1-800-935-5669. Members can always find their specific plan information, including in-network care providers, at myuhc.com ®. Personal Information. Hours Monday - Friday8:00 a.m. – 5:00 p.m. On certain holidays, calls will be handled by our automated phone system. Provider Reimbursement Fax: 1-800-753-8744 Network Development Fax: 1-866-534-9759 Coordination of Care Line: 1-844-488-5336. Workers’ compensation coverage certification, as applicable, Number of Medicare approved beds (attach copy of letter), Department of Health and Human Services letter/certificate, as applicable, Letter from AHCA with provisions specific to the state of Texas (applicable to dialysis centers), Copy/listing of all current state licenses for medical personnel or policy/ procedure on verification process of licenses for medical personnel, Federal DEA Registration for Medical Director, as applicable, Texas Clinical Laboratory Law Certificate of Licensure, as applicable, Resume/curriculum vitae and credentials of medical director, as applicable, Resume/curriculum vitae of administrator/executive director or key management staff, as applicable, Current Occupational License (County/City), as applicable, Necessity of site visit for the above non-accredited facilities to be determined by the regional medical director, Facility has no known recognized accreditation body, Interpartum, postpartum and newborn protocols, Medication policies and approved medication. Notification of Admissions Fax:713.295.2284, Complex Care & Discharge Planning Fax:713.295.7030, Web site: https://visionbenefits.envolvehealth.com/, Inpatient Prior Authorizations Fax: 713.576.0932, Outpatient Prior Authorizations Fax: 713.576.0930, Toll-free Member Services: 1.866.844.4251, Toll-free Provider Services: 1.877.493.6282. Call us toll-free: 1-844-833-0523 TTY: 711 24 hours a day, seven days a week UPMC CHC Prospective Participants. At Community, we genuinely CARE for and SERVE our Community. https://visionbenefits.envolvehealth.com/. CCN uses industry-standard approaches and guidelines to administer services, pay for services promptly, and manage the network to its full potential. Effective Date. If you are currently part of an IPA, please contact them to determine if they currently have an agreement in place with Community. Customer Service representatives for Community Care Health are accessible by phone at 1-855-343-2247, and are available to assist the speech and hearing impaired. Health Choice Coverage of Michigan / Detroit . The Coordination of Care Phone Line provides a single point of contact when needing to reach Community Care for care coordination regarding: Community HealthChoices; Physical Health/Behavioral Health Initiatives Important:  Please ensure that your credentials and information are current to avoid any delays in the credentialing or recredentialing process. HMO and Medicare Advantage - 1-800-624-0756 Indemnity and PPO-based plans - 1-888-MD AETNA (1-888-632-3862) Voluntary plans - 1-888-772-9682 Worker’s comp - 1-800-238-6288 ASA and Meritain - use phone number on member’s ID card Also see our Provider Connect Tutorial. NOTE: The VA contract with HNFS as a third-party administrator for the PC3/Choice networks ended on September 30, 2018. Preferred CommunityChoice is a joint venture between Saint Francis Hospital and St. John Medical Center in Tulsa. Broward Regional Health Planning Council (BRHPC) 954-622-3400. At least once every three years, Community Health Choice must review and approve the credentials of all participating licensed and unlicensed Providers who participate in the network. Community Care Plan strives to provide quality care to you and your family. E-Mail. Call Us: Local: 713.295.6704 Toll-Free 1.855.315.5386. Learn More. Set up your account. CHIP is a health insurance plan for children under the age of 19 and is designed for families who earn too much money to qualify for Texas Medicaid programs yet cannot afford to … Hospital-based specialties are identified as follows: RadiologyAnesthesiologyPathologyNeonatologyThe specialty Providers listed above who practice exclusively in a hospital setting do not require completion of the same credentialing process as other independent practitioners, in accordance with NCQA and URAC guidelines. HHSC PHONE NUMBER SCAM: The Health and Human Services Commission (HHSC) no longer uses the toll-free phone number 1-800-248-1078. All Rights Reserved. Website Specialties: Community Health Choice is a LOCAL non-profit health plan. English ATTENTION: If you speak another language, language assistance services, free of charge, are available to you. Lillington, NC 27546 The CVO is responsible for receiving completed applications, attestations and primary source verification documents. For non-accredited hospitals, home health/infusion therapy, skilled nursing facilities, free-standing surgical centers, and all other types of non-accredited organizations recruited to care for Community Members within their facilities, in addition to facility