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:
- 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. 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
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
Our Service Area
CCA Medicare Value, CCA Medicare Preferred, and CCA Medicare Maximum are available in the entire state of Rhode Island.
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