Provider for MMA -
Provider Operations

Florida Medicaid (MMA) Continuity of Care Guidelines

Community Care Plan (CCP) is an entity owned and operated by South Florida’s most experienced names in healthcare: Broward Health / North Broward Hospital District and Memorial Healthcare System / South Broward Hospital District in Broward County.

CCP, through the Medicaid contract with the Agency for Health Care Administration (AHCA), provides services to Medicaid populations in Broward County. As the first Provider Service Network in Florida, CCP has managed Medicaid services since March 2000.

The CCP Provider Operations Department works closely with its providers to ensure that Medicaid families receive quality health care and services. CCP is available to assist providers and their offices with the procedures required by CCP which would include (but are not limited to):

  • New Provider Orientation
  • Assistance with Reporting Requirements
  • Educational Overviews on Compliance Issues
  • On-Site Support at the Provider’s office
  • Assistance with Practice Changes; Updates
  • Verify eligibility, review claims and pre-authorizations
  • Questions Regarding Procedures, policies, reimbursement, and Other Program Information

Provider Operations Representatives conduct routine visits of CCP provider sites. During these visits, the Provider Operations Representative assesses the practice’s total compliance with various regulatory and program standards, including:

  • Access to Care
  • Physical Accessibility to the Practice Environment
  • Medical Record Keeping Practices
  • Patient Confidentiality Procedures
  • Physical Appearance and Adequacy of the Facility
  • Appropriate Staffing (Medical and Administrative)
  • OHSA Compliance
  • Grievance Procedures
  • Peer Review Procedures

Provider Operations Department Representatives are available to assist you with any of the services outlined above from 8:00 am to 7:00 pm, Monday through Friday. Contact:

CCP Provider Operations Department: 1-855-819-9506.