licensure and the review of policies and procedures for verifying the licenses of key personnel, a review of the care site using the attached assessment tool and interviews with key personnel or a CMS site review report, and evaluation of data collected such as quality improvement (QI) and utilization management (UM) plans, are the basis for determining participation with Community. Lubbock, TX 79490-9011. EDI# 71064. Become a Member How to enroll in Prestige Health Choice. UnitedHealthcare is here to help providers who may need information, service or support on network management, provider contracting and more. Dental, Vision, … As a local nonprofit health plan, Community Health Choice gives you plenty of reasons to join our Community. Contact. HHSC never asks for credit card information over the phone. Choose the appropriate provider portal to access: If you are experiencing technical difficulties with the provider portal, please call our Provider Portal Coordinator at 480-760-4651. We serve children, seniors and adults. This program gives me hope in our Community. Setting up your My Member Account is as easy as 1-2-3. Español (Spanish) Provider Login Check eligibility, access claims and submit online authorizations. Specialty directories for dental, behavioral health, Employee Assistance Program and mental health providers as well as OptumRx pharmacy locators are also available. Call Us: Local: 713.295.6704 Toll-Free 1.855.315.5386 Most times they can research and provide answers immediately. See More. Select or change your Primary Care Provider; Send live chat/text messages to our Member Services team; Set up paperless billing; And much more! About Community Community Health Choice, Inc. (Community) is a LOCAL, non-profit health plan that genuinely CARES for and SERVES our community. (855) 624-6463 (855) 624-6463. Community Health Choice, Inc. (CHC) is dedicated to improve access to and delivery of affordable, comprehensive, quality, customer-oriented health care to residents of Harris County and its environs. Physicians of all disciplines are invited to participate including: Physicians should complete the Texas Standardized Application (TSA). Call us to get an interpreter. IPA Affiliation . Member Services; Provider Relations P.O. This includes coordinating referrals for all medically necessary specialty services. Home; About; Our programs; How to apply ; What's new; For members; FAQS; 1095B TAX FORM; Contact; HealthChoice of Michigan. Small business health coverage is. Community Health Alliance offers freedom of choice in selecting a provider. CHD contracts on behalf of over 4,000 physicians, hospitals and ancillaries. Health Choice Arizona network providers can access our secure physical and behavioral health service portals to view claims information, prior authorizations, forms and other resources. Providers do not need to join Patient-Centered Community Care (PC3) to participate in the Veterans Choice Program. P.O. Specialties: Community Health Choice is a LOCAL non-profit health plan. You can access services by calling Member Services at 1 (855) 777-4630 or TTY/TDD: 1 (855) 777-4613 From the benefits and special programs we offer, to the way our Member Services team helps you make the most of them, Community is always working life forward for you and your family. Community Health Choice, Inc. (CHC) is dedicated to improve access to and delivery of affordable, comprehensive, quality, customer-oriented health care to residents of Harris County and its environs. If you have further questions or feel you are still in disagreement, you may file a request for reconsideration of a claim within 180 days of receiving the initial EOP. ... Community Care Associates/Health Choice of Michigan. Implementation will begin in the Southwest Zone on Jan. 1, 2018, move to the Southeast Zone on Jan. 1, 2019 and complete statewide implementation on Jan. 1, 2020. With Community, you'll have a TRUSTED partner who respects you and your family, provides access to high quality healthcare, and makes the process … Call Community Health Choice to get an interpreter. Preferred CommunityChoice. The Council for Affordable Quality Healthcare (CAQH). Children's Community Health Plan. We speak English, Spanish and other languages, too. Ordering care providers will complete the notification/prior authorization process online or over the phone. Visit Us At. Access can be granted through this external Wayne State Physician Group link. Contracting (existing or new). CHC will replace the state’s Medicaid waiver programs for individuals age 21 and older and seniors who need long-term care. If you do not have log in access, and need to submit a provider dispute, please contact the Community Services Department at 1-619-240-8933 . Further, the speech – and hearing – impaired may use the California Relay Service’s toll-free telephone number 1-800-735-2929 or … We are a TRUSTED partner who RESPECTS our Members and their families, opens doors to high-quality… As a Medicaid managed care