Bcbs Mmai Provider FinderProvider Finder, nuestro directorio en línea, facilita la búsqueda de profesionales médicos en su área. Medicare Advantage Our Medicare Advantage plans (HMO and PPO) offer all of the coverage of Original Medicare, plus other benefits. Blue Cross Community MMAI Medicare Advantage Plans with Part. This is the Medicare-Medicaid Alignment Initiative (MMAI) website. Provider Training Requirements/Resources">Provider Training Requirements/Resources. Completion of training is mandatory for all MMAI, and Medicaid contracted providers, including: Hospitals Skilled Nursing Facility (SNF). Provider Training Requirements/Resources. gov, click Manage My Case to find your renewal due date and verify your mailing address. Our Provider Finder makes it easy to search for providers in your area. We are open Monday through Friday from 7:45 a. In-Network Providers Use our National Doctor and Hospital Finder tool to see if your doctor is in our network or to find a doctor, specialist or urgent care center near you. BCCHP Provider Finder Change in Authorization Requirements for Waiver Providers DME Benefit Limits Verification Request Form Encounter Compliant Claim Submission Requirements Forms Gaps in LTSS Services IAMHP Comprehensive Billing Manual Government Programs Reference Guide (Medicaid) Medicaid HEDIS®. Blue Cross Community MMAI (Medicare-Medicaid Plan) SM The Centers for Medicare & Medicaid Services (CMS) and the State of Illinois have contracted with Blue Cross and Blue Shield of Illinois (BCBSIL) along with other Managed Care Organizations (MCO) to implement MMAI. Find a Doctor & Estimate Costs. Provider Finder® Search for doctors, dentists, hospitals and other health care providers. If you’re a member, you can access additional provider information (such as address, phone number and specialty) by searching for providers using your MyBlue account here. Use the map below to find a Provider Directory that gives doctors and providers in your area. Use the map below to find a Provider Directory that gives doctors and providers in your area. Find a Doctor or Hospital. Blue Cross and Blue Shield companies across the country can help. html?id=GTM-NNTKTPX" height="0". This is the Medicare-Medicaid Alignment Initiative (MMAI) website. Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U. Blue Cross and Blue Shield">Home. Blue Cross Community MMAI (Medicare-Medicaid Plan) SM The Centers for Medicare & Medicaid Services (CMS) and the State of Illinois have contracted with Blue Cross and Blue Shield of Illinois (BCBSIL) along with other Managed Care Organizations (MCO) to implement MMAI. Have a look at our BCBS alpha prefix and BCBS alpha numeric prefix directory below. ) Step-by-Step Guide for Provider Finder® Resources CMO Perspective Illinois Medicaid Medicare Advantage Corporate Social Responsibility CMO Perspective. This online provider directory is updated daily. Aetna Better Health will be in network starting in August. A provider may initiate a peer-to-peer discussion by calling 800-981-2795. Find a Doctor You can search our nationwide directories of Preferred providers—those providers who are in our network. Provider Training Requirements/Resources It is a CMS and/or State of Illinois requirement for BCBSIL to make available provider training on specified topics related to BCCHP and MMAI. Provider Learning Opportunities | Blue Cross and Blue Shield of Illinois May 2023 Provider Learning Opportunities Blue Cross and Blue Shield of Illinois offers free workshops and webinars for the independently contracted providers who work with us. Provider Manual Blue Cross Community MMAI …. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www. Blue Access for Members | HCSC. SIH hospitals and physicians will be in network with four of the five MMAI plans: Blue Cross, Humana and Molina. Then download the directory to see providers closest to you. Provider Finder puts more reliable information right at the member’s fingertips on both web and mobile platforms, including: Cost estimates for up to 1,600 procedures, treatments and tests, including member and employer costs Cost data for more than 6. Find a Care Provider Background Locations Insurance Nyambi Ebie, MD Medical Oncology Accepting New Patients Nyambi Ebie, MD Medical Oncology Accepting New Patients Call (815) 227-2273 Schedule Online Directions Share Print Copy Link Link copied to clipboardShare Social Specialties. If you represent a pharmacy that is not in an MMAI plan provider network, but you serve Illinois residents who have