Clinical Practice Guidelines

Update Your Information
Ensure your office is properly listed in the Cigna Provider Directory and that your claims payments are sent to the correct address by providing timely, advance notification of demographic changes. Complete the Provider Information Change Form.

  • Tax identification number;
  • Office address;
  • Billing address;
  • Telephone number;
  • Changes in practice limits or office hours;
  • Specialty; and
  • New Provider additions to an existing practice

PCP Panel Reports
On a monthly basis, Cigna supplies each PCP with a Member panel report. The report contains a listing of all Members assigned to the PCP's membership panel and is sent to PCPs within five (5) days of receiving State eligibility files. PCPs are responsible for providing and/or coordinating care for the all Members on the report.

You can access your PCP panel report by going to the Cigna-HealthSpring Provider Portal . If a Member does not appear on your PCP's panel report, call the Cigna Provider Services Department to verify the Member’s PCP assignment at 1 (877) 653-0331.

Provider Credentialing
If you are not a Cigna STAR+PLUS Provider, but you are interested in joining our network, please 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

Ancillary, Facility, and Long-Term Services and Support (LTSS) Providers
Complete either the new TAHP facility application or use the new Availity portal to submit information for credentialing or recredentialing. Availity is a free, online web portal, which allows you to submit and maintain your credentialing information in an electronic form. To access the Availity portal, select the following link: https://www.availity.com/. For new users, select the Register button.

Access the recently updated TAHP facility application

Provider Complaint and Appeal Process
Cigna is committed to providing excellent service to its participating providers. In the event a provider feels Cigna is falling short of this goal, he/she should contact the Provider Services Department immediately by calling 1 (877) 653-0331Learn more about the process.