Attention Medicare Providers
Optima Health has discovered an error with Medicare ID cards distributed to members for 2023 and action is required to avoid claims submission denials.
Normal Medicaid Enrollment Processes Will Start Soon
There are several ways to help your Medicaid members prepare for the Public Health Emergency (PHE) Unwinding.
Get the details and find out how you can help
Supporting Members as COVID-19 Spreads
As your partner in health, we are taking steps to protect and educate our members about the coronavirus (COVID-19) as it spreads throughout our nation.
Learn about actions we are taking to support our members | Frequently asked questions for Providers | Vaccine Information for Providers (PDF)
Our Quarterly Provider Webinars help keep our Provider Community informed. Learn more about our webinar schedule and register for one of our upcoming webinars today!Register Now
Do you need more information to help coordinate transportation services for your patients?Learn About Transportation Services
Cultural Competency Attestation
Have you participated in Cultural Competency training? You must complete this acknowledgement in order to be credited with the completion of this training.Get Credit
Optima Health Community Care and Optima Community Complete (D-SNP)
Are you a participating Optima Health Community Care or an Optima Community Complete provider? Please complete these courses to learn about doing business with Optima Health Community Care, CCC Plus and Optima Community Complete.Take the Courses
Fraud, Waste and Abuse
Learn more about fraud, waste, and abuse; including its definition, examples, prevention, and your responsibilities as a provider.Learn More
This page contains supplemental resources to help you provide the best possible care to Optima Health members.View Resources
Please email us at firstname.lastname@example.org to tell us how we may improve this website to make doing business with Optima Health easier.
Benefit Flexibilities Post Public Health Emergency (PHE)
View the status of the benefit flexibilities post PHE.
CMS - External Infusion Pumps Policy
Changes in the Medicare Part B program will improve access to high quality, affordable biosimilars for people with Medicare as well as impose a $35 per month cost-sharing cap on insulin used in DME pumps.