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Provider Manual

As part of our commitment to supporting our provider partners, we have created this resource to offer you comprehensive information about our plans.


In addition to detailed program information, you will find our policies and procedures, referral and claim information, and other useful reference materials that we hope will make working with our staff and members as simple as possible.
 
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Provider Manual

Welcome Letter

Dear Commonwealth Care Alliance Provider:
Welcome to the Commonwealth Care Alliance provider manual. The provider manual has recently undergone revisions and includes updates on doing business with Commonwealth Care Alliance. The manual includes information about our Senior Care Option and One Care programs.

Commonwealth Care Alliance is committed to partnering with providers to ensure our members receive the highest quality coordinated care possible, and we have designed this administrative resource to provide you with comprehensive information about our programs and plan. In addition to detailed Commonwealth Care Alliance program information, you will find our policies and procedures, referral and claim information, and other useful reference materials that we hope will make working with Commonwealth Care Alliance staff and members as simple as possible.

Commonwealth Care Alliance members are encouraged to be active participants in their health care. When members enroll in Commonwealth Care Alliance, they receive a Member Handbook, which outlines the terms of benefits. Copies of the handbook may be obtained by contacting the Commonwealth Care Alliance Member Services Department at (866) 610-2273.

If you have any questions regarding the information in this provider manual, please call Provider Relations at (617) 600-3195

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