CMS Provider Directory Requirements
The Centers for Medicare and Medicaid Services (CMS) issued refined regulations in 2016 requiring Medicare Advantage health plan to have more comprehensive and up to date provider directories. Inaccurate provider directories have a severe impact on members’ ability to access in network providers, correct service locations and have access to important facts about providers’ practices.
CCA is committed to adhering to the new CMS requirements. To ensure success, CCA has partnered with LexisNexis to perform the provider outreach on its behalf. Providers will be contacted by LexisNexis to provide updated demographics.
You can learn more about the CMS Provider Directory regulations by reviewing the following documents:
If you have any questions, please contact Provider Relations at: ProviderRelations@commonwealthcare.org.
To view the PDF files above, you may need to download a free copy of Adobe® Acrobat Reader software on your computer. (This link takes you away from the Commonwealth Care Alliance website pages.) Click here for more information about Adobe Acrobat.
Last Updated 01/03/2017