Attention: CommunityCare will be performing website maintenance Friday, Nov. 17th through Sunday, Nov. 19th. Some online documents, tools and resources will be unavailable during this time. Thank you for your patience.
Call CommunityCare at 1-877-321-0022 for more information and rate quotes.

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.

Treatment Guidelines & Criteria

Treatment guidelines and/or criteria are available solely for the use of its contracted providers and should be viewed only as a general guide to assist in administering plan benefits and do not constitute medical advice.

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.