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CCA Health RI
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Welcome CCA Health 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 CCA Health Rhode Island’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 CCA Health, 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:

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. See the results of our uncommon care® model.

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

92%

Member engagement rate1

↓40%

Reduction in long-term acute care (LTAC) days per 1,000 members2

↓20%

Reduction in inpatient psychiatric and SUD days per 1,000 members2

Our Service Area

CCA Medicare Value, CCA Medicare Preferred, and CCA Medicare Maximum are available in the entire state of Rhode Island.

Map of Rhode Island highlighting service areas for CCA Health Plans

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 Health ICO + SCO rate per 1,000 members; hospitalization rates are consistently below the per capita averages during COVID-19 pandemic

Provider Services is here to help

8:00 am to 6:00 pm, Monday through Friday