Prior Authorizations are now handled by two new teams to serve you better!
Learn MoreAuthorization Form Changes: Effective October 19, 2020 prior authorizations will be processed by two teams: Government Programs and Commercial Plans. See new fax numbers and new fillable forms on our website. Be sure to reprogram your fax machines or electronic fax services as well as update any form templates you maintain. You may also submit via Provider Connection. Learn about this new contact information.
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.
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Transportation Benefit
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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.
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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.
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Fraud, Waste and Abuse
Learn more about fraud, waste, and abuse; including its definition, examples, prevention, and your responsibilities as a provider.
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Supplemental Resources
This page contains supplemental resources to help you provide the best possible care to Optima Health members.
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New Fax Numbers for Prior Authorizations
The Optima Health utilization management team is reorganizing to serve you better. Effective October 19th prior authorizations will be processed by two distinct teams, Government Programs and Commercial Plans. Each team will manage separate telephone and fax lines.