Quick Reference Guide

Important Phone Numbers

Prior-Authorization - 1-866-896-5053
Claims Customer Service - 1-866-324-3632
Network Development/Provider Relations - 1-866-896-5053
Appeals/Grievances/Complaints - 1-866-896-5053

Important Fax Numbers

Utilization Management (Submitting an OTR) - 1-866-694-3649
Quality Management/Incident Reports - 1-866-704-3063
Complaints - 1-866-704-3063
Credentialing - 1-866-694-3735

Verifying Member Eligibility

Cenpatico manages the covered behavioral health and substance abuse benefits for members enrolled with CeltiCare for any of the following programs:

Commonwealth Care
CeltiCare Direct
Commonwealth Choice

Cenpatico Website www.cenpatico.com
(You must have a provider log-in to access eligibility online)

CeltiCare - 1-866-895-1786
Cenpatico - 1-866-896-5053

Network Providers who are registered MassHealth providers may also check Commonwealth Care member eligibility through the Eligibility Verification System (EVS) of the new MMIS.

Cenpatico Website

www.cenpatico.com
Please visit http://www.cenpatico.com/providers/ma/provider-tools.html for market-specific materials.

Claims Address

Cenpatico
PO Box 7200
Farmington, MO 63640-3818

Health Plan Contact Information

CeltiCare Health Plan of Massachusetts, Inc. (CeltiCare)
1-866-895-1786
www.celticarehealthplan.com