Clinical Practice Guidelines
Update Your Information
Ensure your office is properly listed in the Cigna-HealthSpring 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-HealthSpring 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-HealthSpring Provider Services Department to verify the Member’s PCP assignment at 1 (877) 653-0331.
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
Practitioner Interest Form
Facility/Ancillary Network Interest Form
Fax completed form and requested documents to 1 (877) 440-7260.
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-HealthSpring is committed to providing excellent service to its participating providers. In the event a provider feels Cigna-HealthSpring is falling short of this goal, he/she should contact the Provider Services Department immediately by calling 1 (877) 653-0331. Learn more about the process.