CommuniCare Advantage invites providers in our service areas who are committed to quality, compassionate care for members enrolled in our ISNP (Institutional Special Needs Plan) or our CSNP (Chronic Condition Special Needs Plan) to join our growing network.
Medicare Advantage plans originated in the Balanced Budget Act of 1997 passed by the U.S. Congress. Originally known as Medicare+Choice or Part C plans, they became known as Medicare Advantage Plans following the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. These plans offer a more coordinated approach to healthcare for beneficiaries than traditional fee-for-service Medicare. Special Needs Plans were also included in the legislation to address those who live in long-term care and those with chronic conditions (for CommuniCare Advantage: diabetes mellitus, chronic heart failure, and cardiovascular conditions).
ISNP. CommuniCare Advantage’s ISNP applies to residents who are living in a participating CommuniCare nursing home in selected Ohio, Maryland, and Indiana counties.
-->CSNP. The CommuniCare Advantage Chronic Special Needs Plan covers individuals with diabetes mellitus, chronic heart failure, or cardiovascular disease who live in Anne Arundel, Baltimore, and Baltimore City counties in Maryland, and in Butler, Cuyahoga, Hamilton, Lorain, and Montgomery counties in Ohio.
CommuniCare Advantage is an HMO Medicare Advantage ISNP and CSNP. We contract with a network of healthcare providers in select counties in Indiana, Maryland, and Ohio. Our Plan offers providers several benefits:
CommuniCare Advantage’s Model of Care is proactive and facilitates early evaluation and risk assessment through the following:
Contact us at providerrelations@communicare-advantage.com.
Effective January 1, 2026, Access Health Services began overseeing the CommuniCare Advantage provider portal. The provider portal enables providers to do several things including:
If you have provider portal access through Access Health Services, you will not have to request additional access.
If you do not have provider portal access through Access Health Services, you must request access by submitting the AHS Provider Portal Access Request form to:
ppmanagement@accesshealthservices.com
For assistance, please contact ppmanagement@accesshealthservices.com.