Provider Directory

Community Health Group’s Provider Network is subject to ongoing changes. Please see additional important information here.

Some hospitals and other providers do not provide one or more of the following services that may be covered under your plan contract and that you or your family member might need: family planning; contraceptive services, including emergency contraception; sterilization, including tubal ligation at the time of labor and delivery; infertility treatments; or abortion. You should obtain more information before you enroll. Call your prospective doctor, medical group, independent practice association, or clinic, or call the health plan at the number below to ensure that you can obtain the health care services that you need.

All members are entitled to full and equal access to covered services, including enrollees with disabilities as required under the American with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. In order to make it easier for you to determine which provider best meets your needs, Community Health Group has included the following standardized accessibility symbols: P-Parking, EB-Exterior Building, IB-Interior Building, W-Wheelchair, R-Restroom, E-Exam Room, T-Exam Table/Scale

All members may call Community Health Group to obtain Provider Race/Ethnicity information.

When the Provider Appointment Availability Survey (PAAS) is being conducted, changes to the provider directory may be identified. All required adjustments are sent to the Credentialing Department. If the provider is ineligible, their panels are closed until they can see members within the required time frames. PAAS adjustments and all other demographic changes are updated within 5 business days.

Timely Access to Care Standards:

• Urgent Care appointments/no prior authorization needed: within 48 hours
• Urgent Care appointments/prior authorization needed: within 96 hours
• Non-urgent (routine) PCP care: 10 business days
• Non-urgent (routine) specialist care: 15 business days
• Non-urgent (routine) mental health care: 10 business days
• Non-urgent (routine) mental health care follow-up: 10 business days of last appointment
• Non-urgent (routine) ancillary services: 15 business days

Other Wait Time Standards:

• Member Services telephone wait time: 10 minutes
• Telephone Advice Nurse Line telephone wait time: 30 minutes (to be connected to a nurse)

Sometimes waiting longer for an appointment is not a problem. Your provider might give you a longer wait time if it would not be harmful to your health. It must be noted in your record that a longer wait time will not be harmful to your health. Also, if you prefer to wait for a later appointment that will better fit your schedule or go to another provider of your choice, your provider or Community Health Group will respect your wish.

Tell us if you need interpreter services when you call Community Health Group or when you get covered services. Interpreter services, including sign language, are available at no cost to you. We highly discourage the use of minors or family members as interpreters. To learn more about interpreter services we offer, call 1 (800) 224-7766.

These standards are also available in the member EOC and CHG website at https://www.chgsd.com/chg-plans/medi-cal/member-handbook-(eoc). CHG is required to provide timely access to care. If you are unable to obtain a timely referral to an appropriate provider, contact Member Services at 1 (800) 224-7766. You may also file a complaint with our Grievance department at 1 (800) 224-7766 and/or with the Department of Managed Health Care at 1 (888) 466-2219.

Our members are entitled to language interpreter services at no cost, including information on how to obtain interpretation services. Please call Customer Service at the numbers below for more information:

You may submit a complaint if you believe you relied on inaccurate, incomplete, or misleading directory information by calling CHG’s Member Services at 1-800-224-7766, by using our internet web site www.chgsd.com, or by writing to us at:

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