HomeMy WebLinkAboutMINUTES - 12082015 - C.110RECOMMENDATION(S):
Approve the list of providers recommended by the Contra Costa Health Plan's Peer Review and Credentialing
Committee on November 10, 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.
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: 12/08/2015 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: December 8, 2015
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: Tasha Scott, Marcy Wilhelm, Heather Wong
C.110
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:December 8, 2015
Contra
Costa
County
Subject: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
November 10, 2015
CREDENTIALING PROVIDERS NOVEMBER 2015
Name Specialty
Dao, Bao, M.D. Hematology/Oncology
Karan, John, M.D. Neurology
Le, Vuong, BCBA Behavior Analysis
Ledford, Brynna, M.Ed. Behavior Analysis
Li, Ho-Yin, M.D. Anesthesiology
Lubbers, John, BCBA-D Behavior Analysis
Nelson, William, M.D. Anesthesiology
Tung, Chiu, M.D. Anesthesiology
Wallace, Shannon, BCBA Behavior Analysis
Wong, Wendy, M.D. Surgery - Orthopaedic
RECREDENTIALING PROVIDERS NOVEMBER 2015
Name Specialty
Barakeh, Joseph, DO Ophthalmology
Batten, Kristine, M.D. Cardiovascular Disease
DeVane, Matthew, DO Cardiovascular Disease
Fieser, Carl, M.D. Pain Management
Krouse, John, M.D. Cardiovascular Disease
Matin, Bita, DDS Dentist
Pham, An, M.D. Primary Care
Pediatrician
Port, Bryan, Psy.D. Mental Health Services
Ruzicano, Raymond, M.D. Psychiatry
Schaefer, Robert, DC Chiropractic Medicine
Seslar, Jon-Paul, DPM Podiatry
Shah, Samir, M.D. Ophthalmology
Sidhu, Pramodh, M.D. Cardiovascular Disease
Veal, Ulanda, M.D. Primary Care
Pediatrician
Wulff, Christopher, M.D. Cardiovascular Disease
Contra Costa Health Plan
Providers Approved by Peer Review and Credentialing Committee
November 10, 2015
Page 2 of 2
RECREDENTIALING ORGANIZATIONAL PROVIDER
NOVEMBER 2015
Provider Name
Provide the Following
Services
Location
Odyssey Healthcare Operating A, LP
dba: Gentiva Hospice
Hospice Alameda
bopl-November 10, 2015