Welcome CCA providers
We’re committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. Thank you for the opportunity to partner with you.
Claims Transformation 2023
Claims with dates of service April 1, 2023 and beyond must be submitted to Commonwealth Care Alliance’s new claims platform.
Here’s what you need to know and how to be ready:
Together we can create a better experience and better outcomes for your patients with complex needs
At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. We share our providers’ dedication to assuring the highest levels of care and service for people with complex health needs. We’re committed to achieving:
- Superior patient experiences and improved clinical outcomes
- Optimal access, responsiveness, transparency, and timeliness in all our communications
- Operational excellence and strong analytics and reporting that support provider performance
It takes uncommon care® to produce uncommon results
Partnering with you to keep your patients living safely and independently in their homes and communities is at the heart of our mission. Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. We help you extend your reach into your patients’ homes and communities through care coordination, behavioral health, and long-term services.
Our efforts are working:
The CCA uncommon care® model has demonstrated success in reaching and engaging individuals with significant medical, behavioral, and social needs—improving quality of care while keeping patients and members safely at home.
Member engagement rate1
Reduction in Long-Term Acute Care (LTAC) days per 1,000 members2
Reduction in inpatient psychiatric and SUD days per 1,000 members2
NEW: CCA expands offerings to three Medicare Plans—starting at $520
Effective January 2023, CCA is expanding its product offering in Massachusetts with one new Medicare plan. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Depending on the plan, benefits may include $0 primary care visits, $0 annual dental and eye exams, $0 transportation, $0 identity theft protection, and $200 or more for over-the-counter health products.
Together, we can bring uncommon care® to more people with significant needs.
Enrollment for these plans ends December 7.
Our Service Area
CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester.
CCA Senior Care Options, CCA Medicare Value, and CCA Medicare Preferred are available in 10 counties in Massachusetts: Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester.
New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties.
*In Barnstable and Berkshire Counties: CCA One Care is available; CCA Senior Care Options, CCA Medicare Value, and CCA Medicare Preferred are not yet available.
**In Dukes and Nantucket Counties: CCA health plans are not yet available.
Results are as of 12/1/2020 unless otherwise noted.
1 Percent of ICO + SCO members weighted together who have at least one qualifying touch by a care team member within a given month (Rolling three-month average, 7/2021)
2 Combined CCA ICO + SCO rate per 1,000 members; hospitalization rates are consistently below the per capita averages during COVID-19 pandemic