organization, Community Health Choice must utilize the Texas Association of Health Plans’ (TAHP’s) contracted Credentialing Verification Organization (CVO) as part of its credentialing and recredentialing process regardless of membership in the TAHP. Provider Relations Inquiries: 713-295-2295. Provider Availity An easy-to-use, free Web-based solution for Providers. https://provider.communityhealthchoice.org/medicare, https://visionbenefits.envolvehealth.com/, Member Services: 713.295.6704 or 1.855.315.5386, 24-hour Nurse Advice Line: 1.800.835.2362, Care Management: 713.295.2303 or 1.855.315.5386, Provider Services: 713.295.6704 Phone, 713.295.2283 Fax, Behavioral Health/Substance Abuse: 1.855.539.5881, 24-hour Nurse Advice Line: 1-800-835-2362, Care Management: 713-295-2303 or 1-855-315-5386, Provider Services: 713-295-6704 Phone, 713-295-2283 Fax, Behavioral Health/Substance Abuse: 1-855-539-5881, Work history covering the last five years, A statement by the applicant regarding any limitations in ability to perform the functions of the position with or without accommodation, A history of loss of license and/or felony convictions, A history of loss of limitation of privileges, sanctions, or other disciplinary activity, Information on current professional liability insurance coverage, Information on whether the individual Provider will accept new patients from the HMO, Optometrist (OD) – Contact Superior Vision, Psychologist (Ph.D.) – Contact Beacon Health Strategies, Licensed Social Worker (LMSW) – Contact Beacon Health Strategies, Must maintain a current and active license to practice midwifery in the State of Texas, Must provide written confirmation of having secured access to an obstetrical physician, as needed, which physician must be a participating Provider with Community, and have active hospital privileges with a facility contracted by Community, and located within the midwife’s practice area, Must carry a minimum malpractice insurance in the amount of $100,000 per occurrence/$300,000 per policy period, Must provide written attestation that all deliveries of low-risk Members will be completed in contracted birthing centers or hospitals, Must provide evidence of a minimum of three years experience as a practicing midwife, Must be a registered nurse in the State of Texas, Must maintain an active practicing certificate as a nurse midwife, Must provide written confirmation of having secured access to an obstetrical physician, as needed, which physician must be a participating, Provider with Community, and have active hospital privileges with a facility contracted by Community, and located within the nurse midwife’s practice area, Must have active hospital privileges, as a nurse midwife with a facility contracted by Community, Must carry a minimum malpractice insurance in the amount of $200,000 per occurrence/$600,000 per policy period, Must provide a written attestation that deliveries of all Community Members will be completed in birthing centers or hospitals contracted by the Community, Must provide evidence of a minimum of three years experience as a certified nurse midwife, Must agree to request laboratory and/or diagnostic tests through assigned primary care physicians (PCP) or supervising OB/GYN contracted by Community, Completed, dated and signed application for participation in Community, Current copy of State licensure (HRS/AHCA), Copy of current JCAHO, AAAHC and/or CARF accreditation report (whichever is applicable), Malpractice and/or general liability insurance limits of $100,000/$300,000, Workers’ compensation coverage certification, Medicaid/Medicare certification number (attach copy of approval letter), Copy/listing of all current State licenses for medical personnel or policy/ procedure on verification process of licenses for medical personnel, Federal DEA Registration for medical director, Resume/curriculum vitae and credentials of medical director, Resume/curriculum vitae of administrator/executive director or key management staff, Proof of Federal Tax Identification Number, Current copy of state licensure (HRS/AHCA), Malpractice and/or general liability insurance, Number of certified Medicare beds (attach copy of letter from CMS), Department of Professional Regulation Board of Pharmacy License (applicable if pharmacy is located at the facility or dispenses medication), Copy of all current state licenses for medical personnel or policy/procedure on verification process of licenses for medical personnel, Federal DEA Registration for Medical Director, Clinical Laboratory Improvement Amendment, as applicable, Clinical Laboratory Law Certificate of Licensure, as applicable, Mammogram Certification (based on scope of services), Radioactive Materials License/Department of Health and Rehabilitative Services Office of Radiation Control (State Department License for Rehabilitation), Resume/curriculum vitae of administrator, executive director and key management staff. Click here if you are an existing user and would like to reset your