Alternative Care Provider Directory

ALTERNATIVE CARE PROVIDER DIRECTORY

PUBLISHED FEBRUARY

2024

THIS DIRECTORY APPLIES TO THE FOLLOWING NETWORKS: CLASSIC, CLASSIC COMPLETE, CLASSIC + DENTAL CHOICE, ADDED CHOICE, ADDED CHOICE + DENTAL CHOICE, OREGON ADDED CHOICE

KAISER PERMANENTE NORTHWEST REGION

Oregon and Washington acupuncture, chiropractic, naturopathic, and massage therapy providers

If your plan includes an alternative care or chiropractic benefit, your per-visit charge and annual benefit maximum are shown on your Evidence of Coverage (EOC). The benefit may cover visits for chiropractic care, acupuncture, naturopathic care, and massage therapy. The amount you pay for visits to alternative care providers varies by the type of service.

You may choose from alternative care providers throughout our service area.* Some services may require a referral to receive care. Check your EOC for plan specifics. When you need alternative care, just choose a provider from the list provided here or at , and call for an appointment. You can also call the Washington State Department of Health at 360-236-4700 or visit the Oregon Medical Board website at omb/pages/index.aspx for additional information on alternative care certifying agencies/bodies, including malpractice history and disciplinary actions.

You pay the charges listed on your EOC benefit summary directly to the provider.

Some services are not covered even if ordered by the provider. Exclusions and limitations apply even if your plan covers the service when it is ordered by a participating provider.

For more information and a complete listing of exclusions and limitations, see your EOC or contact Member Services.

To report provider directory inaccuracies, please call Member Services at 1-800-813-2000 or go to webmanager.

The information contained in this directory is accurate as of the February, 2024 publication date. For the most up to date provider directory information, please contact Member Services at 1-800-8132000 or visit facilities.

* If added to an Added Choice? plan, members may use their benefits at The CHP Group, PPO, and non-participating providers and facilities. The amount an Added Choice member pays is based on the provider chosen.

All plans offered and underwritten by Kaiser Foundation Health Plan of the Northwest. 500 NE Multnomah St., Suite 100, Portland, OR 97232.

19413_02-24

Member Services

If you have questions, please call Member Services from 8 a.m. to 6 p.m., Monday through Friday, at 1-800-813-2000. For TTY, call 711. For language interpretation services, call 1-800-324-8010.

Help in your language

Interpreter services, including American Sign Language (ASL), are available during business hours at no additional cost to members. Many of our doctors also speak more than one language. Call 1-800324-8010 (toll free), or 1-800-813-2000 (toll free) or 711 (TTY)

Participating alternative care providers

To be covered by your benefit, you must get care from a provider in our service area who is part of The CHP Group network.*

The information in this directory is updated monthly. This list includes all participating alternative care providers and is accurate as of the date on the directory. The information is subject to change. When you call for an appointment, confirm your provider's participation before you get care. For the most up-to-date information, please visit or call Member Services at 1-800-813-2000. You can also search for current providers online at .

Alternative care providers do not have hospital affiliations.

Accessibility of medical facilities

For information about facility accessibility, please contact the individual provider.

Telehealth/Telemedicine Appointment Options

CARE, ANYWHERE.

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, or smartphone.

Phone and video visits are great for minor health conditions and follow-up care.

Phone

Get care by phone 24/7, or schedule a phone appointment with your provider.

Video

Meet face-to-face with a provider online by computer, smartphone, or tablet.

Connect for Care Anywhere

Schedule a phone or video visit today by going to getcare or calling 1-800-813-2000 (TTY 711).

Mobile users, download the Kaiser Permanente app on your tablet or smartphone to get started. For technical support, call 1-844-800-0826.

E-Visits

Now offering online medical consultations on .

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.

For questions or more information, you may contact Member Services via .

ii

Provider selection criteria

Tiered network criteria in Oregon and Washington

Kaiser Foundation Health Plan of the Northwest (KFHPNW) offers several networks that are comprised of the Kaiser Permanente integrated health care delivery system. The primary contracted provider groups and facilities that participate include: Northwest Permanente, P.C., Physicians and Surgeons, facilities owned and operated by Kaiser Foundation Hospitals (hospitals, Kaiser Permanente medical offices, Kaiser Permanente pharmacies), The Portland Clinic, The CHP Group, and contracted hospitals. In general, the networks contain physicians, specialists and facilities to provide services to individuals and groups covered under all Kaiser Permanente plans.

Prior to allowing network participation, providers must successfully complete the initial credentialing process and demonstrate their ongoing ability to meet credentialing standards through a recredentialing process. Providers are required to provide the information needed to review and verify their credentials. To ensure quality and safety of care between re-credentialing cycles, Kaiser Permanente performs ongoing monitoring of the participating provider's performance. Kaiser Permanente acts on important quality or safety issues in a timely manner by taking appropriate action against a participating provider when occurrences of poor quality are identified.

We also monitor and analyze member feedback relating to network access, availability of providers, and cultural needs and preferences. This information helps guide our network improvement efforts.

Kaiser Foundation Health Plan of the Northwest offers tiered networks including Oregon Added Choice, Added Choice, Added Choice + Dental Choice, Oregon PPO Plus, PPO Plus, and PPO Plus + Dental Choice. The primary contracted provider groups and facilities that participate in Tier 1 include Northwest Permanente, P.C., physicians and surgeons; facilities owned and operated by Kaiser Foundation Health Plan (Kaiser Permanente medical offices and pharmacies); Kaiser Foundation Hospitals (hospitals); The Portland Clinic; and contracted hospitals.

