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