Commonwealth Care Alliance

Senior Care Options Program (HMO SNP)

For Providers » Welcome

Welcome

At Commonwealth Care Alliance, serving the healthcare needs of our members is our whole reason for being. We are committed to providing them with the best care possible and keeping them healthy, stable, and independent.

We contract with primary care providers (PCP) rooted in their local communities who have strong working relationships with specialists, hospitals, community-based home care providers, and skilled nursing facilities.

We specifically seek providers who can accommodate the unique needs of our membership, including our frail senior population and our members with physical disabilities and behavioral health concerns. Our provider network also serves those of our members who are healthy by offering distinctive care management programs to help them stay that way.

In short, our provider network has the ability to address our members’ healthcare needs from simply helping them with the activities of daily living to treating and supporting those with the most complex care needs.

Important Information:

Commonwealth Care Alliance makes changes for 2017

Commonwealth Care Alliance has updated the list of services that require prior authorization. For a complete list of services requiring prior authorization please refer to the 2017 Provider Manual. Formulary changes have also been made effective 1/1/17 and can be found in the 2017 Formulary. In addition, Commonwealth Care Alliance has a preferred arrangement with ABBOTT Diabetes Supplies for Glucometer and test strips, which must be obtained through Commonwealth Care Alliance’s pharmacy network.

To view the PDF files above, you may need to download a free copy of Adobe® Acrobat Reader software on your computer. (This link takes you away from the Commonwealth Care Alliance website pages.) Click here for more information about Adobe Acrobat.

*When you click this link, you will leave Commonwealth Care Alliance’s website.

 

Last Updated 07/07/2015