HomeMy WebLinkAboutMINUTES - 07212015 - C.105RECOMMENDATION(S):
Approve the list of providers recommended by the Medical Director on May 20, 2015, 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:
Not applicable.
BACKGROUND:
The National Committee on Quality Assurance (NCQA) has requested evidence of Board 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: 07/21/2015 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
ABSENT: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 21, 2015
David Twa, County Administrator and Clerk of the Board of Supervisors
By: Chris Heck, Deputy
cc: T Scott, N Rios, Heather Wong
C.105
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:July 21, 2015
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 Medical Director
May 20, 2015
CREDENTIALING PROVIDERS MAY 2015
Name Specialty
Aboelata, Noha, M.D. Primary Care
Family Medicine
Alberding, Anthony, BCBA Behavior Analysis
Blum, Daniel, PhD Mental Health Services
Botha, Anerien, PsyD Mental Health Services
Burner, Christy, BCBA Behavior Analysis
Carey, Donna, M.D. Primary Care
Pediatrician
Carson, Desmond, M.D. Urgent Care
DaCosta, Elizabeth, PA Primary Care
Family Medicine
Hunt, Elyse, BCBA Behavior Analysis
Nwosu, Amanda, BCBA Behavior Analysis
Sack, Philipp, M.D. Psychiatry
Sharma, Konark, M.D. Infectious Disease
Skocypec, Cynthia, BCBA Behavior Analysis
Terzich-Garland, Brenda, BCBA Behavior Analysis
Turner, Richard, M.D. Urgent Care
Ueda, Mari, BCBA Behavior Analysis
RECREDENTIALING PROVIDERS MAY 2015
Name Specialty
Anand, Shilpi, M.D. Allergy & Immunology
Bansal, Raghunath, M.D. Psychiatry
Bernett, Jorge, M.D. Infectious Disease
HIV/AIDS
Cardoso, Kimberly, CNM Midwife
Chen, Henry, M.D. Cardiovascular Disease
Chen, William, M.D. Primary Care
Internal Medicine
Allergy & Immunology
Chin, Daniel, OD Optometry
Corona, Mario, M.D. Nephrology
Garrehy, Bridget, PA Mid-Level Orthopaedic Surgery Assistant
Lord, Janet, M.D. Physical Medicine & Rehabilitation
Milano, John, DC Chiropractic Medicine
Nguyen, Tung, OD Optometry
Paterson, Bruce, M.D. Allergy & Immunology
Contra Costa Health Plan
Providers Approved by Medical Director
May 20, 2015
Page 2 of 2
RECREDENTIALING PROVIDERS MAY 2015
Name Specialty
Paul, T. Otis, M.D. Ophthalmology
Saldivar, Nancy, N.P. Mid-Level Family Planning
Watson, Carl, M.D. Family Planning
Wright, Paul, M.D. Family Planning
RECREDENTIALING ORGANIZATIONAL PROVIDERS
MAY 2015
Provider Name
Provide the Following
Services
Location
DaVita - Renal Treatment Centers -
California, Inc.
dba: Creekside Dialysis Center
Dialysis Vacaville
Rehabilitation Services of Northern
California
dba: Mt. Diablo Center for Adult
Day Health Care
Adult Day Services Pleasant Hill
Rehabilitation Services of Northern
California
dba: The Bedford Center
Adult Day Services Antioch
San Jose Dental Surgery Center, Inc.
dba: San Jose Dental Surgery Center
Outpatient Surgery
Center
San Jose
bopl – May 20, 2015