COVID-19 and Telemedicine Provider Update - updated 5/14/2020

CommunityCare has expanded its coverage for fully insured members, and some Self Funded Employers, to include telemedicine and e-visits for all medically necessary services and symptoms. Previously, these services were specific to COVID-19 symptoms.

Jimmo vs. Sebelius

Important information to Medicare Advantage plan providers regarding Skilled Nursing and Skilled Therapy Services coverage and the Jimmo vs. Sebelius settlement from the Centers for Medicare and Medicaid Services (CMS).

Directory Info Review

CommunityCare strives to make the most accurate provider directories available to our members. This is also required by the Centers for Medicaid and Medicare Services (CMS) and the Affordable Care Act (ACA). Use the link below to review our directories to ensure your information is accurate.

  • Clinic Name
  • Address
  • Phone Number
  • Languages spoken other than English
  • Acceptance status

Should you find information in our directories that needs to be updated, please contact your Provider Relations Representative or email us at ProviderRelations@ccok.com and we will provide you with the appropriate form to update your information.

Pharmacy Information

Visit the provider's pharmacy information section for details regarding Pharmacy academic detailing, specialty pharmacy programs and searchable prescription drug formularies.

Forms

We've compiled a list of useful forms for our providers.

CareWeb Provider Connection

Access tools for physicians and practice administrators through CareWeb Provider Connection.

How to get started

If you are not a registered user, please complete the Provider Connection Security Request Form and fax it to the number listed on the form.

Please Note: CareWeb is available to HMO participating providers only.

Coronavirus Self-CheckerX