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Community Care Plan (CCP), the health plan with a heart, 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 is a member of Florida Association of Health Plans (FAHP) and the Association of Community-Affiliated Plans (ACAP). CCP has been awarded an Accreditation status of Accredited by the

National Committee for Quality Assurance (NCQA). CCP is fully accredited by Accreditation Association for Ambulatory Health Care as a Health Plan (AAAHC).

Medicaid and Florida Healthy Kids:

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.

Effective January 1, 2020, CCP is a health plan option for Florida Healthy Kids, a KidCare program, in:

 

  • Broward
  • Indian River
  • Martin
  • Miami-Dade
  • Monroe
  • Okeechobee
  • Palm Beach
  • Saint Lucie

Commercial Plans:

CCP is contracted to provide Third-Party Administrator Services and Benefits to Memorial Healthcare System employees and Community Care Plan Employees.

Effective September 1, 2020, CCP serves as the third-party administrator (TPA) for the Health Care District of Palm Beach County's District Cares Program administering the program's contracting, credentialing, and Provider services. Community Care Plan currently provides claim and authorization services to our District Cares Providers, and integrating the credentialing, contracting, and Provider services for the program will streamline the process and offer enhanced customer service to Providers.

Effective March 1,2019, Broward Health partnered with CCP to administer the health benefits for Broward Health’s Physician Payment for Uncompensated Care (PPUC) program.

Together, we will work with providers as a team, bringing our individual expertise to achieve the high standards our community expects.

Our Provider Operations Department works closely with its providers to ensure that Florida Healthy Kids members receive quality health care and services. CCP is available to assist providers and their offices with procedures required by CCP, which 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 and Updates
  • Verifying Eligibility, Reviewing Claims Status, and Requesting Pre-authorizations
  • Questions regarding Procedures, Policies, Reimbursement, and other Program Information

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

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

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

For assistance, please contact: CCP Provider Operations Hotline 1-855-819-9506