THE PROGRAM IS FUNCTIONALLY AND STRUCTURALLY SIMILAR TO PREFERRED PROVIDER PROGRAM(PPO), ALTHOUGH FOCUSED ON WORKERS' COMPENSATION ONLY. Providence Plan Partners 1801 Lind Ave Sw Attn Tax Dept Renton, WA 98057-3368 Contact Info Executive Officer Name and Phone Number Available with membership or data download Activity & Mission Description Small organizations filing a Form 990N "e-Postcard" are not included in this data. Michael holds a bachelors degree in computer science from Long Island University. Ratings are calculated from one or more beacon scores. Meet with a licensed mental health provider that best suits your needs, fully confidential always. Emerging and innovative technologies are monitored by Providence Health Plan through review of trend reports from technology assessment bodies, government publications, medical journals and information provided by providers and professional societies. Important Mental Health and Substance Use Disorder Treatment Information, Carrier discipline findings by WA OIC for failure to meet access standards: None issued to date, Plan enrollees may file a complaint with the Washington Office of the Insurance Commissioner by calling the commissioner's toll-free insurance consumer hotline at 1- 800-562-6900 or https://www.insurance.wa.gov/file-complaint-or-check-your-complaint-status, For information concerning any disciplinary action or malpractice history for Washington providers, please use this link: https://fortress.wa.gov/doh/providercredentialsearch/. In driving Providence Health Plans commitment to advancing true population health, Timshel ensures health equity is integrated into all facets of the enterprise and strategy. Access thousands of participating fitness centers and online workout videos. Providence Health Plan provides services to a wide range of clients, including self -funded employers, In addition to the raw summary data, we link to PDFs and digital copies of full Form 990 documents wherever possible. Read the IRS instructions for 990 forms. Referrals are requested through your medical home provider. WE ARE IMPLEMENTING AN ENVIRONMENTAL STEWARDSHIP SYSTEM STRATEGY THAT ENCOURAGES WASTE REDUCTIONS, EFFICIENT ENERGY AND WATER USE, LOCAL AGRICULTURE PARTNERSHIPS, LESS TOXIC AND FEWER CHEMICAL USE, AND A REDUCTION IN CARBON FROM TRAVEL.PROVIDENCE PLAN PARTNERS (PPP) FULFILLS ITS SOCIAL WELFARE PURPOSES BY FURTHERING THE HEALTHCARE SERVICES PROVIDED BY ITS AFFILIATES PROVIDENCE HEALTH PLAN (PHP) AND PROVIDENCE HEALTH ASSURANCE (PHA). | Tax-exempt since May 2003, https://projects.propublica.org/nonprofits. A thoughtful leader known to inspire others through unclouded vision and courageous authenticity, Cheryl is enthusiastic about helping others and is deeply aligned with Providence Health Plans dedication to compassionately providing the highest quality care to all people. FIND CARE NONMEMBERS CARE TYPE. Services determined to be investigational, not medically necessary, or cosmetic in nature are not covered by your plan. verify that the provider you have selected is covered by your plan. WE ALSO DEPLOY AN INVESTING PORTFOLIO WHICH INCLUDES SHAREHOLDER ADVOCACY, IMPACT INVESTING, AND SOCIALLY CONSCIOUS PORTFOLIO SCREENS. Caresse is an Oregon native, with family roots in Hawaii. We must provide you with this notice and abide by the terms of this notice. Enrollment in Providence Health Assurance depends on contract renewal. Providence Health Plan delegates administration of alternative care to American Specialty Health (ASH). If you have used our data or site in your research or reporting, add credit and a link to Nonprofit Explorer in your story or publication and let us know. A veteran of Medicare sales, she is known as a trusted subject matter expert in the field as well as a successful, authentic leader. Emergency care for covered services is available worldwide for all plans. Prior to his current role, Brad served as Senior Director of Sales & Account Services, where he was responsible for sales, member retention and service of insured and self-insured groups. He also served as a law clerk in the litigation section of the Oregon Department of Justice. Access everything you need to sell our plans. (A medical home is a specially designated primary care clinic in which a care team delivers patient-centered care focused on improving the health of the patient.) She leads consumer lines of business and is responsible for state and regional consumer and specialty sales and growth strategies. Shannon works with insurance producers and community members to navigate the complexities of Medicare, Medicaid, and Individual health insurance, with the goal of seamless and easy access to care. Her most recent roles include Vice President and General Manager for Medicare and Vice President of Corporate Strategic Integration. WE PURSUE INNOVATIVE WAYS TO TRANSFORM HEALTH CARE BY KEEPING PEOPLE HEALTHY, AND MAKING OUR SERVICES MORE CONVENIENT, ACCESSIBLE AND AFFORDABLE FOR ALL. ORDER TO CEASE AND DESIST, FINAL ORDER ASSESSING CIVIL PENALTY, AND CONSENT TO ENTRY OF ORDER The Director of the Department of Consumer and Business Services for the State of Oregon ("Director"), acting in accordance with Oregon Revised Statutes ("ORS") This notice explains how we may use and disclose information about you in administering your benefits and it also informs you about your rights as our valued member. Copyright 2023 Providence Health Plan, Providence Plan Partners, and Providence Health Assurance. 501 (C)(4). Revisions to this directory may not be made immediately. 