Providers for MMA

Community Care Plan (CCP) MMA Medicaid Claims Submission Information

Claims should be submitted promptly after the service is provided. Providers shall have six months from the date of service to submit clean claims in accordance with the Florida Medicaid Program. For additional details on clean claims submittal in the Medicaid Provider Reimbursement handbooks, CMS-1500 or UB-04, click here.

CCP understands that the use of electronic healthcare transactions is of great value to the provider community. CCP, along with its strategic clearing house partner Availity, are working together to promote the adoption and use of electronic health care transactions including claim transactions and electronic remittance advice, so that your organization can take better advantage of the savings available.

If you are currently submitting paper claims to CCP or using a clearing house that is unable or unwilling to submit claims electronically to CCP’s clearing house, you have options available to you that will allow you to send electronic claims and start saving time and money today!

CCP and Availity partnered to offer free claim and Electronic Remittance Advice (ERA) options. We are excited to offer an enhanced free claim direct data entry option and ERA portal for your use. This option enables providers to conduct business with CCP using the following methods. These are entirely sponsored by CCP, at no cost to you:

  • Enter and submit claims, receive ERA, and exchange other electronic transactions using a browser-based application over the Internet.
  • Directly transmit HIPAA compliant ANSI transactions over a secure direct connection.
  • If you are currently registered with Availity, click here to access the Availity Portal for CCP.
  • If you are not currently registered with Availity, click here to get registered to use the Availity Portal for CCP.
  • For assistance with registration to the Availity portal, please click here to access an on-demand training video.

To learn more about these options, visit www.availity.com or contact Availity at 1-800-282-4548. We know you will enjoy industry leading products and services that will bring value to your organization!

Paper claims that require attachments or claim appeals should be mailed to CCP MMA Claims Department, P.O. Box 841309, Pembroke Pines, FL 33084. Claim Appeals must be submitted using the attached Request For Reconsideration Form along with a copy of the claim form.

Any Inquiries regarding claims payment may be directed to the CCP’s Customer Service Department by calling 1-866-899-4828.

Third Party Liability – It is the provider’s responsibility to notify CCP if an enrollee has coverage in addition to CCP.

MMA Provider Appeal Form -

click here.