Frequently Asked Questions
FAQs from Commonwealth Coordinated Care Plus (CCC Plus) Members.
Commonwealth Coordinated Care Plus (CCC Plus) is a statewide Medicaid managed long-term services and support program. CCC Plus uses an integrated delivery model, providing medical, behavioral, addiction, recovery and treatment services and long-term services and supports all under one program. Enrollment in the program is required for qualifying individuals, who benefit from the high-touch, person-centered care management program. CCC Plus strives to improve health care quality, access and efficiency for its members through contracted managed care organizations, also known as health plans.
You will receive a letter in the mail prior to your enrollment date indicating the health plan that has been assigned to you. You will also receive a brochure and a health plan comparison chart with the different health plans available to you. This letter will explain how to change health plans to the one that fits your needs. For more information, call the CCC Plus Helpline at 1-844-374-9159 (TTY: 1-800-817-6608).
You will be assigned a health plan when you become a CCC Plus member. However, you have the right to choose a different health plan that best meets your needs. You may change your health plan within the first 90 days after you become a CCC Plus member, or once a year during open enrollment. To choose a new health plan, visit www.cccplusva.com/choose and read the Tips for Choosing a New Health Plan. You can enroll in a health plan by going online at www.cccplusva.com/enroll, or by calling the CCC Plus Helpline at 1-844-374-9159, TTY 1-800-817-6608, Monday – Friday, 8:30 a.m. to 6:00 p.m.
You may change your managed care plan within the first 90 days after you become a CCC Plus member, once a year during open enrollment, or at other times if approved by the Department of Medical Assistance Services. To change health plans, call the CCC Plus Helpline at 1-844-374-9159 or visit www.cccplusva.com. Open enrollment is the time to change your health plan for any reason. The open enrollment period for the Virginia Medicaid CCC Plus Medicaid Expansion members is November 1 through December 18. The open enrollment period for all other Virginia Medicaid CCC Plus members is October 1 through December 18. Your annual open enrollment letter will tell you the dates of your open enrollment period.
The CCC Plus program provides a continuity of care period, which means you can continue seeing your current providers for up to 30 days from the date of when your CCC Plus coverage began. After this date, you can work with your care coordinator to select a new provider who works with your health plan.
You can find out which health plan your health care providers participate with by going to www.cccplusva.com or by calling 1-844-374-9159. Your health plan has the provider directory online and can send you a paper copy upon request.
No, CCC Plus members do not have copays for doctor visits. Individuals may have a “patient pay” (as determined by the Department of Social Services) towards their long-term care services.
Yes. CCC Plus will cover all medications covered by the formulary of your health plan without copayments if you only have Medicaid coverage. If your medication is not covered on the formulary, ask your prescriber if a covered alternative medication could be substituted. If you have Medicaid and Medicare Part D, you will continue to be responsible for your copayments.
Transportation is a Medicaid covered service and is covered by your CCC Plus health plan (or their transportation broker) when you do not have another way to get to your Medicaid services. Your CCC Plus member ID card lists the phone number to call for transportation.
For individuals on a DD waiver, transportation for waiver services is covered through the DMAS fee-for-service transportation broker, ModivCare. Your CCC Plus health plan will pay for your transportation to non-waivered medical services. For individuals on the CCC Plus waiver, transportation is covered by your CCC Plus health plan.
A care coordinator is a person who works with you and your providers to help you get the health care you need. Your care coordinator is your main point of contact and can answer questions about your health care; help you find providers, community resources and social services; coordinate your providers through care team meetings; and help you meet your goals. To contact your care coordinator, visit www.cccplusva.com/learn/care-coordination and call the care coordination phone number for your health plan.
A Dual Eligible Special Needs Plan (D-SNP) is an option for individuals who qualify for Medicare and Medicaid. An individual who has Medicare and Medicaid may choose the same health plan for their Medicare and Medicaid plans, which allows for improved coordination of care. Individuals who are interested in changing their Medicare plan can call Medicare at 1-800-633-4227. For more information about D-SNP, visit https://www.cccplusva.com/choose/if-you-qualify-for-or-get-medicare.
Learn more about behavioral health or mental health services available to adult and youth Medicaid members on the Members Behavioral Health page.
Call the CCC Plus Helpline at 1-844-374-9159 (TTY: 1-800-817-6608), or visit www.cccplusva.com for more information.