Enter your ZIP code to learn about the CarePlus Medicare Advantage plans in your area, or call us at 1-855-605-6171; TTY: 711.
CarePlus is committed to supporting you as you care for your patients. We are closely monitoring Coronavirus Disease 2019 (COVID-19). For more information, visit our COVID-19 provider page.
For the latest updates from the CDC, please visit the CDC website(link opens in new window).
ICD-10 codes related to COVID-19, can be viewed in the CDC ICD-10-CM Official Coding Guidelines(PDF opens in new window).
My Home Doctor – CareNow® telemedicine/telehealth service
CareNow, a service from My Home Doctor, provides telephone or video chat access to physicians and nurse practitioners/physician assistants who can triage, diagnose, treat, and prescribe medication. You can refer your CarePlus-covered patients requesting a telemedicine/telehealth visit to CareNow for all services (with the exception of behavioral health*). To access CareNow, CarePlus members can call My Home Doctor at 786-220-8860 (local) or 1-800-341-5353 (toll free), 8 a.m. to 8 p.m. Eastern time, seven days a week. This program is not for patients seeking services from a specific provider/network. CareNow is for telemedicine/telehealth visits only.
*Please refer CarePlus members seeking behavioral health telemedicine/telehealth visits to CarePlus’ behavioral health vendor, Magellan Healthcare. Both members and providers can contact Magellan Healthcare at 1-800-424-1760 (toll free number), open 24/7.
Effective October 5, 2020, the CarePlus Health Services Precertification (Authorization) department will be making changes to its phone line in order to improve timely responses that meet the needs of our members and providers. Click here(PDF opens in new window) for the latest changes.
The physician/provider website (PWS) is a secure site that allows physicians/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 services queue at 1-866-220-5448, Monday through Friday from 8 a.m. to 5 p.m. Eastern time.
Physicians and other healthcare providers can request to join CarePlus by calling the CarePlus provider services queue at 1-866-220-5448, Monday through Friday, from 8 a.m. to 5 p.m. Eastern time.
Have you done any of the following since your last CarePlus update?
For CarePlus to maintain accurate provider directories, please notify CarePlus of changes to your 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 healthcare providers. Beneficiaries and/or their representatives/caregivers rely on the provider directory to make informed decisions regarding their healthcare 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 healthcare physicians/providers with the following no-cost solutions:
Change Healthcare is another tool that can help physicians and other healthcare 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 its website (link opens in new window) .