Commonwealth Care Alliance
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Information for Providers

Welcome to Commonwealth Care Alliance, where we partner with healthcare professionals to deliver the full spectrum of care – including medical, dental, behavioral health, durable medical equipment, and social support services – our members and patients need to remain safe and independent wherever they choose to live.

We're eager to invite other healthcare professionals
who share our vision to join us in this work.

 

Contracting Department

 

To become part of CCA's growing network,
please email us at:
ccacontracting@commonwealthcare.org

 

Already part of our network?

 

If you have any questions or need assistance, please email our Provider Relations team at: providerrelations@commonwealthcare.org

Important Notices

 
 


Commonwealth Care Alliance makes changes for 2017

Commonwealth Care Alliance (CCA) has updated the list of services that require prior authorization. For a complete current list, please refer to the our Provider Manual. Formulary changes have also been made effective January 1, 2017, and can be found in the 2017 Senior Care Options (SCO) Formulary, MassHealth Only Formulary, and One Care Formulary. In addition, effective January 1, 2017, we have a preferred arrangement with ABBOTT Diabetes Supplies for Glucometer and test strips, which must be obtained through the CCA pharmacy network.


Part D Prescriber Enrollment

In order to be a CCA participating provider, any physician or other eligible professional who prescribes Part D drugs must enroll and opt in to the Medicare program. This requirement is being enforced by CCA now to preempt CMS enforcement of the prescriber enrollment requirement, which will begin on January 1, 2019. For more information about the CMS requirement or to enroll, please go to: https://www.cms.gov/medicare/provider-enrollment-and-certification/medicareprovidersupenroll/prescriber-enrollment-information.html. Thank you for your cooperation.



Provider Resources


 

Provider Portal

Visit our secure web portal to obtain access to claim status, member eligibility, multiple claim submission options, and more.

EZ NET Online Claim Portal

Billing and Claim Information

Access our Provider Manual for help with questions on Billing and Claims management.

Provider Manual

 


 
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