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 access to Clear Health Alliance’s legacy portal?

Need help regarding services rendered prior to the health plan’s transition to Availity?

For transactions prior to rollout of the new SMMC contract, please visit the previous provider portal.

Provider News

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

Medicaid Billing Requirements Effective 4/1/19

GA Foods Agreement Announcement

Simply Healthcare Plans, Inc. and Clear Health Alliance (Simply) has enteredinto an agreement with GA Foods for the distribution of post discharge and chronic meals.

GA Foods Announcement

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

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.

Continuity of Care Provider Notice

Looking for previous records?

Need help regarding services rendered prior to the health plan’s transition to the new provider website or services rendered prior to the health plan’s transition to Availity? Visit the previous provider portal

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.

View pharmacy information

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.

Learn about the Maternal Child program

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.

Learn more about behavioral health resources

Provider tools & resources