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Alternative Care Provider Directory

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Alternative Care Provider Directory PUBLISHED ALTERNATIVE CARE AUGust PROVIDER DIRECTORY 2021 THIS DIRECTORY APPLIES TO THE FOLLOWING NETWORKS: CLASSIC, CLASSIC COMPLETE, CLASSIC + DENTAL CHOICE, ADDED CHOICE, ADDED CHOICE + DENTAL CHOICE KAISER PERMANENTE NORTHWEST REGION Oregon and Washington acupuncture, chiropractic, naturopathic, and massage therapy providers If your plan includes an alternative care or You pay the charges listed on your EOC benefit Help in your language chiropractic benefit, your per-visit charge and summary directly to the provider. annual benefit maximum are shown on your Interpreter services, including American Sign Evidence of Coverage (EOC). The benefit may Some services are not covered even if ordered Language (ASL), are available during business cover visits for chiropractic care, acupuncture, by the provider. Exclusions and limitations hours at no additional cost to members. Many naturopathic care, and massage therapy. The apply even if your plan covers the service when of our doctors also speak more than one amount you pay for visits to alternative care it is ordered by a participating provider. language. Call 1-800-324-8010 (toll free), or 1-800-813-2000 (toll free) or 711 (TTY) providers varies by the type of service. For more information and a complete listing You may choose from alternative care providers of exclusions and limitations, see your EOC or throughout our service area.* Some services contact Member Services. COVID-19 Update: To help ensure may require a referral to receive care. Check the safety of our members, staff, and To report provider directory inaccuracies, community, we may need to temporarily your EOC for plan specifics. When you need please call Member Services at 1-800-813- close or limit in-person services at some of alternative care, just choose a provider from 2000 or go to kp.org/webmanager. our medical and dental facilities. You can the list provided here or at chpgroup.com, and still get the care you need, including in- call for an appointment. You can also call the Member Services person emergency care, e-visits, phone or Washington State Department of Health at 360- video visits, and more. If you have questions, please call Member 236-4700 or visit the Oregon Medical Board Services from 8 a.m. to 6 p.m., Monday through For the most up to date information please website at oregon.gov/omb/pages/index. Friday, at 1-800-813-2000. For TTY, call 711. visit kp.org/coronavirus. aspx for additional information on alternative For language interpretation services, call care certifying agencies/bodies, including 1-800-324-8010. malpractice history and disciplinary actions. * If added to an Added Choice® plan, members may use their benefits at The CHP Group, PPO, All plans offered and underwritten by Kaiser Foundation Health Plan of the Northwest. and non-participating providers and facilities. The amount an Added Choice member pays is 500 NE Multnomah St., Suite 100, Portland, OR 97232. based on the provider chosen. 19413_08-21 Participating alternative care providers Telehealth/Telemedicine Appointment Options To be covered by your benefit, you must get CARE, ANYWHERE. care from a provider in our service area who is part of The CHP Group network.* Save time, stay comfortable, and get urgent, primary, and specialty care via phone or video — from home, work, or anywhere else on your camera-equipped computer, tablet, The information in this directory is updated or smartphone. monthly. This list includes all participating Phone and video visits are great for minor health conditions and follow-up care. alternative care providers and is accurate as of the date on the directory. The information Phone is subject to change. When you call for an appointment, confirm your provider’s Get care by phone 24/7, or schedule a phone appointment with your provider. participation before you get care. For the most up-to-date information, please visit Video chpgroup.com or call Member Services at Meet face-to-face with a provider online by computer, smartphone, or tablet. 1-800-813-2000. You can also search for current providers online at chpgroup.com. Connect for Care Anywhere Alternative care providers do not have Schedule a phone or video visit today by going to kp.org/getcare or calling hospital affiliations. 