Professional Provider Team

Cigna-HealthSpring STAR+PLUS

HHSC Notifications

Electronic Visit Verification Initiative Information

General Updates

Welcome to the Cigna-HealthSpring STAR+PLUS Plan

Based in Nashville, Tennessee, Cigna-HealthSpring started in 2000. It’s now one of the country’s largest and fastest-growing coordinated care plans whose primary focus is Medicare Advantage plans. Cigna-HealthSpring has Medicare Advantage plans in Alabama, Arkansas, Delaware, Florida, Georgia, Illinois, Indiana, Maryland, Mississippi, North Carolina, New Jersey, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, West Virginia, and Washington, D.C., as well as a national stand-alone prescription drug plan. Given our long partnership with dual-eligible beneficiaries, we are very excited to offer services to our valued members by expanding into Medicaid health care across many states.

We value our relationship with all of our Providers and are committed to working with you to meet the needs of your patients, our Members. Discover the Cigna-HealthSpring difference and learn more about our Medicaid plans.

Cigna-HealthSpring recognizes the immeasurable contribution that you, as a Provider, make to the STAR+PLUS program. To ensure you have access to all of the resources and tools needed to support Cigna-HealthSpring Members, Cigna- HealthSpring’s Provider Services team is available. Provider Services can assist you when you have questions or need to schedule an educational in-service. They also can assist you when daily operations do not go as planned and you need help resolving a problem.

  • Verify eligibility, benefits, and prior authorizations on file

  • Receive assistance in finding the correct departments

  • Verify claims receipt or review claim status

  • Process demographic changes such as PCP on file, and member or provider address changes

  • Receive assistance with Cigna-HealthSpring’s public website & secure Provider Portal

We are here to serve you, and we thank you for being a part of the Cigna-HealthSpring STAR+PLUS Network and for providing quality health care to our members.

Not Yet a Cigna-HealthSpring STAR+PLUS Provider?

If you are not a Cigna-HealthSpring STAR+PLUS Provider, but you are interested in joining our network, please fill out the appropriate form below. For additional information contact us by phone or e-mail at: STAR+PLUS Provider Support Team via telephone at 1-877-653-0331 or via email MedicaidProviderOperations@healthspring.com

Is your office ADA compliant? Please complete the Credentialing/Provider Directory Information form.

Fax completed forms and requested documents to 1-877-440- 7260.

 

Materials are also published in alternate formats (examples: large print, Braille, audio CD). Contact ProviderRelationsCentral@healthspring.com for more information.

 

Credentialing Information for ALL Provider Types

Provider Services

Call: 1-877-653-0331 - Monday to Friday 8 a.m. to 5 p.m. Central Time. Calls to this number are free.

TTY: 711 - Monday to Friday 8 a.m. to 8 p.m. Central Time. This number requires special telephone equipment and is only for people who have difficulties with hearing or speaking. Calls to this number are free.

Provider Relations

You can contact Provider Relations by emailing: ProviderRelationsCentral@healthspring.com

Member Rights and Responsibilities

Read more about the rights afforded members and the responsibilities they have as part of the plan.

Provider Advisory Council

The purpose of the Provider Advisory Council (PAC) is to bring leaders in the provider community together with senior management of Cigna-HealthSpring to discuss issues important to the STAR+PLUS program. The PAC meets quarterly with the leaders of your organization. Together, we can:

  • Understand how managed care impacts provider business operations – and ways that Cigna-HealthSpring can ease operational burdens.

  • Learn how providers – hospitals, physicians, long-term services and supports, ancillary, and pharmacy providers – can work together to improve clinical outcomes for our members and your patients.

  • Develop industry-leading provider and member initiatives that measurably impact quality outcomes for Cigna-HealthSpring members and reward providers for working together to achieve those goals.

Cigna-HealthSpring will establish and conduct quarterly meetings with Network Providers. Membership in the Provider Advisory Council(s) must include, at a minimum, acute, community-based LTSS, and pharmacy providers. A separate Provider Advisory Council will be established in each Service Delivery Area where Cigna-HealthSpring operates. Membership on the Council will be in staggered 2-year terms. Cigna-HealthSpring attendees will include representation from Provider Relations, Health Services and Service Coordination.

To become a part of the Provider Advisory Council, please contact Provider Relations Central at: ProviderRelationsCentral@healthspring.com

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