The Commonwealth Care Alliance (CCA) Provider Portal represents a sophisticated digital platform designed to empower healthcare providers with real-time access to critical member information and administrative tools. This comprehensive portal serves as a centralized hub for providers working with CCA’s health plans in Massachusetts and Rhode Island.
Official Links
What Providers Can Do
The CCA Provider Portal offers a self-service, one-stop solution that enables healthcare professionals to:
- Search for member eligibility
- View summary of benefits
- Review individualized care plans
- Access care partner contact information
- Complete administrative transactions in real-time
Key Features
Comprehensive Plan Information
- CCA Medicare Advantage Premier Plan: Available since January 1, 2023
- Detailed member benefit summaries
- Service area information
Care Coordination Tools
- Individualized member care plan review
- Care partner contact information access
- Designed to improve member health and independent living
Professional Development
- Self-service provider orientation
- Audio recording available
- Narrated slide-based presentation
- Introduction to CCA plans and services
Access and Support
Provider Services Contact
- Phone: 866-420-9332
- Hours:
- 8 am – 5 pm (Monday, Tuesday, Wednesday, Friday)
- 8:30 am – 5 pm (Thursday)
Privacy and Security
While specific security details are not explicitly outlined in the provided sources, CCA emphasizes:
- Commitment to provider partnerships
- Operational excellence
- Strong analytics and reporting
Unique Portal Capabilities
The portal demonstrates remarkable engagement metrics:
- 92% member engagement rate
- Proven effectiveness in addressing:
- Social determinants of health
- Behavioral health needs
- Medical service coordination
Unprovided Information
The following details were not specifically addressed in the source documents:
- Exact login procedure
- Mobile app availability
- Specific security protocol details
Language Support
CCA offers interpreter services in multiple languages, including:
- Spanish
- Chinese (Mandarin and Cantonese)
- Tagalog
- French
- Vietnamese
- And several others
The Commonwealth Care Alliance Provider Portal represents an innovative approach to healthcare information management, offering providers a streamlined, comprehensive tool for member care coordination and administrative efficiency.
Note: Information is current as of the most recent source documentation (June 5, 2025).
Keywords
- Commonwealth Care Alliance provider portal
- Healthcare provider digital platform
- Member care coordination
FAQ
What type of insurance is the Commonwealth Care Alliance?(When this Evidence of Coverage says “we,” “us,” or “our,” it means Commonwealth Care Alliance California, LLC. When it says “plan” or “our plan,” it means Plus (HMO).) CCA Health Plus (HMO) is a health plan with a Medicare contract.
Is the Commonwealth Care Alliance the same as MassHealth?
Who is the new owner of Commonwealth Care Alliance?CareSource acquires Commonwealth Care Alliance for over $400M. Nonprofit health insurance company CareSource has invested more than $400 million to buy struggling nonprofit insurer Commonwealth Care Alliance.
Who is the PBM for the Commonwealth Care Alliance?
| SCO Plan—MassHealth Only | PBM | |
|---|---|---|
| Commonwealth Care Alliance | CVS | 004336 |
| Senior Whole Health | CVS Caremark | 004336 |
| Tufts Health Plan | Optum | 610011 |
| UnitedHealthcare | Optum Rx | 610494 |
https://www.commonwealthcarealliance.org/ma/providers/
Welcome, CCA providers. Visit to access provider manual, forms and referrals, provider news, and the claims portal.
https://www.commonwealthcarealliance.org/provider-news/2023-provider-portal-enhancements/
The CCA Provider Portal is a self-service one-stop shop empowering our providers to quickly access important member information and complete administrative