both Medicare and Medicaid and who reside in the Greater Chicago or Central Illinois service areas , please reach out to the MMAI plans directly for more information on how to join their MMAI provider networks. Provider Finder, nuestro directorio en línea, facilita la búsqueda de profesionales médicos en su área. For MMAI plans, fax 800-693. Buscar un profesional médico Para asegurados Conozca lo que puede esperar como nuevo asegurado y cuáles son sus derechos y responsabilidades. Find a Doctor You can search our nationwide directories of Preferred providers—those providers who are in our network. To ask for instructions on how to appeal, call the Member Services line for the MMAI plan or call the Senior HelpLine and ask for the MMAI Ombudsman at 1-800-252-8966 (TTY users should call 1-888-206-1327) Monday-Friday 8:30 am-5pm. Find a Provider Member Resources Learn about what to expect as a new member and your rights and responsibilities. At Availity, you can: Request authorizations. You can also call 1-800-843-6154. If your Blue Cross and Blue Shield of Illinois (BCBSIL) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. We can help you understand your plan choices, find providers and enroll. Find an Overseas Provider. MMAI Members: Get ready to renew your Medicaid! Start at abe. Find, select or change your primary care physician. Provider Maintenance Form 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. You can use our interactive search to find your local Blue Cross Blue Shield Company's website. Blue Cross Community MMAI Illinois Medicare Advantage Plans with Part D Medicare Health Speak to a Licensed Insurance Agent 888-245-4280 Mon – Fri 7 a. Register Now Why log in? Get to know your options, from in-person checkups to online health care. The New Medicaid Managed Care Program: HealthChoice Illinois. We currently can't access your information. Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. Provider Maintenance Form 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. As a Service Benefit Plan member, you can choose your own physician, hospitals, and other healthcare providers. Orientation Webinars for New MMAI and/or BCCHP Providers. Please contact the representatives listed below to learn more about how you can become a MMAI network provider. We can help you understand your plan choices, find providers and enroll. Provider Finder ® Search for doctors, dentists, hospitals and other health care providers. html?id=GTM-NNTKTPX" height="0" width="0" style="display. MMAI combines Medicare and Medicaid funding under a. At Availity, you can: Request authorizations Submit claims Confirm eligibility Log in to Availity Learning opportunities. Update your address at Illinois Medi caid. Log in to find doctors, dentists, hospitals, and other providers that accept your plan. The MMAI program will continue to be a program in the counties it is currently in today, and will not be expanded to additional counties in 2018. Provider Training Requirements/Resources. We update BCBS prefix list data on daily basis to provide latest BCBS prefix home plan information. Patients seeking services with an SIH provider or at an SIH hospital will need to know which MMAI plans we are in network with. Please contact the representatives listed below to learn more about how you can become a MMAI network provider. Box 4168 c/o Provider Services Scranton, PA 18505 877-723-7702 Electronic Claims Submission Facility and Professional claims –. If you are looking for a specific provider and cannot find them online, please call Aetna Better Health Premier Plan MMAI. Log in to your Blue Cross Blue Shield of Michigan account for the best experience. Aetna Better Health® Premier Plan MMAI is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. Blue Cross Community MMAI Medicare Advantage Plans with Part ">Blue Cross Community MMAI Medicare Advantage Plans with Part. Provider Training Requirements/Resources It is a CMS and/or State of Illinois requirement for BCBSIL to make available provider training on specified topics related to BCCHP and MMAI. Completion of training is mandatory for all MMAI, and Medicaid contracted providers, including: Hospitals Skilled Nursing Facility (SNF). 