For members enrolled with an Oregon employer

The Oregon Added Choice network includes select providers and PPO providers. Select providers include the Kaiser Permanente integrated health care delivery system (as described above) and The CHP Group.

PPO providers are:

? First Choice Health Network providers in Oregon and Washington

? First Health Network providers in California, Colorado, Georgia, Hawaii, Maryland, Virginia, and the District of Columbia

? Cigna HealthcareSM PPO Network1 providers in all other states

The Oregon Added Choice network is designed to allow members access to all that Kaiser Permanente offers plus the option to seek care from providers outside our network. Select providers can be located on and . PPO providers can be located at choiceproducts/nw. All other providers are considered nonparticipating providers and facilities.

If you are looking for a gender affirming treatment provider and can't find a provider close to you, please call our Member Services department at 1-800-813-2000 for help finding an in-network provider.

1 The Cigna Healthcare PPO Network refers to the health care providers (doctors, hospitals, specialists) contracted as part of the Cigna Healthcare PPO for Shared Administration.

Cigna Healthcare is an independent company and not affiliated with Kaiser Foundation Health Plan, Inc., and its subsidiary health plans. Access to the Cigna Healthcare PPO Network is available through Cigna Healthcare's contractual relationship with the Kaiser Permanente health plans. The Cigna Healthcare PPO Network is provided exclusively by or through operating subsidiaries of The Cigna Group, including Cigna Health and Life Insurance Company. The Cigna Healthcare name, logo, and other marks are owned by Cigna Healthcare Intellectual Property, Inc.

For questions or more information, you may contact Member Services via .

iii

The Oregon PPO Plus network includes:

? Kaiser Permanente providers, Kaiser Permanente pharmacies, MedImpact pharmacies, and other PPO providers who are either employed by us or contract with us to provide covered services for members enrolled in this PPO Plus plan

? First Choice Health Network providers in Oregon and Washington

? First Health Network providers in California, Colorado, Georgia, Hawaii, Maryland, Virginia, and the District of Columbia

? Cigna Healthcare PPO Network providers in all other states

All other providers are considered nonparticipating providers and facilities. The Oregon PPO Plus network is designed to offer access to a broad provider network that includes both Kaiser Permanente providers and a nationwide network. Kaiser Permanente providers can be located on , and PPO providers can be located at choiceproducts/nw.

For Members Enrolled with a Washington Employer

The Added Choice and Added Choice + Dental Choice networks are composed of the Kaiser Permanente integrated health care delivery system (as described above) and The CHP Group as select providers and First Choice Health PPO Network (or First Health Network for members in states other than Oregon, Washington, Idaho, Montana, Wyoming, North Dakota, South Dakota, and Alaska) as PPO providers. The Added Choice networks are designed to allow members access to all that Kaiser Permanente offers plus the option to seek care from providers outside our network. Select providers can be located on and . PPO providers can be located at Kaiser Permanente Added Choice (choiceproducts-northwest.added-choice). All other providers are considered nonparticipating providers and facilities.

The PPO Plus network is composed of the Kaiser Permanente integrated health care delivery system (as described above) and First Choice Health PPO Network (or First Health Network for members in states other than Oregon, Washington, Idaho, Montana, Wyoming, North Dakota, South Dakota, and Alaska) as PPO providers. All other providers are considered nonparticipating providers and facilities. The PPO Plus network is designed to offer access to a broad provider network that includes both Kaiser Permanente providers and a nationwide network. Kaiser Permanente providers can be located on , and PPO providers can be located at Kaiser Permanente PPO Plus (choiceproducts-northwest.ppo-plus).

For questions or more information, you may contact Member Services via .

iv

Abbreviations of medical titles

ANP Adult Nurse Practitioner

ARNP Advanced Registered Nurse Practitioner

AuD Doctor of Audiology

BA

Bachelor of Arts

BS

Bachelor of Science

CADC Certified Alcohol and Drug Counselor (I, II, III)

CCMHC Certified Clinical Mental Health Counselor

CDE Certified Diabetes Educator

CDP

Chemical Dependency Professional

CFNP Certified Family Nurse Practitioner

CNM Certified Nurse-Midwife

CRNA Certified Registered Nurse Anesthetist

DO

Doctor of Osteopathy

DPM Doctor of Podiatric Medicine

FACS Fellow of the American College of Surgeons

FNP Family Nurse Practitioner

GNP Geriatric Nurse Practitioner

LAc Licensed Acupuncturist

LCSW Licensed Clinical Social Worker

LMFT Licensed Marriage and Family Therapist

LPC Licensed Professional Counselor

MA

Master of Arts

MD

Medical Doctor

MEd Master of Education

MMFT Master of Marriage and Family Therapy

MN

Master of Nursing

MPH Master of Public Health

MS

Master of Science

MSN Master of Science and Nursing

MSSW Master of Science in Social Work

MSW Master of Social Work

NP

Nurse Practitioner

OD

Doctor of Optometry

PA

Physician Assistant

PA-C Physician Assistant-Certified

PhD Doctor of Philosophy

PMHNP Psychiatric Mental Health Nurse Practitioner

PNP Pediatric Nurse Practitioner

PsyD Doctor of Psychology

RC

Registered Counselor

RD

Registered Dietitian

RN

Registered Nurse

WHCNP Women's Health Care Nurse Practitioner

19413_02-24

Participating acupunture, chiropractic, naturopathic, and massage therapy providers. Provider eligibility indicated in the Accepting New Members column.

Last updated February 2024. For the most up-to-date information, visit .

For questions or more information, you may contact Member Services via .

v

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download