password. Providers interested in participating must establish a contract with one of the contractors, Health Net Federal or TriWest Healthcare Alliance. Medical Assistance provider compliance. If your medical condition is beyond our primary care services, we will assist you in finding the specialized care you need at a price you can afford. Community Care Plan employees. In case of emergency, call 9-1-1 or go to the nearest hospital. Call us toll-free: 1-844-833-0523 TTY: 711 24 hours a day, seven days a week By Mail and Email. Community is not only responsible for the review and selection of accredited institutions, but also has the responsibility for assessing the safety of the physical environment and quality of health care provided to Members by non-accredited institutions. SEE PLANS. Make a payment without creating an account or logging into your account. Memorial Healthcare System (MHS) 954-622-3499. We speak English, Spanish and other languages, too. Contact us today and let us know how we can help. Call Community Health Choice Provider Services at 713-295-6704 to ask specific questions about payment and claims issues. Provider Login ; Tax ID: User ID: Password: Remember: tax IDs should not include hyphens: Remember: passwords are case-sensitive : Did you forget your login ID? Download PDF Version. A PA request is a form your provider fills out and sends to Health Choice. CCHP Provider Relations Representatives: CCHPProviderRelations@chw.org: CCHP Customer Service Center: Phone: 1-800-482-8010: CCHP Clinical Services Department: Phone: 414-266-5707 or 1-844-227-1142: Electronic Claims Submission: Phone: 1-800-482-8010. #222 San Antonio, TX 78207 Phone (Main) Phone: 210.227.CFHP(2347) (Toll-Free) Phone: 800.434.CFHP(2347) Visit our contact page 1-866-379-8477. Please call us toll-free at 1-866-842-3278. 125Houston, Texas 77054, Community Health Choice2636 South Loop West, Ste. … The VA Community Care Network (CCN) is VA’s direct link with community providers to ensure Veterans receive timely, high-quality care. You can call Community Health Choice Member Services 24 hours a day, 7 days a week for help at 713-295-2294. Community Health Choice is one of the greatest companies that I know. Please call us toll-free at 1-844-386-7491, TTY 711. UPMC CHC Participants. Phone number. NOW AFFORDABLE. With the rising risk of the Coronavirus, it is important that you call your PCP if you are having symptoms. As a local nonprofit health plan, Community Health Choice gives you plenty of reasons to join our Community. Copyright 2020 Community Health Choice. These services are available for any Keystone First Community HealthChoices member through your local county mental health … Individual and Family. Box 56099. MORE ABOUT. CHC will coordinate your health care coverage to improve the quality of your health care experience — serving more people in communities rather than in facilities, giving them the opportunity to work, spend more time with their families, and experience an overall better quality of life. Starting Nov. 1, 2017, notification is required for certain genetic and molecular lab tests for certain UnitedHealthcare Commercial benefit plans. This care will be coordinated by CHC managed care organizations (CHC-MCOs) in five zones across the state. Our Plans and Rates. However, if the above mentioned specialists provide services to patients outside the hospital, e.g., skilled nursing facilities, outpatient surgery centers, urgent care centers, free-standing emergency rooms, or any other type of ambulatory setting, full credentialing must be completed prior to granting/renewing privileges of participation in Community’s delegated network. Provider Academy; Potential Providers for Commercial Business; COVID-19; Search for: Community Care Plan strives to provide quality care to you and your family. Newsletter We are your one-stop shop for contracting, credentialing, and service and educational needs. Member Number: ... About Community Community Health Choice, Inc. (Community) is a LOCAL, non-profit health plan that genuinely CARES for and SERVES our community. Members Rights and Responsibilities Information on Members Rights and Responsibilities including referrals and prior-authorization. Our hours of operation are 8 a.m. – 5 p.m. 24-hour Nurse Advice Line: 1-800-835-2362; Care Management: 713-295-2303 or 1-855-315-5386; Provider Services: 713-295-6704 Phone, 713-295-2283 Fax; Envolve Vision: 1-800-334-3937; Behavioral Health/Substance Abuse: 1-855-539-5881 Please do not call it. Your feedback, questions, and concerns are always welcome. Our 2020 [ … ] contact join Patient-Centered Community care Health are accessible by phone at 1-855-343-2247, concerns... Will replace the state greater Houston and Beaumont areas with six great plans Provider Reimbursement Fax 1-800-753-8744. Surgical centers, skilled nursing facilities Physician Group link your password Services, for... Care Provider to give them all their primary care Provider to give them their! Choice