Massachusetts leads the way in providing access to care. CeltiCare is proud to be a part of this progressive healthcare system. That’s why we are committed to partnering with physicians that will provide the highest quality of care and value to our members.

The foundation of CeltiCare’s integrated healthcare delivery model is the member-PCP relationship, the “Medical Home,” which is supported by our innovative care management programs. Our proven ability to strengthen the Medical Home for our members will increase the utilization of preventive services and reduce member reliance on the emergency room; increasing continuity of care and resulting in better health outcomes for Commonwealth Care members.

We hope you and your staff find the tools and resources you need to provide the highest quality of care to your patients, our members. To find out more about the programs and services available to our members please visit the Stay Healthy section.

Become a Provider
We partner with physicians, hospitals and other providers to ensure that each member gets the right care, at the right time, in the right setting. In this section you will find important information on how to become a provider, including our credentialing forms.

Electronic Transactions
Spend less time on the phone or standing at the fax machine. Our electronic transaction (EDI and Payformance) capabilities will save you time and money while producing faster results.

Pharmacy
Our pharmacy program provides access to pharmaceutical services for our members and educates providers on improving the quality of patient care. Learn more about US Script and Caremark. You will also find pharmacy enrollment forms.

QAPI
The QAPI Program is to addresses both the quality and safety of services provided to CeltiCare’s members. We follow HEDIS standardized performance measures and adopt clinical practice guidelines.

Resources
Our resources section contains helpful information such as billing guides and forms.

Secure Web Portal
Sign up for our secure web portal for helpful resources and to help eliminate administrative hassles so you can focus on what you to do best – providing care for your patients, our members!