Helpful Resources

To learn more about the advantages of contracting with Care Improvement Plus or to request a kit to be sent to your office, contact our Contracting Team at 1-866-679-3119.

If you would like to send us an email, please address your communication to:
providerrelations@careimprovementplus.com

Important Provider Updates/News:
For important Provider news and updates click here.

Inpatient Hospital Admissions:
If you're an inpatient hospital facility and are trying to obtain inpatient prior authorization or need to verify inpatient member eligibility only, please call 1-888-625-2204.

Eligibility and Claims Status: To check member eligibility and claims status, login to the Provider Self-Service Center.

To contact Provider Services by phone:
1-866-679-3119, 7 days a week 8:00 am - 8:00 pm

To contact Member Services by phone:
1-800-204-1002 (TTY: 1-800-713-1603), 7 days a week 8:00 am - 8:00 pm

Submit Claims Electronically
For information on how to submit claims electronically, click here.

Submit Claims by Mail
Please send your paper claims to:
Care Improvement Plus
P.O. Box 488
Linthicum, Maryland 21090-0488

Part C Appeals
Except for expedited appeals, all appeals should be in writing and mailed or faxed to the following address:

Care Improvement Plus
351 West Camden Street, Suite 100
Baltimore, MD 21201
Attention: Appeals Department
Fax: 1-866-272-2942

Part D Coverage Decisions
For prescription drug coverage determinations (such as prior authorizations), inquiries, or a status update on a coverage request but not exception requests, contact Medco.

Medco Health Solutions, Inc.
P.O. Box 63067
Irving, TX 75063-0118
Attn: Medicare Reviews
Fax: 1-888-235-8551

Formulary Exceptions
For formulary exceptions requests, contact Care Improvement Plus:
By phone: 1-866-679-3119
By fax: 1-866-683-3272
By Mail:
Care Improvement Plus
351 W. Camden Street, Suite 100
Baltimore, MD 21201
Attn: Pharmacy Department

For a status update on formulary exceptions, contact Care Improvement Plus at 1-800-204-1002 (TTY: 1-800-713-1603).

Part D Appeals
All standard appeals should be in writing and mailed or faxed to the following:
Care Improvement Plus
351 W. Camden Street, Suite 100
Baltimore, MD 21201
Attn: Pharmacy Department
Fax: 1-866-683-3272

Expedited appeal:
By phone: 1-800-204-1002 (TTY: 1-800-713-1603)
By fax: 1-866-683-3272

Grievances
To file a grievance/complaint (standard or expedited) contact Provider Services at 1-866-679-3119.