6 billion covered procedures performed annually Information on more than 1. Blue Cross Community Health Plans (BCCHP) and Blue Cross. Provider Finder puts more reliable information right at the member’s fingertips on both web and mobile platforms, including: Cost estimates for up to 1,600 procedures, treatments and tests, including member and employer costs Cost data for more than 6. Illinois Medicaid BCBSIL offers Medicaid programs statewide. Find a Provider Member Resources Learn about what to expect as a new member and your rights and responsibilities. Medicaid Providers: Updated Prior Authorization Tips and Peer. Our Provider Finder makes it easy to search for providers in your area. Learn More As health care costs rise, a plan to save Americans over $700 billion America is facing an affordability crisis when it comes to our health care. Estimate the cost of a medical procedure. Accepting New Patients Nyambi Ebie, MD. ) Step-by-Step Guide for Provider Finder ® . Search for doctors, hospitals, pharmacies, urgent care and more using Provider Finder Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. Ask questions and engage with our PNCs on topics such as care coordination, third party vendors, claims, prior authorization and required provider training. Find a Doctor or Hospital; Find a Dentist; Find a Vision Provider; Telemedicine and Telehealth Services; Virtual Visits with MDLIVE; Hospital-Based Physicians; Surgery Center Based Physicians; Breastfeeding Counseling; Teledentistry. Click on a region in the map to download the Provider Directory for that area: Open each tab below and discover which counties are in each region. The MMAI program will continue to be a program in the counties it is currently in today, and will not be expanded to additional counties in 2018. Providers in Your Network. Completion of training is mandatory for all MMAI, and Medicaid contracted providers, including: Hospitals; Skilled Nursing Facility (SNF). Find a Care Provider. Blue Cross Community Health Plans (BCCHP) and Blue Cross Community MMAI. For Providers: Directories. The manuals are organized into sections for your convenience. Instructions for Blue Choice PPO, Blue Cross Medicare Advantage PPO,. Pharmacy types include the following: Retail Pharmacy: A licensed, non-wholesale pharmacy that is open to the public. com Phone: (312) 821-0616 BlueCross BlueShield of Illinois Derek Punzalan Director, Provider Contracting. Aetna Better Health Premier Plan MMAI">Home. Greater Chicago Area: Aetna Better Health of Illinois Dara. You can use our interactive search to find your local Blue Cross Blue Shield Company's website. Illinois Medicaid BCBSIL offers Medicaid programs statewide. This online provider directory is updated daily. Blue Cross Community MMAI Appeals & Grievances P. For help with these documents, please call toll free at 1-855-710-6984. If you’re a member, you can access additional provider information (such as address, phone number and specialty) by searching for providers using your MyBlue account. Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. Medicare Advantage Our Medicare Advantage plans (HMO and PPO) offer all of the coverage of Original. The Illinois Medicare-Medicaid Alignment Initiative (MMAI) is a managed care program for individuals who are eligible for both Medicaid and Medicare (referred to as “dual eligibles”). Everyone deserves affordable, high-quality health care no matter where you live, your income or health status. Aetna Better Health® Premier Plan MMAI is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. If you're eligible for HealthChoice Illinois, you're looking for the Medicaid-only plan. Vision Service Plan Directory Vision Service Plan, more commonly known as VSP, can help you find a vision doctor based on network or location. com Phone: (312) 821-0616 BlueCross BlueShield of Illinois Derek Punzalan Director, Provider Contracting. For BCCHP plans, fax 877-480-8130, call 866-202-3474 (TTY/TDD 711) or submit electronically on MyPrime or CoverMyMeds login page. Blue Cross Community MMAI (Medicare. Find A Doctor – Provider Directory. Find a provider/pharmacy Provider search At Aetna Better Health® Premier Plan MMAI, we believe in improving every life we touch as good stewards to those we serve. How to find a provider Find a dental provider Find a lab Find a pharmacy Find a vision provider Standing orders for alternative formats Provider type chart Aetna Better Health Premier Plan MMAI. Blue Cross Community MMAI (Medicare-Medicaid Plan) SM The Centers for Medicare & Medicaid Services (CMS) and the State of Illinois have contracted with Blue Cross and Blue Shield of Illinois (BCBSIL) along with other Managed Care Organizations (MCO) to implement MMAI. Home Infusion Pharmacy: A participating network pharmacy specializing in supplying members with home infusion therapy medications and supplies. The Provider Finder ® has the most up-to-date network of doctors, specialists, hospitals and other health care providers which makes it easy to find a doctor or hospital in your area. Search for the highest-quality providers using the Blue Distinction filter. Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U. Blue Cross Community MMAI Medicare Advantage Plans with …. Learn how we can best work together to improve the health of our members. Aetna Better Health® Premier Plan MMAI is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. Blue Cross and Blue Shield of Illinois (BCBSIL) offers Blue Cross Community Health Plans (BCCHP) which includes a network of independently contracted providers including physicians, hospitals, skilled nursing facilities, ancillary providers, Long-term Services and Support (LTSS) and other health care providers through which Illinois Medicaid …. Find a Doctor, Dentist or Hospital. Blue Cross Community MMAI Illinois Medicare Advantage Plans with Part D Medicare Health Speak to a Licensed Insurance Agent 888-245-4280 Mon – Fri 7 a. Blue Cross and Blue Shield of Illinois (BCBSIL) offers Blue Cross Community Health Plans (BCCHP) which includes a network of independently contracted providers including physicians, hospitals, skilled nursing facilities, ancillary providers, Long-term Services and Support (LTSS) and other health care. Greater Chicago Area: Aetna Better Health of Illinois Dara Clark Manager, Provider Services E-mail: clarkd2dd398@aetna. Blue Cross Community MMAI Appeals & Grievances P. Medicare-Medicaid Alignment Initiative (MMAI) Program MMAI is not part of the HealthChoice Illinois Program. Provider Learning Opportunities. To ensure that BCCHP and MMAI members have timely access to care, the following appointment standards are specified in your provider agreements: Routine preventive care appointments – Available within five weeks of the request and within two weeks from the date of the request for infants under 6 months. Medicaid Managed Care Program: HealthChoice Illinois">The New Medicaid Managed Care Program: HealthChoice Illinois. Therefore, traditional health care services such as. Our Find a Doctor & Estimate Costs tool makes it easy for you to find what you need. Contact the Provider Network Management team at (855) 866-5462 with questions. Click on a region in the map to download the Provider Directory for that area:. Need to choose a primary care physician? Create an online account. Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U. 800-543-0867 800-252-4343 800-368-1463 866-800-1409 Blue Cross Community MMAI (Medicare-Medicaid Plan) is provided by Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), an independent licensee of. If you are looking for a specific provider and cannot find them online, please call Aetna Better Health Premier Plan MMAI Member Services at 1-866-600-2139 (TTY: 711) for more information, 24 hours a day, seven days a week. Learn the options covered in your Medicare plan. Medicare-Medicaid Alignment Initiative (MMAI) Program MMAI is not part of the HealthChoice Illinois Program. It is a CMS and/or State of Illinois requirement for BCBSIL to make available provider training on specified topics related to BCCHP. Log in to Availity Learning opportunities. Blue Cross Community Health Plans SM. Log in to find doctors, dentists, hospitals, and other providers that accept your plan. Find a doctor Find a pharmacy Guests Choose the type of plan you're interested in to search for health care providers that accept it. Pharmacy types include the following: Retail Pharmacy: A licensed, non-wholesale pharmacy that is open to the public. Find care and save money with one simple tool. Indian Health: A participating pharmacy in a network that includes Indian. Virgin Islands Outside the United States Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. Managed Care Organization (MCO) Pharmacist Clinical Reviews. Background Locations Insurance Nyambi Ebie, MD. Obtener información Cambios en la cobertura 2023. Blue Cross Community MMAI Provider Manual - Updated December 2021 5 Benefits and Beneficiary Rights Member's Rights and Responsibilities Blue Cross and Blue Shield of Illinois (BCBSIL) is committed to ensuring that enrolled members are treated in a manner that respects their rights as individuals entitled to receive health care services. com Find a Doctor Log in for results customized to your plan. