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Providers

Our Providers Are Dedicated to High-Quality, Compassionate Care.

CommuniCare Advantage invites providers in our service areas who are committed to quality, compassionate care for residents enrolled in our I-SNP (Institutional Special Needs Plan) or our C-SNP (Chronic Condition Special Needs Plan).

Medicare Advantage Plans originated in the Balanced Budget Act of 1997 passed by the U.S. Congress. Originally known as Medicare+Choice or Part C plans, they became known as Medicare Advantage Plans following the Medicare Prescription Drug, Improvement and Modernization Act of 2003. These plans offer a more coordinated approach to healthcare for beneficiaries than traditional, fee-for-service Medicare. Special Needs Plans were also included in the legislation to address those who live in long-term care and those with chronic conditions (for CommuniCare Advantage, diabetes mellitus, congestive heart failure, and cardiovascular conditions).

CommuniCare Advantage’s I-SNP applies to residents who are living in a CommuniCare nursing home, or who are eligible for institutional care in the following Ohio, Maryland, and Indiana counties.

CommuniCare Advantage I-SNP Service Area

CommuniCare Advantage's I-SNP applies to residents who are living in a CommuniCare nursing facility or who are eligible for institutional care in the following Ohio, Maryland, and Indiana counties.

Maryland Counties Indiana counties Ohio counties
  • Anne Arundel
  • Clark
  • Butler
  • Baltimore
  • Elkhart
  • Clark
  • Baltimore City
  • Fayette
  • Columbiana
  • Carroll
  • Floyd
  • Cuyahoga
  • Howard
  • Hamilton
  • Geauga
  • Montgomery
  • Hancock
  • Hamilton
  • Prince George’s
  • Harrison
  • Lorain
  • Howard
  • Lucas
  • Johnson
  • Mahoning
  • Lake
  • Montgomery
  • Marion
  • Scioto
  • Stark
  • Summit
  • Trumball
  • Williams

  • Anne Arundel

  • Baltimore

  • Baltimore City

  • Carroll

  • Howard

  • Montgomery

  • Prince George’s

  • Clark

  • Elkhart

  • Fayette

  • Floyd

  • Hamilton

  • Hancock

  • Harrison

  • Howard

  • Johnson

  • Lake

  • Marion

  • Butler

  • Clark

  • Columbiana

  • Cuyahoga

  • Geauga

  • Hamilton

  • Lorain

  • Lucas

  • Mahoning

  • Montgomery

  • Scioto

  • Stark

  • Summit

  • Trumball

  • Williams

PARTICIPATING FACILITIES

  • Bridgewater Healthcare Center, Carmel, IN
  • Harrison Healthcare Center, Corydon, IN
  • Indian Creek Healthcare Center, Corydon, IN
  • Great Lakes Healthcare Center, Dyer, IN
  • Valley View Healthcare Center, Elkhart, IN
  • Greenfield Healthcare Center, Greenfield, IN
  • Greenwood Healthcare Center, Greenwood, IN
  • Allison Pointe Healthcare Center, Indianapolis, IN
  • Evergreen Crossing and the Lofts, Indianapolis, IN
  • Homestead Healthcare Center, Indianapolis, IN
  • Southpoint Healthcare Center, Indianapolis, IN
  • Wildwood Healthcare Center, Indianapolis, IN
  • Blue Point Healthcare Center, Baltimore, MD
  • Fayette Health & Rehabilitation Center, Baltimore, MD
  • Northwest Healthcare Center, Baltimore, MD
  • Ellicott City Healthcare Center, Ellicott City, MD
  • Marley Neck Health and Rehab Center, Glen Burnie, MD
  • Holly Hill Healthcare Center, Towson, MD
  • Westminster Healthcare Center, Westminster, MD
  • Pebble Creek Healthcare Center, Akron, OH
  • Wyant Woods Care Center, Akron, OH
  • Berea Alzheimer's Care Center, Berea, OH
  • Northwestern Healthcare Center, Berea, OH
  • Greenbriar Healthcare Center - Boardman, Boardman, OH
  • The Pines Healthcare Center, Canton, OH
  • Chardon Healthcare Center, Chardon, OH
  • Brookside Healthcare Center, Cincinnati, OH
  • Burlington House Rehab & Alzheimer's Care Center, Cincinnati, OH
  • Clifton Healthcare Center, Cincinnati, OH
  • Three Rivers Healthcare Center, Cincinnati, OH
  • Copley Health Center, Copley, OH
  • Riverside Healthcare Center, Dayton, OH
  • Wood Glen Alzheimers Community, Dayton, OH
  • Lake Pointe Health Center, Lorain, OH
  • Hanover Healthcare Center, Massillon, OH
  • Addison Healthcare Center, Masury, OH
  • Oxford Healthcare Center, Oxford, OH
  • Greenbrier Healthcare Center-Parma Heights, Parma Heights, OH
  • Grande Pointe Health Care Community, Richmond Heights, OH
  • Allen View Healthcare Center, Springfield, OH
  • Falling Water Healthcare Center, Strongsville, OH
  • The Colony Healthcare Center, Tallmadge, OH
  • Austintown Healthcare Center, Youngstown, OH
  • Canfield Healthcare Center, Youngstown, OH

CommuniCare Advantage C-SNP Service Area

The CommuniCare Advantage C-SNP service area includes three counties across three states:

  • Maryland: Baltimore City County
  • Ohio: Cuyahoga County, Hamilton County
  • Indiana: Marion County

Note: To become a participating provider, at least one of your practice locations must be within our service area.

How CommuniCare Advantage Can Benefit Providers

CommuniCare Advantage is an HMO Medicare Advantage I-SNP and C-SNP. We contract with a network of healthcare providers in select counties in Indiana, Maryland, and Ohio. Our Plan offers providers several benefits:

  • To have the support of nurse practitioners who serve as case managers to help coordinate and ensure delivery of high-quality, customized care
  • To be a part of a team of medical professionals that believes in keeping members healthy through the use of care coordination and personalized patient care
  • Complete (100 percent) Medicare Fee Schedule reimbursement
  • A partnership with local, community-based leaders who understand your challenges because we are providers, too.

CommuniCare Advantage’s Model of Care is proactive and facilitates early evaluation and risk assessment through the following:

  • Health risk assessment and health risk stratification
  • The support of an interdisciplinary care team
  • An individualized care plan that addresses the unique goals, preferences, and clinical needs of the member
  • Proactive care coordination for I-SNP members led by Personalized Health Partners and at a cadence appropriate to the member’s health needs
  • Care coordination and care transition coaching as needed for C-SNP members to ensure understanding and adherence to treatment plans and reduce need for rehospitalization after an acute episode of care
  • Care transition management
  • Advance care planning
  • Active engagement with the member for all decision making and planning

Last modified: August 19, 2021 at 2:06 am

Discover the benefits of CommuniCare Advantage.
Call (855)-969-5869 to learn more.
CommuniCare residents call (855)-969-5861.