CCA One Care – Prescription Drug Coverage Determination Request Form (2025)
Please be advised, this form cannot be submitted for 2025 PA requests until December 1, 2024.
CCA Senior Care Options – Prescription Drug Coverage Determination Request Form (2025)
Please be advised, this form cannot be submitted for 2025 PA requests until December 1, 2024.
One Care Request for Reconsideration of Medicare Prescription Drug Denial (2025)
One Care Request for Redetermination of Medicare Prescription Drug Denial (2024)
Quality Measure Reference Guide 2024
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CCA Senior Care Options (HMO D-SNP) (MA) – Annual Notice of Changes (2025) – Large Print
A large print document that tells you about the changes to the plan’s benefits, coverage, and rules for 2025.