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227. For MMAI plans, fax 800-693-6703, call 877-723-7702 (TTY/TDD 711) or submit electronically on MyPrime or CoverMyMeds login page. Blue Care Network laboratories Joint Venture Hospital Laboratories Dentists MIBlueDentists. See who's in your network — without any guesswork. PDF Introduction to the Medicare. Find a Doctor or Hospital; Find a Dentist; Find a Vision Provider; Telemedicine and Telehealth Services; Virtual Visits with MDLIVE; Hospital. These trainings focus on electronic options and other helpful tools and resources. Introduction to the Medicare. Provider Maintenance Form 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. Provider Finder ® Search for doctors, dentists, hospitals and other health care providers. The Find a Doctor tool can help you find vision doctors based on network, location, specialty and other key filters. Get Information 2023 Plan Changes There are changes in your plan coverage, starting January 1, 2023. Blue Cross Community MMAI Medicare Advantage Plans with Part D in. Providers may submit coverage exception requests by fax, phone or electronically: For BCCHP plans, fax 877-480-8130, call 866-202-3474 (TTY/TDD 711) or submit electronically on MyPrime or CoverMyMeds login page. If you’re a member, you can access additional provider information (such as address, phone number and specialty) by searching for providers using your MyBlue account here. Blue Cross Community MMAI Illinois Medicare Advantage Plans with Part D Medicare Health Speak to a Licensed Insurance Agent 888-245-4280 Mon – Fri 7 a. Provider Finder ® Search for doctors, dentists, hospitals and other health care providers. MMAI Members: Get ready to renew your Medicaid! Start at abe. Annual Notice of Change Plan Documents. Please note, the Blue Cross Community MMAI SM plan may cover more providers than displayed in the search results. Home Infusion Pharmacy: A participating network pharmacy specializing in supplying members with home infusion therapy medications and supplies. A provider may initiate a peer-to-peer discussion by calling 800-981-2795. We believe in delivering the best care through a collaborative approach. Please contact the representatives listed below to learn more about how you can become a MMAI network provider. Get started Not yet a member? Search without logging in. Box 27838, Albuquerque, NM 87125-9705 877-723-7702 866-642-7069 Expedited Appeals: 800-338-2227 Claims submission Blue Cross Community Options P. Find a Doctor You can search our nationwide directories of Preferred providers—those providers who are in our network. The Provider Finder ® has the most up-to-date network of doctors, specialists, hospitals and other health care providers which makes it easy to find a doctor or hospital in your area. Pharmacy types include the following: Retail Pharmacy: A licensed, non-wholesale pharmacy that is open to the public. For Medicare Members: Find a Doctor. Provider Training Requirements/Resources It is a CMS and/or State of Illinois requirement for BCBSIL to make available provider training on specified topics related to BCCHP and MMAI. The peer-to-peer discussion process is as follows: MMAI providers will be notified by phone of potential adverse determinations and offered a date and time in which a pre-service, peer-to-peer discussion is available. ( Note: See Medicaid page for BCCHP and MMAI Provider Finder links. Blue Cross and Blue Shield of Illinois (BCBSIL) offers Blue Cross Community Health Plans (BCCHP) which includes a network of independently contracted providers including physicians, hospitals, skilled nursing facilities, ancillary providers, Long-term Services and Support (LTSS) and other health care providers through which Illinois Medicaid mem. You also can call the MMAI plan’s pharmacy help-line. Provider Education Series. Providers in Your Network. For provider directory inaccuracies and updates. Medical Oncology BCBS IL MMAI; BCBS IL PPO; Caterpillar PPO; Cigna; Cofinity; Corvel; Dean Health Plan Commercial; Dean Health Plan Medicare; Employer's Coalition on Health (ECOH). We have also identified documents, resources and information specifically designed for PPO, HPN, HMO, MA. For plans with Part D Coverage: You may be able to get Extra Help to pay for your prescription drug premiums and costs. We can help you understand your plan choices, find providers and enroll. To ask for instructions on how to appeal, call the Member Services line for the MMAI plan or call the Senior HelpLine and ask for the MMAI Ombudsman at 1-800-252-8966 (TTY users should call 1-888-206-1327) Monday-Friday 8:30 am-5pm. For help with these