HomeMy WebLinkAboutMINUTES - 10062015 - C.102RECOMMENDATION(S):
Approve the list of providers recommended by the Contra Costa Health Plan's Peer Review and Credentialing
Committee on September 8, 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, the 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: 10/06/2015 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
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: October 6, 2015
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: T Scott, N Rios, Heather Wong
C.102
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:October 6, 2015
Contra
Costa
County
Subject:Approve New and Recredentialing 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 Peer Review and Credentialing Committee
September 8, 2015
CREDENTIALING PROVIDERS SEPTEMBER 2015
Name Specialty
Berjis, Faraz, M.D. Gastroenterology
Castillo, Peter, M.D. Urogynecology & Pelvic Reconstructive
Surgery
Chan, Melissa, M.D. Primary Care
Family Medicine
Cheng, Huilan, M.D. Gastroenterology
Gupta, Veenu, M.D. Primary Care
Internal Medicine
Hosseini, Mehra, M.D. Gastroenterology
Lucas, Robert, M.D. Surgery – Orthopaedic
Moonsamy, Noelene, NP Primary Care
Family Medicine
Narayan, Subhendu, M.D. Gastroenterology
O'Hearn, Kathleen, NP Primary Care
Pediatrician
Ranola, Amanda, OD Optometry
Silpa, Michael, M.D. Gastroenterology
Souza, Valerie, MFT Mental Health Services
St. Claire, Beatrice, M.D. Psychiatry
CREDENTIALING ORGANIZATIONAL PROVIDER
SEPTEMBER 2015
Provider Name
Provide the Following
Services
Location
Healthflex Home Health Services
dba: Healthflex Home Health
Services
Home Health
Oakland
RECREDENTIALING PROVIDERS SEPTEMBER 2015
Name Specialty
Anderson, David, M.D. Cardiovascular
Disease
Benn, Andrew, M.D. Cardiovascular
Disease
Chan, Rodney, DPM Podiatry
Chiu, John, M.D. Cardiovascular
Disease
Dharan, Murali, M.D. Surgery – Thoracic Cardiovascular
Doggett, Stephen, M.D. Radiation Oncology
Harris, Jennifer L., BCBA-D, MFT Behavior Analysis
Contra Costa Health Plan
Providers Approved by Peer Review and Credentialing Committee
September 8, 2015
Page 2 of 2
RECREDENTIALING PROVIDERS SEPTEMBER 2015
Name Specialty
He, Chenyin, M.D. Nephrology
Kailikole, Theresa, DPM Podiatry
Keledjian, V. Arek, M.D. Gastroenterology
Krupitskaya, Yelena, M.D. Hematology/
Oncology
Lee, Michael, M.D. Cardiovascular
Disease
Lerner, Hilary, M.D. Ophthalmology
Lim, Mira, M.D. Ophthalmology
Martin, Carmen, BCBA Behavior Analysis
Nagesetty, Rajiv, M.D. Surgery – General
Vascular
Nathan, Mark, M.D. Cardiovascular
Disease
Nguyen, Bach-Kim, O.D. Optometry
Pleet, Helaine, M.D. Primary Care
Pediatrician
Rajapuram, Gurunath, M.D. Cardiovascular
Disease
Rembert, James, M.D. Radiation Oncology
Rhodes, Gregory, M.D. Surgery – General
Vascular
Santoli, Frank, M.D. Hematology/
Oncology
Sherman, Michael, M.D. Medical Oncology
Tsai, Wilson, M.D. Surgery – Thoracic Cardiovascular
Veeragandham, Ramesh, M.D. Surgery – Thoracic Cardiovascular
West, Jeffrey, M.D. Cardiovascular
Disease
White, Neal, M.D. Cardiovascular
Disease
bopl September 8, 2015