HomeMy WebLinkAboutMINUTES - 07282015 - C.72RECOMMENDATION(S):
Approve the list of providers recommended by the Medical Director on April 1, 2015 and April 29, 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
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 07/28/2015 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 28, 2015
David Twa, County Administrator and Clerk of the Board of Supervisors
By: Chris Heck, Deputy
cc: T Scott, N Rios
C. 72
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:July 28, 2015
Contra
Costa
County
Subject:Approve New and Recredentialing Providers and New and Recredentialing Organizational Providers in Contra Costa
Health Plan’s Community Provider Networ
CONSEQUENCE OF NEGATIVE ACTION: (CONT'D)
approved, Contra Costa Health Plan’s Providers would not be appropriately credentialed and not be in compliance
with the NCQA.
CHILDREN'S IMPACT STATEMENT:
Not Applicable.
ATTACHMENTS
Attachment
Contra Costa Health Plan
Providers Approved by Medical Director
April 1, 2015
CREDENTIALING ORGANIZATIONAL PROVIDERS
APRIL 2015
Provider Name
Provide the Following
Services
Location
East Bay Endoscopy Center, LP
Ambulatory Surgery
Center
Emeryville
Sutter VNA & Hospice dba Sutter
Care at Home
Infusion Pharmacy Emeryville
Sutter VNA & Hospice dba Sutter
Care at Home
Infusion Pharmacy Sacramento
Walnut Creek Endoscopy Center,
LLC
Ambulatory Surgery
Center
Walnut Creek
Providers Approved by Medical Director
April 29, 2015
CREDENTIALING PROVIDERS APRIL 2015
Name Specialty
Becker, James, LCSW Mental Health Services
Cadette, Michael, PA Mid-Level Orthopaedic Surgery Assistant
Calafi, Leo, M.D. Surgery – Orthopaedic
Choi, Wen-Yin, DPM Podiatry
Dacanay, Leonardo, M.D. Ophthalmology
Higgs, Jacqulyn, BCBA Behavior Analysis
Ho, Drew, NP Primary Care
Family Medicine
Kim-Stewart, Linda, BCBA Behavior Analysis
Mardones, Eva, NP Primary Care
Family Medicine
Odabaei, Golaun, M.D. Nephrology
Seibert, Scott, M.D. Orthopaedics
Vega, Angela, NP Mid-Level Rheumatology
Voelker, Kathryn, PA Primary Care
Family Medicine
Winter, Katherine, M.D. Primary Care
Family Medicine
Contra Costa Health Plan
Providers Approved by Medical Director
April 1 and April 29, 2015
Page 2 of 4
CREDENTIALING ORGANIZATIONAL PROVIDERS
APRIL 2015
Provider Name
Provide the Following
Services
Location
Health Star America dba: Health Star
America
Home Health Antioch
Healthy Living At Home – East Bay,
LLC dba: Healthy Living at Home –
East Bay, LLC
Home Health Concord
Sutter Visiting Nurse Association
and Hospice dba: Sutter Care at
home
Home Health Concord
Sutter Visiting Nurse Association
and Hospice dba: Sutter Care at
home
Home Health San Leandro
Sutter Visiting Nurse Association
and Hospice dba: Sutter Care at
Home
Home Health Concord
RECREDENTIALING PROVIDERS APRIL 2015
Name Specialty
Argenal, Augstin, M.D. Cardiovascular Disease
Arnold, Stephen, M.D. Cardiovascular Disease
Baker, Michael, M.D. Surgery – General
Block, Donald, M.D. Nephrology
Brandes, Peter, M.D. Psychiatry
Carlton, Bruce, M.D. Dermatology
Chao, Kuang-Hwa, K. M.D. Radiation Oncology
DeMartini, David, M.D. Ophthalmology
DePalma, Ralph, M.D. Perinatology
Dixit, Rajiv, M.D. Rheumatology
DuMouchel, Ralph, DC Chiropractic Medicine
Eigelberger, Monica, M.D. Surgery – General
Gill, Gwendolyn, NP Primary Care
Internal Medicine
Goldman, Janet, M.D. Perinatology
Graves, Gretchen, M.D. Primary Care
Pediatrician
Hand, Carolyn, NP Primary Care
Family Medicine
Contra Costa Health Plan
Providers Approved by Medical Director
April 1 and April 29, 2015
Page 3 of 4
RECREDENTIALING PROVIDERS APRIL 2015
Name Specialty
Ho, Viet, M.D. Surgery – Oculoplastic
Kang, Tyler, M.D. Medical Oncology
Klinger, Barry, DC Chiropractic Medicine
Kogan, Mark, M.D. Gastroenterology
Lovett, Stuart, M.D. Perinatology
McGlashan, Kate, CNM Midwife
Mostofi, Tara, PA Mid-Level Allergy & Immunology
Mozaffarieh, Nazak, OD Optometry
Nachman, Alison, Au.D. Audiology
Ricker, Denise, M.D. Nephrology
Shelton, Steven, Ph.D. Mental Health Services
Stern, Richard, M.D. Cardiovascular Disease
Weiland, David, M.D. Cardiovascular Disease
Weinstock, Diana, Ph.D. Mental Health Services
Wong, Bryan, M.D. Nephrology
Wong, Sammuel, DO Nephrology
Young, Steven, R., B.C.O. Ocularist
RECREDENTIALING ORGANIZATIONAL PROVIDERS
APRIL 2015
Provider Name
Provide the Following
Services
Location
Castro Valley Health, Inc. dba: CVH
Home Health Services
Home Health San Ramon
DaVita – Palomar Dialysis, LLC dba:
Livermore Dialysis
Dialysis Livermore
DaVita – Renal Treatment Centers –
California, Inc. dba: Concord
Dialysis Center
Dialysis Concord
DaVita – Renal Treatment Centers –
California, Inc. dba: Fairfield
Dialysis Center
Dialysis Fairfield
DaVita – Renal Treatment Centers –
California, Inc. dba: Vacaville
Dialysis Center
Dialysis Vacaville
DaVita – Shaynao Dialysis, LLC
dba: San Leandro Dialysis
Dialysis San Leandro
Contra Costa Health Plan
Providers Approved by Medical Director
April 1 and April 29, 2015
Page 4 of 4
RECREDENTIALING ORGANIZATIONAL PROVIDERS
APRIL 2015
Provider Name
Provide the Following
Services
Location
DaVita – Total Renal Care, inc. dba:
Delta View Dialysis
Dialysis Pittsburg
DaVita – Total Renal Care, inc. dba:
Walnut Creek Dialysis Center
Dialysis Walnut Creek
DaVita – Total Renal Care., inc. dba:
Walnut Creek at Home
Dialysis Walnut Creek
Guardian Adult Day Health Centers
of California dba: Guardian Adult
Day Health Center
Adult Day Services El Sobrante
Hope Hospice, Inc dba: Hope
Hospice
Hospice Dublin
Senior Outreach, Inc. dba: Golden
Angels Home Health Care
Home Health Fremont
bopl - April 1 and April 29, 2015