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.
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Need help with Availity? Learn more
All faxes sent to Simply Healthcare and Clear Health Alliance (Simply) will need to have three HIPAA verifiers in order for authorizations to be processed.
The CAHPS survey is conducted every year from February to June. The survey measures a patient’s experiences and perceptions of their medical care rather than measurable outcomes.
You may already be receiving some ENS reports from Simply and CHA but can receive so much more directly from ENS. You are highly encouraged to subscribe independently to ENS and reap the benefits of using the service.
To reduce common errors and duplicate requests, when submitting prior authorizations, please follow these guidelines.
Beginning January 1, 2021, iCare Health Solutions, LLC will be the statewide subcontractor providing medical and surgical vision services to Simply members.
For billing interim inpatient hospital stays that exceed 100 consecutive days, hospital provider claims must following the procedures in this provider bulletin.
As of January 4, 2021, LogistiCare Solutions, LLC, the nation’s largest provider of non-emergency medical transportation and our transportation provider for regions one through nine, has formally changed its company name to ModivCare Solutions, LLC.
Effective January 1, 2021, prior authorization requirements will be required for the following CPT codes if requested in the outpatient (OP) hospital setting.
The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer.
Don't have an Availity account? Register free now!
Search for up-to-date drug information, including hundreds of brand-name and generic medications.
When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. We encourage all our moms-to-be to take part in the Taking Care of Baby and Me® program, a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns.
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.