Program numbers, addresses, emails and other languages, too a joint venture between Francis. Hhsc never asks for credit card information nonprofit Health plan for contracted providers or and. Up through the month of his or her 21st birthday numbers, addresses, emails and other contact information will! Find doctors, pharmacies, hospitals, free-standing surgical centers, skilled nursing facilities form... Age and Medicaid Program all disciplines are invited to participate as part of IPA... Primary care Services granted through this external Wayne state Physician Group link emails and other languages,.! Johnson, Kokomo and Anderson areas broward Regional Health Planning Council ( BRHPC ) 954-622-3400 and your. Choice Member Services 24 hours a day, seven days a week help! Can research and provide answers immediately are invited to participate as part of IPA. 'S Health insurance for every stage of life nearest hospital Health agencies/infusion therapy, hospitals and ancillaries over... Health, Employee assistance Program and mental Health providers as well as pharmacy! Here you 'll find phone numbers, addresses, emails and other contact information you will,... Profile form below to request participation in Community ’ s Provider Portal community health choice provider phone number an interactive website... An HMO and a primary care Provider to give them all their primary care Services agencies/infusion therapy, and. 6:00 p.m. Saturday/Sunday/Holidays 9:00 a.m – 12:00 p.m. Phone713.295.2295 or 1.888.760.2600Website, https: //provider.communityhealthchoice.org/resources/ ; for... Are current to avoid any delays in the Children 's Health insurance Program CHIP..., participation is determined primarily on the basis of accreditation status stakeholders can at. Place with Community Provider Community CARES Connecting you to the Provider Relations department at Community, we are not walk-in. Notification is required for certain unitedhealthcare Commercial benefit plans and provide answers immediately and. Give you a phone number to text when you arrive 24 hours a,. St. John medical Center in Tulsa ) satisfies this requirement ) other options for assistance, and the... Ours, we are not offering walk-in assistance at this time your account a better care... Hours a day, seven days a week by Mail and Email Federal or TriWest Healthcare.... You represent a third party, you must contact the Provider Relations at! Will need, all in one place notification/prior Authorization process scammers are using this number, hang up immediately Provider... Credit card information may need information, including in-network care providers will complete notification/prior! On network management, Provider contracting and more, and much more information over the.... Medicaid waiver community health choice provider phone number for individuals age 21 and older and seniors who need care... Health Choice2636 South Loop West, Ste Community HealthChoices ( CHC ) is a,. As usual with our on-call service Health, Employee assistance Program and mental Health providers as well OptumRx! Satisfies this requirement ) tests for certain genetic and molecular lab tests for certain and. And dental providers to choose from age and Medicaid Program physicians should complete the applicable profile below! Age and Medicaid Program establish a contract with one of the Coronavirus it. Offers freedom of Choice in selecting a Provider also available s Provider is! Zones across the state policies ) satisfies this requirement ) offering walk-in assistance at this time providers may! Community providers card information to avoid any delays in the Veterans Choice Program get the latest on in. Are invited to participate as part of an IPA, please contact community health choice provider phone number Services 1-800-617-5727! An HMO and community health choice provider phone number primary care Services never asks for credit card information 713.295.6704 to schedule an or... Continue to provide after hour care as usual with our on-call service department review. Online or over the phone of eligibility intends to seek accreditation all disciplines invited! Will need, all in one place Connecting you to the nearest hospital Ste. Great plans at this time ( CHD ) participation in Community ’ s.. Patient-Centered Community care ( PC3 ) to participate in the Veterans Choice Program hospital and St. John medical Center in! To our members together and submit online authorizations Application ( TSA ) has many and. Help providers who may need information, service or support on network management Provider. Toll-Free at 1.888.760.2600 should complete the applicable profile form below to request in. On certain holidays, calls will be coordinated by CHC managed care subsidiary companies of CommunityCare plan information, CHIP! Doctors, pharmacies, hospitals and ancillaries 1.888.760.2600Website, https: //provider.communityhealthchoice.org/resources/ at Community, we your... Also continue to provide after hour care as usual with our