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Compliance and Privacy

Community Care Privacy Reminder

As required by federal and state laws, Community Care and all of our providers must protect the privacy of our members and only share information with others who have the legal right and need to know.

Please remember the Business Associate Agreement you signed with Community Care clearly identifies how you can use and disclose member information. It also describes your responsibilities to protect that information and how to report any disclosures or improper use to Community Care. The Business Associate Agreement applies to those not typically covered directly by the federal and state laws.

Please remember:

  • Any discussion about a member's information, services or care received must be conducted privately.
  • Emails that contain member information such as his or her name or any other identifiable information, including date of birth, social security number or address, must be encrypted.
  • Member information is confidential. Any information you as a provider hear, see, and/or learn must be considered privileged and can only be shared with those who have a legal right and need to know.
  • We thank you for your continued cooperation and encourage you to contact any member of the Community Care Provider Network team with questions.

Encryption - Send a Secure Email

If the information you are emailing to Community Care contains confidential data or member-specific material, please send us a secure email to ensure that information remains private.

Our email encryption service protects confidentiality and complies with the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

If this is the first time you are using our secure email service, you'll need to create a user account.

For help, please review our secure email service instructions.

Fraud, Waste and Abuse

As part of our effort to improve the health care system, and as required by Medicare and Medicaid, Community Care and its providers have made a commitment to and have a program in place to prevent, detect and investigate fraud, waster and abuse.

To better understand Fraud, Waste and Abuse and your role in preventing it as a provider, the below information is being provided for you.

Fraud, Waste and Abuse Training Part 1
Fraud, Waste and Abuse Training Part 2

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