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Community Care Provider Section PROVIDER HOTLINE: (866) 937-2783 Welcome to the Community Care online Provider Resources section. If you are an individual or a business that provides services to Community Care participants (or are interested in becoming a Community Care provider), these web pages provide you with information and resources designed to make your job easier. To access application materials, use the navigational links in the left column, or refer to the information below. Provider Application Packet If you are an individual or a business serving people with long-term care needs and would like to be considered to serve as a Community Care provider, click here to access the Provider Application Packet. Provider Claim Form For expedient service, Providers click here to access the Claim Form and email to: claimsprocessing@communitycareinc.org. Mail hard copy claims to: Member Account Balance For member account balance information, complete this form and fax to 414-944-0035, Attn: Kim Neal. Restrictive Measures Education Click here to access the latest educational piece on restrictive measures. Residential Summary Residential Facility Summary (Microsoft Word format - preferred) (.pdf format) Notification of Residential Vacancy for Family Care Complete this form to notify Community Care of a vacancy in your facility. You may email, fax or mail this form to: Email: Fax: Mail:
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| © Copyright 2007
. Community Care, Inc. All Rights Reserved | Privacy
Policy Material IDs: H5212WEB1209, H5207WEB1209, H2034WEB1209 | CMS Approved: 12/18/2009 |