documents, please call toll free at 1-855-710-6984. BCBS Prefix List Lookup 2023. The BCBSIL Provider Manuals are comprehensive guides for Blue Cross Community Health Plans SM, Blue Cross Community MMAI (Medicare-Medicaid Plan) SM, Blue Cross Medicare Advantage (HMO) SM, Blue Cross Medicare Advantage (PPO) SM, Blue Choice PPO SM, HMO, PPO and Blue High Performance Network SM (Blue HPN SM) EPO. Click on a section title to view the content. Provider Maintenance Form 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. MMAI combines both medical care and non-medical home and community-based services into a single program. Please note, the Blue Cross Community MMAI SM plan may cover more providers than displayed in the search results. PDF Provider Manual Blue Cross Community MMAI (Medicare. MMAI combines both medical care and non-medical home and community-based services into a single program. Correct BCBS home plan can easily be identified using our BCBS prefix lookup directory. MMAI is a demonstration plan developed to better serve individuals eligible for both Medicare and Medicaid. We have also identified documents, resources and information specifically designed for PPO, HPN, HMO, MA HMO, MA PPO, BCCHP and MMAI network providers and IPAs. Ask Choose Log in Update address Medicaid members! Don't risk losing your health insurance. Medicare-Medicaid Alignment Initiative (MMAI) Program MMAI is not part of the HealthChoice Illinois Program. You also can call the MMAI plan’s pharmacy help-line. Provider Manual Blue Cross Community MMAI (Medicare. Blue Cross Community MMAI. To ask for instructions on how to appeal, call the Member Services line for the MMAI plan or call the Senior HelpLine and ask for the MMAI Ombudsman at 1-800-252-8966 (TTY users should call 1-888-206-1327) Monday-Friday 8:30 am-5pm. Plan from an employer Individual health plan Individual dental plan Aetna Medicare plan Aetna Medicaid plan. Blue Cross Community Health Plans (BCCHP) and Blue Cross ">Blue Cross Community Health Plans (BCCHP) and Blue Cross. Choose Providers. Blue Cross Community MMAI Appeals & Grievances P. The Illinois Medicare-Medicaid Alignment Initiative (MMAI) is a managed care program for individuals who are eligible for both Medicaid and Medicare (referred to as “dual eligibles”). Box 27838, Albuquerque, NM 87125-9705 877-723-7702 866-642-7069 Expedited Appeals: 800-338-2227 Claims. To ensure that BCCHP and MMAI members have timely access to care, the following appointment standards are specified in your provider agreements: Routine preventive care appointments – Available within five weeks of the request and within two weeks from the date of the request for infants under 6 months. The Provider Finder ® has the most up-to-date network of doctors, specialists, hospitals and other health care providers which makes it easy to find a doctor or hospital in your. The Illinois Medicare-Medicaid Alignment Initiative (MMAI) is a managed care program for individuals who are eligible for both Medicaid and Medicare (referred to as “dual eligibles”). It is a CMS and/or State of Illinois requirement for BCBSIL to make available provider training on specified topics related to BCCHP and MMAI. Contact the Provider Network Management team at (855) 866-5462 with questions. Find a provider/pharmacy Provider search At Aetna Better Health® Premier Plan MMAI, we believe in improving every life we touch as good stewards to those we serve. Need a Prior Authorization? Code LookUp Tool Become a Molina Provider Would you like to become a Medicare-Medicaid Plan (MMP)/Dual Options provider with Molina? Visit our page called Join Our Network for step-by-step instructions. Provider Finder, nuestro directorio en línea, facilita la búsqueda de profesionales médicos en su área. The Provider Finder ® has the most up-to-date network of doctors, specialists, hospitals and other health care providers which makes it easy to find a doctor or hospital in your area. To ensure that BCCHP and MMAI members have timely access to care, the following appointment standards are specified in your provider agreements: Routine preventive care appointments – Available within five weeks of the request and within two weeks from the date of the request for infants under 6 months. Call 1-866-600-2139 (TTY: 711), 24 hours a day, 7 days a week. The peer-to-peer discussion process is as follows: MMAI providers will be notified by phone of potential adverse determinations and offered a date and time in which a pre-service, peer-to-peer discussion is available.