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Submit a message using our General Contact Information Form available online form by following this link.
Select Provider Contracting under What is this message regarding?.
A member of our Provider Network Administration Team will be in contact to obtain the necessary information to start the review process via a Participation Request Form.
Provider(s) must meet CommunityCare’s Participation Criteria which includes, but is not limited to:
Participation Request Forms must be fully completed and submitted with the requested W9 and sample claim form. Incomplete forms or missing documents will not be forwarded for review.
When all the necessary information has been received by the Network Administration Team your request is submitted for review by CommunityCare's Network Development Committee.
Provider Network Administration staff cannot extend a new contract without Executive level approval.
Provider Network Administration staff will communicate the determination received from the Committee .
If approved for participation, the Provider Network Administration staff will be your primary point of contact through the process until your contract has been assigned an effective date.
Contracts will be drafted and sent to you for signature.
Contracts cannot be assigned an effective date until:
You must have an effective contract and credentialing approval before rendering services to CommunityCare members.
Concurrent to the contracting process, the CommunityCare provider(s) credentialing process will begin.
CommunityCare’s Credentialing staff will obtain a credentialing application from CAQH.
If the provider does not utilize CAQH, then a credentialing packet will be emailed to the designated credentialing contact.
The Credentialing process does not get started until CommunityCare has a complete application which includes:
Once the provider(s) has/have been approved by the Credentials Committee and contracts have been signed and counter signed, your contract will be assigned an effective date by a Provider Network Administrator.
The 1st day of the month following Credentials Committee approval is the standard effective date.
The Provider Network Administrator will provide you with a copy of your fully executed and effectuated contract(s) and will connect you with your Provider Services Representative.
Your Provider Services Representative will be your primary contact going forward during your participation with CommunityCare.
What information should be updated?
Contact your designated Provider Services Representative to make the changes noted above.
Updated certificates of malpractice insurance or loss of license(s) to practice should be reported to CommunityCare’s Credentialing Team within 10 days of the update or change.
CommunityCare accepts 837 EDI claim submissions via Availity.
Effective, December 15, 2025 all payments and remittances for CommunityCare will be processed through Echo Health. Providers will need to contact Echo Health at (800) 401-7870 to select your preferred method of delivery.
CommunityCare offers 270/271 Eligibility Benefit Inquiry (Real-Time Eligibility).
*Please work with your clearinghouse if you are not able to send a request and/or receive a response for these transactions.
CommunityCare offers 276/277 Claim Status Request and Response transactions.
Member eligibility, benefits and claim status can also be viewed via CommunityCare’s provider portal, CareWeb. Submit a CareWeb Security Request form to request access to CareWeb.
Networks - Health Systems
CareWeb LiaisonFreeman PHO (JM)PPO Southeast KS, Southern & Western Oklahoma