The provider contract will be issued once the credentialing process is completed.

No, you must complete the credentialing and contracting process before accepting members.

Contact your provider relations representative at 1-888-251-2224. Find information about your provider relations representative.

You may view your authorization report through the Community Care ePortal. Learn more about the ePortal.

Contact the member services line to notify us, and we can assist with locating a provider that can see the member within access standards. You must also notify your Provider Relations Representative immediately in writing.

Learn more about Community Care’s ePortal and the authorization codes available for ePortal entry.

Registration should be submitted following the initial outpatient visit; not to exceed 60 days from the initial date of service.

Community Care will not reject the second registration, but it will be important for providers to address this from a clinical perspective (i.e., does it make clinical sense for members to be seeking services for the same type of care from more than one provider?).

You will not get paid if the member is ineligible with Community Care on the date of service. Providers must check eligibility frequently to ensure that claims can be processed. The registration of a member will remain active even if the member loses eligibility for part of the year and then regains it later. Providers will not need to register members again if eligibility is re-established.

Call the Customer Service Line to inquire. Provider directories are available and updated semi-annually.