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Welcome, providers!

Resources that help health care professionals do what they do best – care for our members.

At Clear Health Alliance (CHA), we value you as a provider in our network. That's why we’ve redesigned the provider site to make it more useful for you and easier to use.

Looking for the secure portal?

For services provided before the rollout of the new Statewide Medicaid Managed Care program, please visit the previous CHA provider portal.

For services provided after the new Medicaid plan rollout, please visit the Availity portal.

Don't have an Availity account? Register for free now!

Need help with Availity? Learn more

Provider News

Provider Manual Updates

To assist you in providing care to our members, the plan has updated its provider manual with valuable information on various subjects such as claim, authorization and, precertification. We invite you to review the most recent documentation located on our Provider websites for both Medicaid and Medicare products.

Medicaid Billing Requirements Effective 4/1/19

Beginning April 1, 2019, medical claims will be audited for Billing and Rendering Provider information. Claims will be rejected at the point of receipt if it is determined during claims validation that the Billing and/or Rendering providers on the claim are not enrolled or are inactive with Medicaid

Simply Healthcare Plans, Inc. and Clear Health Alliance EIS and TCM Continuity of Care Processes

This notice serves to provide information to Early Intervention Services (EIS) and Children’s Health Targeted Case Management (TCM) providers concerning Statewide Medicaid Managed Care Managed Medical Assistance (SMMC MMA) continuity of care (COC) requirements for new members who transition into Simply Healthcare Plans, Inc. and Clear Health Alliance (Simply).

Continuity of Care Provider Notice

This notice serves to remind Simply Healthcare Plans, Inc. and Clear Health Alliance (Simply) providers and subcontractors who will not continue to participate with the plan under the new Statewide Medicaid Managed Care Managed Medical Assistance (SMMC MMA) contract of the continuity of care contract requirements post-termination.

Availity access

The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer.

At Availity you can:

Request authorizations.
Submit claims.
Confirm eligibility.

Don't have an Availity account? Register free now!

Availity is your one-stop to complete your transactions

Featured Resources

Pharmacist looking at prescription bottle

Pharmacy information

Search for up-to-date drug information, including hundreds of brand-name and generic medications.

Excited Mom showing off baby’s ultrasound

Maternal Child Program

We offer a proactive case management program for expectant mothers and their newborns. The My Advocate® program provides pregnant women proactive outreach and education through interactive voice response (IVR), text or smartphone application.

Patient talking with counselor

Behavioral health provider

We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts and other resources to successfully meet the needs of members with mental health, substance use, and intellectual and developmental disabilities.

Provider tools & resources

Interested in becoming a provider in the Clear Health Alliance network?

We look forward to working with you to provide quality service for our members.