05/21/2023. Practitioners and hospitals in our networks must meet our credentialing requirements. Providence Plan Partners Pharmacy Search Page New technology must minimally meet the following guidelines to be approved for coverage: A core committee of Providence Health Plan medical directors and high-level physician specialists, practitioners and/or pharmacists evaluate and recommend coverage for new technologies. WE HELP PEOPLE AND COMMUNITIES BENEFIT FROM THE BEST HEALTH CARE MODEL FOR THE FUTURE - TODAY.TOGETHER, OUR 120,000 CAREGIVERS (ALL EMPLOYEES) SERVE IN 52 HOSPITALS, 1,085 CLINICS AND A COMPREHENSIVE RANGE OF SERVICES ACROSS ALASKA, CALIFORNIA, MONTANA, NEW MEXICO, OREGON, TEXAS AND WASHINGTON. Find a doctor, clinic, pharmacy, or other provider in the Ayin Administrative Health Solutions network, https://www.insurance.wa.gov/file-complaint-or-check-your-complaint-status, https://fortress.wa.gov/doh/providercredentialsearch/, Non-discrimination and Communication Assistance. Click here to search for this organization's Forms 990 on the IRS website (if any are available). Non-Emergent Medical Transportation . Emergency care services are provided both within and outside of the service area. Address: 1801 Lind Ave SW Renton, WA, 98057-3368 United States Phone: Provider name, location, specialty . Even when taken as directed, there are risks associated with taking opioids (pain medication). Contact customer service at 503-574-7500 or 1-800-878-4445 (TTY: 711) for assistance, or speak with your medical home provider if you have questions. Throughout his career, Don has applied deep insights in research, market analytics, strategy and sales, growing membership and driving strong financial results for health insurers. loading and try your donation again. Page 3/10 - Curriculum vitae of OTIE Type of business or sector Tourism Islands development Dates June 2010 - October 2012 Role Scientific Partner - Coordinator of five pilot projects Click to email a link to a friend (Opens in new window), Click to share on Twitter (Opens in new window), Click to share on LinkedIn (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on Reddit (Opens in new window), Click to share on Pocket (Opens in new window), Click to share on Tumblr (Opens in new window), 2023 Southern California State of Reform Health Policy Conference, 2023 Inland Northwest State of Reform Health Policy Conference, 2023 Alaska State of Reform Health Policy Conference, 2023 Colorado State of Reform Health Policy Conference, 2023 Arizona State of Reform Health Policy Conference, 2023 Tennessee State of Reform Health Policy Conference, 2023 Oregon State of Reform Health Policy Conference, 2023 Minnesota State of Reform Health Policy Conference. Stay covered: learn more about Oregon Health Plan eligibility. Their decisions are based on information provided by professional assessment and policy development organizations, as well as other medical experts. Some services require prior authorization. Providence Swedish is pleased to announce James Park, MD, MHA has joined as the new North Puget Sound chief medical officer (CMO), effective June 19, 2023. An innovative leader, he also oversees alignment of PHPs business strategy and IT operations. A GuideStar Pro report containing the following information is available for this organization: This information is only available for subscribers and in Premium reports. INSTRUCTIONS FOR USE: Company Medicare Medical Policies serve as guidance for the administration of plan . In his academic career, Dr. Gluckman focused on applying medical evidence to clinical practice with an emphasis on increasing the value of care delivered to patients. Dental Health Services Capitol Dental Care . The fixed dollar amount you pay for a covered service at the time care is provided. Copyright 2021 Pro Publica Inc. Learn more Providers Resources, services, and support to help you better serve your patients and run your practice. Call 911 or get a ride to the nearest hospital for emergency care 24/7 when you think you may be in danger. Information and resources are found on both the behavioral health resource page and under Health Topics. Copyright 2023 Providence Health Plan, Providence Plan Partners, and Providence Health Assurance. NOTE: TTY, or text telephone relay, services enable those with hearing and/or speech impairments to communicate with others by telephone. Prior to Blue Shield of California, Don served as the Chief Business Officer of 10xHealth, an advanced technology solutions company. Call customer service at 800-878-4445 (TTY: 711) for assistance. By listening to our members and exploring innovative solutions with our providers and communities, we help Oregonians prevent illness and live better lives. Sign in or create an account to view Form(s) 990 for 2021, 2020 and 2018. In-network providers arrange for any necessary prior authorizations. She is a respected thought leader on business excellence, DEI, and culture-building, presenting at national events and conferences including HLTH 2022, The Impact Summit, and the Academy of Managed Care Pharmacy. Urgent care is where you turn when you know you need help and can't wait for an appointment. Providence Health Plan offers a national network of providers. For additional information, refer to your member materials available in the Providence Health Plan secure member portal, myProvidence. He leads the Plans quality, care management and utilization management programs and oversees pharmacy benefit administration, provider contracting/relations and coding compliance. How enrollees may file a complaint with WA OIC. The provider will bill you for the amount due, if any. We take time to see, hear and value everyone who walks through our doorspatient or caregiver, family support person or volunteer. Let us help you find the plan that best fits your needs. This means that you must be able to access mental health or substance use disorder treatment services within 15 business days according to Washington law. To report information you believe to be listed inaccurately in the provider directory, please call 800-878-4445, send an email to PHPPRcontactus@providence.org or login to your myProvidence account and use the secure chat feature. Brad also holds an MBA from Queens University in Kingston, Ontario and completed his undergraduate studies at Linfield University, graduating summa cum laude with a Bachelor of Science in Business-Economics. When we take care of each other, we tighten the bonds that connect and strengthen us all. Extracted financial data is not available for this tax period, but Form 990 documents are available for download. When you want to know if you need face-to-face care, speak with a registered nurse anytime, any day.
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