Optima Health Partners with CareCentrix

As a valued partner of Optima Health, we wanted to share that we have contracted with CareCentrix to manage post-acute care (PAC) services for our commercial members including all group sizes and Individual Product, effective October 1, 2021.

SQCN members and those with certain diagnoses are excluded from this program.

  • CareCentrix now manages authorizations for members discharged from acute care hospitals who are admitted to skilled nursing facilities or inpatient rehabilitation facilities.
  • CareCentrix provides nurse coaching for eligible members after an acute care hospital discharge for a period of up to 90 days to support their path to healing, reduce unnecessary readmissions, and help members achieve self-management.
  • Optima Health will continue to manage authorizations for all other services.

For more information about these changes, view our Frequently Asked Questions.

Please contact your Optima Health representative if you have any questions.