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H3727 isnp2021-provmanual111820-v.1 C

WEBCommuniCare Advantage ISNP Page 4 . Continuous Quality Improvement Process 45 Quality Improvement Projects 45 Annual Quality Evaluation 45 Quality of Care Issues 45 CORPORATE COMPLIANCE PROGRAM 46

Actived: 5 days ago

URL: https://www.communicare-advantage.com/wp-content/uploads/2020/12/H3727_isnp2021-provmanual111820_C_V2.pdf

Provider Appeals & Grievances

WEBCommuniCare Advantage. Attn: Appeals and Grievances. 10123 Alliance Road. Blue Ash, OH 45242. Discover the benefits of CommuniCare Advantage. Call (855)-969-5861 to learn more. For All Plans: (855) 969-5861 (TTY 711) CommuniCare Advantage Enrollment. PO …

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C-SNP/ISNP Model of Care Training

WEBLearning Objectives This training describes CommuniCare Advantage’s (CCA) SNP population and ensures that the participant has a thorough understanding of the MOC.

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Member AuthorizationROI CSNP

WEBNOTE: Incomplete forms cannot be processed and may be returned to you for completion. Please call (855) 969-5869 or TTY 711 if you need assistance or have questions. The following elements are required in order for CommuniCare Advantage to process your request. Information Authorized to be Released/Disclosed: I hereby authorize …

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REQUEST FOR AUTHORIZATION OF SERVICES

WEBAUTHORIZATION SUBMISSION FAX: 888-300-9320 . REQUEST FOR AUTHORIZATION OF SERVICES . PARTICIPATING PROVIDERS: Please refer to Section III for the list of services that require prior authorization.

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Member Appeals & Grievances

WEB1) Call Member services. For any of our plans, call 855-969-5861. 2) Or write to us at: CommuniCare Advantage Appeals and Grievances. 10123 Alliance Road, Suite 240. Blue Ash, OH 45242. 3) Or fax your complaint to: CommuniCare Advantage Appeals and Grievances. 513-605-6830.

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