cca medical (previously pim/cca) patient portal

How do I contact the CCA health plan office?

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What is CCA uncommon care®?

Dec 01, 2021 · Become a CCA Primary Care patient. 833-574-3036 (TTY 711) 8:30 am to 5:00 pm, Monday through Friday.

Is the patient portal a substitute for medical attention?

Mar 31, 2022 · Welcome, CCA providers. Visit to access provider manual, forms and referrals, provider news, and the claims portal. Learn more about being a CCA provider. ... Acute medical/surgical admissions per 1,000 for CCA SCO members from 2019 to 2020. ↓13.2%. Inpatient expenses.

Why choose CCA senior care options?

May 06, 2022 · 866-ASK-1CCA (TTY 711) 8:00 am to 8:00 pm ET, Monday through Friday, and 8:00 am to 6:00 pm ET, Saturday and Sunday.

What is CCA primary care?

CCA Primary Care (formerly known as Commonwealth Community Care) is a welcoming place where you will receive all the high-quality, personalized care and services you need. As a CCA health plan member, you know firsthand our dedication to your health and well-being. And when you also become a CCA Primary Care patient, all the care and services you receive can be even more closely coordinated.

Can a primary care doctor spend more time with you?

You can expect your physician and other clinicians to spend more time with you than a typical primary care doctor can

Can you refer a patient to CCA?

Check out our health plans and consider enrolling. Healthcare providers can also refer a patient to CCA Primary Care.

What is the phone number for CCA?

Existing CCA health plan members should call 866- 610-2273 for questions about your plan.

Is CCA a nursing home in Massachusetts?

of CCA Senior Care Options members in Massachusetts are nursing home certifiable, yet are able to live safely and independently at home with our care and support

What is a CCA member?

As a Commonwealth Care Alliance (CCA) member, you receive the special care you need, which may include medical, behavioral health, and social support. Based on your unique needs, you may get access to a care partner and team skilled in a variety of services. You and your care team will make important decisions together to make sure that your care is personalized to YOU.

Does CCA have a care team?

For some health plans, CCA offers care teams based on individual needs. Some members may not require the support of a care team. Members can also choose to not work with a CCA care team. Support and services are based on the health plan selected and on individual member needs.

Does CCA MassHealth have more benefits than Medicare?

As a CCA MassHealth plan member, you now get MORE benefits than your Medicare and Medicaid coverage—at $0 cost to you.

What is the CPT code for digital evaluation and management?

To receive payment for the new online digital evaluation and management (CPT codes 99421, 99433, and 99423) or virtual communication services (HCPCS codes G2012 and G2010), Rural Health Centers (RHCs) and FQHCs must submit claims with HCPCS code G0071 (Virtual Communication Services) either alone or with other payable services. CCA is actively working to incorporate this increased rate. Any claims which were paid at the original rate with Date of Service after the effective date will be automatically adjusted to pay at the updated rate. Providers do not need to contact CCA to initiate this adjustment.

When will HCPCS codes be accepted?

HCPCS Codes U0001, U0002 and 87635 will be accepted beginning 4/1/2020 for service dates 2/4/2020 onward. HCPCS Codes U0003 and U0004 will be accepted as of 4/14/2020 for service dates 3/18/2020 onward. HCPCS Codes G2023 and G2024 will be accepted as of 3/30/2020 for services dates 3/31/2020 onward. Please see CMS Fact Sheet for further information.

What is the code for 86328?

Codes 86769, 86328, 87426, 86408, 86409, and 86413 relate to tests for antibodies developed during a COVID-19 infection, and will be paid in accordance with applicable Medicare and MassHealth policies.

When will CMS stop implementing enforcement discretion?

A. In July, CMS released a statement that “CMS expects to discontinue exercising enforcement discretion beginning on August 3, 2020, regardless of the status of the public health emergency.” CCA has resumed audit activity as of October 2020. Providers are required to comply with all audit requests. CCA is actively monitoring for any additional guidance from CMS and EOHHS. Please visit the following CMS link for additional information: https://www.cms.gov/files/document/provider-burden-relief-faqs.pdf

Do you need a referral for CCA?

A. No, in order to facilitate immediate access to care for our Members, no authorization or referral requirements are needed for COVID-19 related services or treatment. Providers are still responsible for notifying CCA of such services to ensure appropriate discharge planning. Failure to submit this information will result in a claim denial.

Should CCA members submit claims to Medicare?

A. Providers should submit claims to original Medicare for both vaccines and Monoclonal Antibody treatments for all CCA members who are Medicare beneficiaries.

Is CMS sequestration for CMS?

A. Yes, in some cases. CMS released direction to waive sequestration for dates of service 5/1/20–3/31/21 (see CARES Act and Consolidated Appropriations Act of 2021). CCA has updated fee schedules to accommodate this waiver. Inpatient stays relating to COVID-19 diagnoses have had their DRG weight increased by 20% for the operating portion of the payment under the MS-DRG system. CCA has accommodated this change where applicable. Note: Admissions occurring on or after September 1, 2020 are eligible for the 20% increase in the MS-DRG weighting factor. Providers will be required to have a positive COVID-19 laboratory test documented in the patient’s medical record. See MLN article SE0015 for details.