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For Providers

 

ConnectCare recognizes the vital role that you, as providers, perform in the success of the ConnectCare PPO.  Connecting our health care providers to payors and consumers is paramount to a successful relationship.  We share your commitment to providing the highest standards of medical care to our ConnectCare members.

ConnectCare uses a specific network of health care providers such as hospitals home health agencies, and skilled nursing facilities, evaluating their accreditation status, licensure and sanction information to ensure that they are in good standing with regulatory bodies and accreditation organizations.

We also assume the responsibility for selecting and evaluation practitioners via a fair, accurate and non-discriminatory method, recognizing that practitioners assume responsibility for managing the health care of our enrollees.  If you are a practitioner who wishes to participate with the ConnectCare PPO network, you are expected to:

    • meet the requirements of the credentialing program
    • have medical staff privileges at a MidMichigan Health hospital
    • join the physician organization
    • meet the network or geographic access needs for members
    • cooperate with Utilization Management and Quality Improvement activities
    • direct patients to other network practitioners for specialty care and to network provider hospitals, facilities and laboratories for testing and treatments whenever possible

 

ConnectCare

Utilization Management

ConnectCare's Utilization Management Staff is available to address questions and issues related to case management and utilization by using the telephone or fax numbers listed below.

ConnectCare Medical Management
4000 Wellness Drive
Midland, MI 48670
Toll free: 888-646-2429
Local: 989-839-1613
Fax: 989-839-1679
 
Hours of Operation
8:00 a.m. - 12:00 p.m.
1:00 p.m. - 5:00 p.m.
Monday - Friday (Eastern Time)

After normal business hours, inbound communications and information may be relayed via fax, confidential voice mail or electronic mail. All precertification requests and/or communications received after normal business hours are returned on the next business day and communications received after midnight on Monday through Friday are responded to on the same business day.

Certified by NCQA since 2007

NCQA Certified Utilization Management"Achieving Utilization Management Certification from NCQA demonstrates that ConnectCare has the systems, process and personnel in place to conduct utilization management in accordance with the strictest quality standards." -- Margaret E. O'Kane, President, NCQA

NCQA has reviewed and certified ConnectCare's Utilization Management functions only. For complete details on the scope of this review, visit www.ncqa.org.