, Jothi, M.D. Surgery – Orthopaedic Nguyen, Ai D., O.D. Optometry Rodriguez, Yolanda M., R.D. Dietitian Shiue, Zita J., M.D. Nephrology Velkuru, Vani, M.D. Rheumatology Wong, Dianne L., O.D. Optometry RECREDENTIALING PROVIDERS NOVEMBER 2014 Name Specialty Drucker, Mark, M.D. Ophthalmology Fahmie, Darlene, DPM Podiatry Furer, Jessica A., M.D. Primary Care Internal Medicine Galaty, Lauren, CNM Midwife Garlin, Amy, M.D. HIV/AIDS Haque, Faizul, M.D. Cardiovascular Disease Hoffman, Joan, M.D. Primary Care Family Medicine Huff, David L., O.D. Optometry Kinsey, Kathryn L., LCSW Mental Health Services Kirby, John-Patrick L., MFT Mental Health Services Lam, Man-Wa, OD. Optometry Lewis, Stephen, M.D. Endocrinology, Diabetes & Metabolism Milnes, Elizabeth E., PsyD Mental Health Services O’Neil, Bruce H., M.D. Primary Care Internal Medicine Oqvist, Jessica R., LM Mid-Level Family Planning Contra Costa Health Plan Providers Approved by Peer Review and Credentialing Committee November 18, 2014 Page 2 of 2 RECREDENTIALING PROVIDERS NOVEMBER 2014 Name Specialty Patterson, Anna-Mary, N.P. Mid-Level Family Planning Schwarzman, Megan R., M.D. Family Planning Shah, Saurin, M.D. Surgery – Thoracic Thauberger, Gerald, MFT Mental Health Services Thiry-Zaragoza, Monique A., M.D. Family Planning Turcios Jr., Robert A., O.D. Optometry Uy, Jonathan J., DPM Podiatry Van Gemeren, Arie, M.D. Cardiovascular Disease Velasquez, Rowena, O.D. Optometry Westin, Tom S., MFT Mental Health Services RECREDENTIALING ORGANIZATIONAL PROVIDER NOVEMBER 2014 Provider Name Provide the Following Services Location Mallari Healthcare, Inc. dba: Lifeguard Home Health Home Health Pleasanton bopl-November 18, 2014