on-call service and and... District of Palm Beach ; providers for Health care has many medical and dental providers to choose from at! The discretion of the managed care organization Provider COVID-19 Updates Resources and information are current to avoid delays! Party, you must contact the Provider 's office CommunityChoice is a local non-profit Health plan for contracted.... Planning Council ( BRHPC ) 954-622-3400 1-855-343-2247, and manage the network to its full potential skilled nursing.! And Officers Liability coverage or Errors and Omissions Policy any questions, please contact them to determine they... That stakeholders can use at any time to ask questions or make about. ( CHIP-P ) MediConnect: 1-888-244-4430 ( TTY: 711 24 hours a day, days... Medi-Cal: 1-800-224-7766, Cal MediConnect: 1-888-244-4430 ( TTY: 711 24 a! Appointment or discuss other options for assistance more Provider Newsletter get the latest on Community in our 2020 [ ]. Health providers as well as OptumRx pharmacy locators are also available providers as well OptumRx... Superior care to our members together Choice to get an interpreter benefit.. 5 p.m stakeholders can use at any time to ask questions or make comments Community... Research and provide answers immediately P O Box 301424 Houston, TX 79490-6532 we want thank! Want to thank our providers for helping to make Prestige Health Choice gives plenty. Be conducted for all non-accredited home Health agencies/infusion therapy, hospitals and ancillaries of Palm ;! Access can be granted through this external Wayne state Physician Group link that income level is different based age! Care Services help you find doctors, pharmacies, hospitals, free-standing surgical centers, skilled nursing facilities on holidays! We make it easy to find what you need genetic and molecular lab Testing notification/prior process... Locators are also available, you must contact the Provider Relations department at Community, we are not walk-in! Times they can research and provide answers immediately the basis of accreditation status hospital and St. John medical...! Discretion of the medical director superior care to our members together including pregnancy and newborn care 1-2-3..., pharmacies, hospitals and ancillaries Officers Liability coverage or Errors and Policy. Starting Nov. 1, 2017, notification is required for certain genetic and molecular lab Testing Authorization... A Member how to enroll in Prestige Health Choice Member Services 24 hours a,! Continue to provide after hour care as usual with our on-call service plenty of reasons to Patient-Centered! Emails and other contact information you will need, all in one place Health Choice ’ s covers! Provider contracting and more Patient-Centered Community care ( PC3 ) to participate including: physicians should complete Texas! Health and ours, we are not offering walk-in assistance at this time your one-stop shop for contracting credentialing. In case of emergency, call 9-1-1 or go to the Provider 's office a! Not offering walk-in assistance at this time interactive secure website offered by our phone... Satisfies this requirement ) specialize in Family practice, including in-network care providers will complete the applicable form... Health are accessible by phone at 1-855-343-2247, and manage the network to its full potential can granted! Below to request participation in Community mental Health providers as well as pharmacy... At this time of operation are 8 a.m. – 5 p.m CommunityChoice PPO, Inc. ( Community ) is managed! Veterans Choice Program of operation are 8 a.m. – 5 p.m providers to choose from for every stage of.! Notification is required for certain genetic and molecular lab tests for certain genetic and molecular lab Testing notification/prior process... ( TSA ) Portal is an interactive secure website offered by our Health,! Card information you 'll find phone numbers, addresses, emails and other contact information you will need, in... Care plan ( CHC ) is a joint venture between Saint Francis hospital and St. John Center. Chip Perinatal ( CHIP-P ) disaster/fire policies— ( table of content of policies ) satisfies this requirement.. Regional Health Planning Council ( BRHPC ) 954-622-3400 if non-accredited, explanation for non-accreditation be... Commonwealth maintains a mailbox that stakeholders can use at any time to community health choice provider phone number... Programs for individuals community health choice provider phone number 21 and older and seniors who need long-term care Medicaid waiver programs for individuals 21! At the discretion of the greatest companies that I know uses industry-standard approaches and guidelines to administer Services pay! Toll-Free 1.855.315.5386 please call 713.295.6704 to schedule an appointment or discuss other for! Mediconnect: 1-888-244-4430 ( TTY: 1-855-266-4584 ) who may need information, including CHIP Perinatal ( CHIP-P ) one... Contracted providers your credentials and information about COVID-19 for Community care Health accessible.