HomeMy WebLinkAboutMINUTES - 07282015 - C.73RECOMMENDATION(S):
Approve the list of providers recommended by the Contra Costa Health Plan's Peer Review and Credentialing
Committee on June 9, 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 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.
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: Anna Roth, 370-5101
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. 73
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:
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.
CHILDREN'S IMPACT STATEMENT:
Not Applicable.
ATTACHMENTS
attachment
Contra Costa Health Plan
Providers Approved by Peer Review and Credentialing Committee
June 9, 2015
CREDENTIALING PROVIDERS JUNE 2015
Name Specialty
Bradley, Amanda, BCBA Behavior Analysis
Busfield, Benjamin, M.D. Surgery - Orthopaedic
Costello, Brian, PA Mid-Level Orthopaedic Surgery Assistant
Crawford, Thomas, PA Mid-Level Urgent Care
Enrique, Louis, M.D. Primary Care
Internal Medicine
Fiorilli, Ashley, BCBA Behavior Analysis
Fjeld, Kerri, NP Primary Care
Family Medicine
Hodgson, Laurel, M.D. Urgent Care
Howard, Jane, Ph.D., BCBA-D Mental Health Services
Behavior Analysis
Huffaker, Jocelyn, BCBA Behavior Analysis
Jory-Hile, Aimie, MA Behavior Analysis
Kerbavaz, Richard, M.D. Otolaryngology
(ENT)
Lee, Jimin, OD Optometry
Littmann, Erin, PA Mid-Level Urgent Care
Long, Richard, M.D Urology
Nunnally, La Trise, BCBA Behavior Analysis
Partington, Scott, BCBA Behavior Analysis
Petrovic, Marija, M.D. Psychiatry
Polk, Margarita, BCBA Behavior Analysis
Poole, Damone, PA Mid-Level Urgent Care
Smith, Megan, PA Mid-Level - Orthopaedic Surgery
Assistant
Van Buskirk, Rod, DC Chiropractic Medicine
Wasson, Carrie, Psy.D. Mental Health Services
Willa, Melissa, BCBA Behavior Analysis
CREDENTIALING ORGANIZATIONAL PROVIDER
JUNE 2015
Provider Name
Provide the Following
Services
Location
DaVita - Total Renal Care, Inc.
dba: Walnut Creek West Dialysis
Dialysis Walnut Creek
Contra Costa Health Plan
Providers Approved by Peer Review and Credentialing Committee
June 9, 2015
Page 2 of 3
RECREDENTIALING PROVIDERS JUNE 2015
Name Specialty
Barker, Dennis, DC Chiropractic Medicine
Bitar, David, M.D. Surgery - Colon and Rectal
Cartwright, Wade, M.D. Otolaryngology (ENT)
Cheng, Hsiu-Li, CNM Mid-Level Perinatology
Copping, Russell, DC Chiropractic Medicine
Curzi, Mario, M.D. Nephrology
Davies, Robert, M.D. Nephrology
Drager, Sharon, M.D. Surgery - Vascular
Faulkner, Mary, NP Mid-Level Perinatology
Hopkins, Brian, M.D. Urology
Jones, Mark, OD Optometry
Keim, Valerie, MFT Mental Health Services
Lin, David, M.D. Gastroenterology
Mouratoff, John, M.D. Nephrology
Nezami, Robert, M.D. Psychiatry
Schick, Kirsten, DC Chiropractic Medicine
Schick, Robert, DC Chiropractic Medicine
Sethi, Parminder, M.D. Urology
Severin, Todd, M.D. Ophthalmology
Tebben, Josie, M.D. Nephrology
Weiss, Jonathan, M.D. Perinatology
RECREDENTIALING ORGANIZATIONAL PROVIDERS
JUNE 2015
Provider Name
Provide the Following
Services
Location
Alzheimer’s Services of the East
Bay, Inc.
dba: Alzheimer’s Services of the
East Bay - Berkeley
Adult Day Health Care Berkeley
Blessuk Inc.,
dba: Blize Healthcare
Home Health Albany
DaVita – Llano Dialysis, LLC
dba: El Cerrito Dialysis
Dialysis El Cerrito
DaVita – Llano Dialysis, LLC
dba: Vallejo Dialysis
Dialysis Vallejo
Contra Costa Health Plan
Providers Approved by Peer Review and Credentialing Committee
June 9, 2015
Page 3 of 3
bopl June 9, 2015
RECREDENTIALING ORGANIZATIONAL PROVIDERS
JUNE 2015
Provider Name
Provide the Following
Services
Location
DaVita - Total Renal Care, Inc.
dba: Carquinez Dialysis
Dialysis Vallejo
DaVita - Total Renal Care, Inc.
dba: Joy of Dixon Dialysis Center
Dialysis Dixon
DaVita - Total Renal Care, Inc.
dba: TRC South Hayward Dialysis
Dialysis Hayward