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Member Programs

Learn about the special programs and services available to Commonwealth Care Alliance® (CCA) members.

Programs for Your Unique Needs

We offer many programs that support your health and well-being. Some programs help you manage your health. Others connect you with services and support. These programs are available at no cost to eligible members.

Your care team may ask questions about your health and daily needs. This helps us find programs that may help you stay healthy.

To learn more about any program, talk with your Care Coordinator.

The Behavioral Health Support Program helps members with mental health or substance use conditions. These may include anxiety, depression, schizophrenia, or substance use disorder.

A behavioral health clinician will work with you and your providers. They can help you get services, support, and tools to manage your condition. They can also help with medicine reminders and medication planning.

The program helps members stay healthy and avoid unnecessary hospital visits.
To learn more, talk with your Care Coordinator or call Member Services.

This program helps members with conditions such as diabetes, kidney disease, and heart disease.

Your Care Team will work with you to set health goals. They will provide support, education, and resources to help you manage your health at home.

After your assessment, you will meet with your Care Team. Together, you will create an Individualized Care Plan (ICP).

Your ICP is your plan. You decide who takes part. Family members, friends, and advocates may join if you choose.

Your ICP can include:

  • Physical health needs.
  • Behavioral health needs.
  • Long-term services and supports.
  • Independent living goals.
  • Recovery goals.
  • Personal concerns and priorities.

Your Care Team will review and update your ICP as your needs and goals change.

Caregiving can be challenging. We offer support and resources for caregivers. Our goal is to help caregivers care for others while also caring for themselves.

To learn more, talk with your Care Team or call Member Services.

Have an immediate health need? Call 1-833-687-7372 to speak with a registered nurse. We’re here 24 hours a day, 7 days a week.

You can call about concerns such as:

  • Fever.
  • Vomiting.
  • Shortness of breath.
  • Other urgent health issues.

CCA Primary Care provides coordinated, personalized care. When your primary care team works closely with the rest of your care team, it can be easier to get the care and services you need.

Learn more about CCA Primary Care.

We offer doula services during pregnancy, labor, birth, and after your baby is born. Doulas provide emotional support, physical support, and education. They can help you understand your options and make informed choices about your care.

To learn more, talk with your Care Team or call Member Services.

This program helps members with complex health needs. Members may have conditions such as:

  • Diabetes.
  • Kidney disease.
  • Heart disease.
  • Mental health conditions.
  • Substance use disorders.

Your HICM team includes a Nurse Practitioner or Physician Assistant. The team works with your providers to create a treatment plan that may include:

  • Medical care.
  • Mental health care.
  • Medication support.
  • Nutrition guidance.
  • Exercise support.

Your team will support you through illness, recovery, and ongoing care.

The instED® program brings urgent care to your home. A paramedic can visit you when you need urgent care. The goal is to help you avoid a trip to the emergency room or urgent care center when it is safe to do so. The program is available in select areas. Learn more about instED.

Member Voices gives members a chance to share feedback about their care and experiences. We use that feedback to improve our programs and services. The program also lets you connect with other members and learn from their experiences. Learn more about Member Voices.

CCA offers programs that help members manage their medications.

This includes:

  • Mail order pharmacy.
  • Specialty pharmacy services.
  • Extended medication supplies.
  • Medication synchronization (med sync).
  • Medication Therapy Management (MTM).
  • Long term care pharmacies.
  • Home infusion pharmacies.

Learn more about Pharmacy Programs.

This program helps you stay up to date on preventive care. You may receive reminders about:

  • Health screenings.
  • Vaccines.
  • Wellness services.

One example is our flu vaccine program. Learn more about flu shots and where to get them.

The Substance Use Program helps members who have, or may be at risk for, substance use disorders. CCA covers many addiction treatment services. We also provide clinical support.

This may include:

  • Detoxification.
  • Intensive outpatient treatment.
  • Acupuncture.
  • Medication-assisted treatment.
  • Behavioral health support.

If you need help, talk with your Care Team. You can also call Member Services.

This program helps members return home safely after a hospital stay. Your Care Team will:

  • Check in with you.
  • Connect you with needed services.
  • Help schedule follow-up appointments.

The goal is to support a safe recovery at home.

Virtual Care lets you receive certain services from home through a video visit.

This may include:

  • Routine visits.
  • Behavioral health support.
  • Health screenings.

Learn more about Virtual Care.

*You can choose not to participate in these programs. | **A referral may be required.

We’re here to support you

866-537-5816 (TTY 711)
Monday through Friday, 8 am to 8 pm Eastern Time, and from October 1 to March 31, the same hours, 7 days a week.