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New Look, Same Mission

As a non-profit, Community Health Options is a health insurance organization founded on a simple premise - prioritize people over profits. We first ...

HealthOptions.org Enhancements

We recently improved our homepage navigation as a first step to presenting you—our Members and business partners—with an enhanced website experience ...

HEDIS/NCQA/Risk Adjustment Updates for Providers

The Affordable Care Act’s Commercial Risk Adjustment (“RA”) program equalizes risk for individual and small group plans inside and outside the Marke ...

Guidelines/Policies for Providers Spring 2020

Credentialing Reminders When new physicians join a practice location, we recommend beginning the credentialing process as soon as possible to avoid ...

Provider Network Updates

We continue to expand our provider network. Below is a list of providers and practices newly contracted since July 1, 2019 that are now in-network p ...

April 1, 2020 Medical Pharmacy Changes

Community Health Options announces the following changes:   The Prior Approval requirements are being removed for the following J-Codes under the ...