Medicare Provider Resources

Medicare Provider Resources

Thank you for choosing to participate as a provider in the Network of the Community Care Alliance of Illinois, NFP. CCAI’s goal is to improve the quality and health outcomes of our Members through, truly coordinated care. We understand that this is a partnership and strive to do our best to keep you informed and educated on the opportunities, practices, and policies of CCAI.

How May I Join Your Network?

Thank you for considering joining our network! We have a growing list of Providers and we want you to be a part of it! Please email us at This email address is being protected from spambots. You need JavaScript enabled to view it. and we will be sure to answer any questions you have or to help you start the process to become contracted with CCAI, NFP.

My Contract Status and/or Contact Information has changed.  What do I do now?

If your information as a Provider has changed recently, please inform your assigned Network Management Specialist immediately or email This email address is being protected from spambots. You need JavaScript enabled to view it. so that we can update our system (this includes contact information and/or your contracting status with CCAI).  This will help us ensure that our Provider Directories are up-to-date and accurate.  Thank you for your attention to this matter.

Who Do I Contact about Compliance, Waste or Abuse Issues?

Community Care Alliance of Illinois, NFP protects our members/patient’s privacy. As a provider who participates in Medicaid and/or Medicare plans, you must cooperate with any investigation, of suspected non-compliance or fraud, waste and abuse.

If you become aware of any potential compliance, waste or abuse issues or potential fraud by a plan member or provider – you must report them to us immediately at the telephone number listed. The Compliance Line is 312-880-1635.

What Resources Do You Have Available for Me?

We at CCAI, NFP are dedicated to providing the most up-to-date information for our Providers. We understand that because of the complexities that come with providing care, it is important to have resources readily available. Below you will find:

Provider Notices

SPECIAL NOTICE:  If your information as a Provider has changed recently, please inform your assigned Network Management Specialist immediately or email This email address is being protected from spambots. You need JavaScript enabled to view it. so that we can update our system (this includes contact information and/or your contracting status with CCAI).  This will help us ensure that our Provider Directories are up-to-date and accurate.  Thank you for your attention to this matter.

Provider Materials

Provider Educational Materials and Guides

Medicare Advantage

Credentialing Link(s)

ICD-10 Resources

The federally mandated conversion to ICD-10 occurred October 1, 2015. We want to make sure your practice is supported during this industry transition. As you know, ICD-10 will affect diagnosis and inpatient procedure coding for everyone covered by the Health Insurance Portability and Accountability Act (HIPAA), not just those who submit Medicaid or Medicare claims.

By law, your practice must be compliant. Otherwise, your claim will be denied and you will not receive payment. Please utilize the HFS provider notice for claim guidance and CMS provider resources for additional support.  

If you have any questions pertaining to provider resources, provider material, or joining CCAI's contracted network, please send an email to This email address is being protected from spambots. You need JavaScript enabled to view it.

 

Community Care Alliance of Illinois, NFP (CCAI, NFP) is a HMO plan sponsor contracted with Medicare and the Illinois Medicaid program. Enrollment in a CCAI, NFP plan depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. This information is available for free in other languages. Please call our customer service number at 1-855-275-2781 (TTY 711). Hours are between 8:00am and 8:00 pm Monday through Friday (7 days a week from October 1 through February 14). Answering Service available weekends and after hours.

Claims Information

Claims Department

Please submit all claims to:

Community Care Alliance of Illinois
CCAI, NFP PO Box 981731
El Paso, TX  79998-1731
(Change Healthcare Payer ID 85468)

Member Services Information

Member Services

For member services inquiries, please call:

Providers:
Members:
TTY/TDD:

Fax:
1-866-871-2305
1-855-275-2781
711
1-312-492-9707

Community Care Alliance of Illinois, NFP
322 S. Green Street, Suite 400
Chicago IL 60607

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