Enter your ZIP code to learn about the CarePlus Medicare Advantage plans in your area.
The provider website (PWS) is a secure site that allows providers to generate authorizations, verify eligibility and reference diagnosis codes. If you are interested in requesting access to the PWS, please contact your assigned provider services executive or call the CarePlus Provider Operations Help Line at 1-866-220-5448, Monday through Friday from 8 a.m. to 4 p.m.
Health care providers may request to join CarePlus by contacting the CarePlus Provider Operations department at 1-866-220-5448, Monday through Friday, from 8 a.m. to 4 p.m. Eastern time.
Have you done any of the following since your last CarePlus update?
In order for CarePlus to maintain accurate provider directories, health care providers need to notify CarePlus of changes to their information as soon as possible. Provider directories are an important tool used by beneficiaries and/or their representatives/caregivers to select and contact their physicians and other health care providers. Beneficiaries and/or their representatives/caregivers rely on the provider directory to make informed decisions regarding their health care choices.
If you have changes to your practice/facility information, please provide CarePlus with the updated information immediately using one of the following options:
When submitting updates, please provide your contact information in case there are questions about the correspondence.
Note: If your practice is managed by a health system, independent physician association (IPA) or other practice association, please report changes to the administrative office of that organization, which will then update your information with CarePlus.
Availity is CarePlus’ secure central gateway to assist health care providers with the following no-cost solutions:
Change Healthcare is another tool that can help health care providers reduce costs and administrative tasks. It offers:
For more information, please see our claims payment page.
To learn more about Change Healthcare, visit its website (link opens in new window).
CarePlus contracts with Magellan Healthcare, Inc. to provide substance abuse and mental health counseling and treatment to our members. We encourage coordination of care, improved communication and information exchanges between behavioral health and medical practitioners.
To learn more about Magellan Healthcare, Inc., please visit www.magellanhealth.com (link opens in new window) .