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Providers

Welcome, providers!

Resources that help health care professionals do what they do best – care for our members.

At Clear Health Alliance (CHA), we value you as a provider in our network. That's why we’ve redesigned the provider site to make it more useful for you and easier to use.

Looking for access to Clear Health Alliance’s legacy portal?

Need help regarding services rendered prior to the health plan’s transition to Availity?

For transactions prior to rollout of the new SMMC contract, please visit the previous provider portal.

Provider News


Managed Medical Assistance Quarterly pharmacy formulary change notice effective February 1, 2019

The formulary changes listed in the table were reviewed and approved at the Agency for Health Care Administration Pharmaceutical and Therapeutics Committee meeting held in December 2018.

Integrated Home Care Services announcement

Effective on the regional rollout of the new Statewide Medicaid Managed Care Managed Medical Assistance program with Simply Healthcare Plans, Inc. and Clear Health Alliance (Simply), we have entered into an agreement with Integrated Home Care Services (IHCS) for home health, durable medical equipment and home infusion services to our Medicaid members.

Simply Healthcare Plans, Inc. and Clear Health Alliance EIS and TCM Continuity of Care Processes

This notice serves to provide information to Early Intervention Services (EIS) and Children’s Health Targeted Case Management (TCM) providers concerning Statewide Medicaid Managed Care Managed Medical Assistance (SMMC MMA) continuity of care (COC) requirements for new members who transition into Simply Healthcare Plans, Inc. and Clear Health Alliance (Simply).

Continuity of Care Provider Notice

This notice serves to remind Simply Healthcare Plans, Inc. and Clear Health Alliance (Simply) providers and subcontractors who will not continue to participate with the plan under the new Statewide Medicaid Managed Care Managed Medical Assistance (SMMC MMA) contract of the continuity of care contract requirements post-termination.

Reimbursement Policy Update Notification

Effective December 1, 2018, reimbursement policies will transition to the Simply Healthcare Plans, Inc. and Clear Health Alliance (Simply) provider website. See the full reimbursement policy update.

Looking for previous records?

Need help regarding services rendered prior to the health plan’s transition to the new provider website or services rendered prior to the health plan’s transition to Availity? Visit the previous provider portal

Provider Services Phone Numbers Are Changing

Between December 2018 and February 2019, Provider Services phone numbers for Simply Healthcare Plans, Inc. and Clear Health Alliance (Simply) will change as plans are rolled out by region.

Availity access


The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer.

At Availity you can:

Request authorizations.
Submit claims.
Confirm eligibility.

Don't have an Availity account? Register free now!

Availity is your one-stop to complete your transactions

Featured Resources


Pharmacist looking at prescription bottle

Pharmacy information

Search for up-to-date drug information, including hundreds of brand-name and generic medications.

Excited Mom showing off baby’s ultrasound

Maternal Child Program

We offer a proactive case management program for expectant mothers and their newborns. The My Advocate® program provides pregnant women proactive outreach and education through interactive voice response (IVR), text or smartphone application.

Patient talking with counselor

Behavioral health provider

We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts and other resources to successfully meet the needs of members with mental health, substance use, and intellectual and developmental disabilities.

Provider tools & resources

Interested in becoming a provider in the Clear Health Alliance network?

We look forward to working with you to provide quality service for our members.