1-800-813-2000 (TTY 711). Mobile users, download the Kaiser Permanente app on your tablet or smartphone to get Accessibility of medical facilities started. For technical support, call 1-844-800-0826. For information about facility accessibility, please contact the individual provider. E-Visits Now offering online medical consultations on kp.org. If you have a nonurgent medical condition at any time and you’re not sure what kind of care you need, an e-visit may be a good option for you. An e-visit is an online medical consultation with a Kaiser Permanente advice nurse that’s available at no cost for select medical conditions such as nausea/vomiting, pink eye, female UTI, sore throat, sinus issues, constipation, and diarrhea. Provider selection criteria Tiered network criteria Kaiser Foundation Health Plan of the Northwest (KFHPNW) offers Kaiser Foundation Health Plan of the Northwest offers three tiered several networks that are comprised of the Kaiser Permanente networks including Added Choice, Added Choice + Dental Choice, integrated health care delivery system. The primary contracted and PPO Plus. The primary contracted provider groups and facilities provider groups and facilities that participate include: Northwest that participate in Tier 1 include: Northwest Permanente, P.C., Permanente, P.C., Physicians and Surgeons, facilities owned Physicians and Surgeons, facilities owned and operated by Kaiser and operated by Kaiser Foundation Hospitals (hospitals, Kaiser Foundation Health Plan (Kaiser Permanente Medical Offices and Permanente medical offices, Kaiser Permanente pharmacies), Pharmacies), Kaiser Foundation Hospitals (hospitals), The Portland The Portland Clinic, The CHP Group, and contracted hospitals. In Clinic, and contracted hospitals. general, the networks contain physicians, specialists and facilities to provide services to individuals and groups covered under all Kaiser The Added Choice and Added Choice + Dental Choice networks are Permanente plans. comprised of the Kaiser Permanente integrated health care delivery system (as described above) and The CHP Group for Tier 1, and First Prior to allowing network participation, providers must successfully Choice Health PPO Network (or First Health Network for members complete the initial credentialing process and demonstrate their in states other than OR, WA, ID, MT, WY, ND, SD and AK) for Tier 2. ongoing ability to meet credentialing standards through a re- The Added Choice networks are designed to allow members access credentialing process. Providers are required to provide the to all that Kaiser Permanente offers plus the option to seek care from information needed to review and verify their credentials. To ensure providers outside our network. Tier 1 providers can be located on quality and safety of care between re-credentialing cycles, Kaiser kp.org and chpgroup.com. Tier 2 providers can be located at Permanente performs ongoing monitoring of the participating kp.org/addedchoice. Non-participating providers and facilities are provider’s performance. Kaiser Permanente acts on important quality Tier 3 providers. or safety issues in a timely manner by taking appropriate action against a participating provider when occurrences of poor quality To verify board certification for an individual practitioner, please visit are identified. the American Board of Medical Specialties (http://www.abms.org/ member-boards/specialty-subspecialty-certificates/), the American We also monitor and analyze member feedback relating to network Medical Association (https://www.ama-assn.org/), or the American access, availability of providers, and cultural needs and preferences. Osteopathic Association (https://www.osteopathic.org/) websites. This information helps guide our network improvement efforts. Abbreviations of medical titles ANP Adult Nurse Practitioner DPM Doctor of Podiatric Medicine MSN Master of Science and Nursing ARNP Advanced Registered FACS Fellow of the American College MSSW Master of Science in Nurse Practitioner of Surgeons Social Work AuD Doctor of Audiology FNP Family Nurse Practitioner MSW Master of Social Work BA Bachelor of Arts GNP Geriatric Nurse Practitioner NP Nurse Practitioner BS Bachelor of Science LAc Licensed Acupuncturist OD Doctor of Optometry CADC Certified Alcohol and Drug LCSW Licensed Clinical Social Worker PA Physician Assistant Counselor (I, II, III) LMFT Licensed Marriage and PA-C Physician Assistant-Certified CCMHC Certified Clinical Mental Family Therapist Health Counselor PhD Doctor of Philosophy LPC Licensed Professional CDE Certified Diabetes Educator Counselor PMHNP Psychiatric Mental Health Nurse Practitioner CDP Chemical MA Master of Arts Dependency Professional PNP Pediatric Nurse Practitioner MD Medical Doctor CFNP Certified Family PsyD Doctor of Psychology MEd Master of Education Nurse Practitioner RC Registered Counselor CNM Certified Nurse-Midwife MMFT Master of Marriage and Family Therapy RD Registered Dietitian CRNA Certified Registered RN Registered Nurse Nurse Anesthetist MN Master of Nursing MPH Master of Public Health WHCNP Women’s Health Care DO Doctor of Osteopathy Nurse Practitioner MS Master of Science Participating acupunture, chiropractic, naturopathic, and massage therapy providers. Provider eligibility indicated
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