Call us at 1-833-252-2737 (TTY 711)

8AM-8PM Monday-Friday

Call us at 1-833-252-2737 (TTY 711)

8AM-8PM Monday-Friday
https://static1.squarespace.com/static/570e35b01d07c0cbf8f6a375/t/65158e5697c7286a83ff9c98/1695911510295/CLH-28136_CenterLight-Pace_Logo_Horz_Color-Full_CMYK.png

Information for Providers

At CenterLight Healthcare, we are committed to delivering high quality health and health-related services to our participants in the diverse communities we serve. This commitment is only possible through our relationship with you -- our network of caring and compassionate Providers dedicated to enhancing our participants' quality of life.

This section of our website affords our participating Providers access to a variety of useful tools and documents. Use the quick links below to obtain directories, forms and more.

Provider Look-Up

Provider Resources

How to Submit a Claim

Refer a Potential Participant - IMPORTANT NOTE: When sending to us by fax or email, please make sure the communication is secure and encrypted.

If you need assistance or have any questions, please call our Customer Service department at 1-800-761-5602.





Provider Resources

Please click on the links below to access Provider information in pdf format.

CenterLight is now working with Nokomis to provide claim review services (PDF, 85KB)

Collaborating with CenterLight Through HHAeXchange (PDF, 96KB)

Prior Authorization Request Form (PDF, 39KB)

Quick Reference Guide (PDF, 218KB)

Medical Encounter Notes (PDF, 454KB)

W-9 (PDF, 133KB)


Drug coverage Determination Forms

Prescription Drug Coverage Determination Form (PDF, 25KB)

Prescription Drug Coverage Determination Form (Online)



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How to Submit a Claim

We understand that getting paid quickly and accurately is important to you and encourage our participating providers to file claims online. Online claims processing saves time and paper.


Electronic Claims Submission

Electronic claim submission provides an easier and faster way to submit claims. For all electronic claims, please register with one of the following clearinghouses:

Clearinghouse Payer ID
Emdeon/ Change Healthcare 13360
MDOnline/ Ability Network 13360

Paper Claims Submission

If you submit paper claims, please be sure to submit claims on a CMS 1500 or a UB 04 form and always include:

  1. The service facility location information.
  2. The pay to group or individual name.
  3. The National Provider Identifier (NPI).
  4. The Tax Identification Number (TIN)
  5. The name of the rendering provider and rendering provider NPI

Submit paper claims to:

CenterLight Healthcare
P.O. Box 21546
Eagan, MN 55121

Providers should submit all claims within ninety (90) days of the date of service for prompt adjudication and payment.

For any questions regarding claims status, please call Provider Services at 1-800-761-5602, Monday through Friday, from 9 AM to 5 PM.

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Annual Enrollment Period

We understand that Annual Enrollment Period can be a confusing and stressful time for your patients and their caregivers, and our team is here to assist.

If you have patients who’d benefit from our services and want information about our program, you can refer them to us. Please note that current CenterLight Teamcare participants do not need to take any action at this time.

CenterLight Teamcare has no lock-in period, which means we can accept referrals and enroll participants any time of the year.

Simply call us at:

1-833-252-2737 (TTY 711)

9AM - 5PM Monday-Friday (Representatives and message service also available on weekends.

We look forward to continuing to work with you in helping enrich the lives of the individuals and communities we serve.

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We welcome your inquiries. Please call our Participant Services Department at 1-833-CL-CARES (1-833-252-2737) Monday-Friday from 8:00 AM through 8:00 PM. TTY users should call 711. You may also write to us at 136-65 37th Ave., Flushing, NY 11354.

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2017_WEB_002 Approved 09252018
Last updated on April 1, 2024
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2017_WEB_002 Approved MMDDYYYY
Pending DOH and CMS Approval
Last updated on December 27, 2017
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_ElectronicFundsTransfer Approved 01192022
Last updated on December 28, 2021

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_SDR_Training Approved 01192022
Last updated on December 21, 2021

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2017_WEB_002PressRoom Approved 02062018

Last updated on May 8, 2018
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2017_WEB_Caregivers Approved MMDDYYYY
Pending DOH and CMS Approval
Last updated on December 7, 2017
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2018_WEB_LANDING PAGE_003r1_M Approved 01072019
Last updated on January 4, 2019

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2018_WEB_LANDING PAGE_004r1_M Approved 01072019
Last updated on January 4, 2019

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2019_JanuaryBLOG Approved 02132019
Last updated January 30, 2018

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2023HomePage Approved 01102023
Last updated on December 27, 2022


CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2018_WEB_Activities Approved 11262018
Last updated on December 31, 2018

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2018_WEB_LANDING PAGE_005r1_M Approved 01072019
Last updated on January 4, 2019
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2018_WEB_LANDING PAGE_006r1_M Approved 01072019
Last updated on January 4, 2019
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2018_WEB_LANDING PAGE_007r1_M Approved 01072019
Last updated on January 4, 2019
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2019_WEB_Activities_Approved 03122019
Last updated on March 2, 2020
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2019_WEB_May Approved 05152019
Last updated on May 13, 2019
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2019_Caregiver_r001 Approved 03132019
Last updated on February 25, 2019
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2019_CDPAS Approved 03132019
Last updated on February 25, 2019

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_ProviderHomeV3 Approved 01192022
Last updated on March 29, 2022

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2019_CDPAS_caregiver Approved 03132019
Last updated on February 25, 2019
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2019_CDPAS_caregiver_var1 Approved 05032019
Last updated on April 18, 2019
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_July2019_BLOG_home Approved 07232019
Last updated July 5, 2019
Participants are enrolled in CenterLight Teamcare at the time of filming.

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2019_LifeAtTeamcare_r001 Approved 05152019
Last updated on May 29, 2019
Participants are enrolled in CenterLight Teamcare at the time of filming.

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_LifeAtCenterLight Approved 06022023
Last updated on May 22, 2023

Participants are enrolled in CenterLight Teamcare at the time of filming.

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_Betty_landingpage Approved 07232019
Last updated on July 3, 2019
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2019_caregiverbettyvid Approved MMDDYYYY
Pending CMS and DOH approval Last updated on August 19, 2019
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2021_TeamcareHome_JUN Approved 07022021
Last updated on June 11, 2021
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2020_Provider_February Approved MMDDYYYY
Pending CMS and DOH approval
Last updated on September 28, 2020

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2020_WEBWhereWeAre Approved 01132020
Last updated on January 3, 2020

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2020_WEB_covid19updates Approved 04072020
Last updated on March 17, 2020

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2020_WEB_FBevents Approved 04172020
Last updated on April 14, 2020

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2021ParticipantCorner Approved 03192021
Last updated on March 4, 2021

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_providernews1 Approved 01262021
Last updated on December 30, 2020

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2021ParticipantInfo Approved 01192022
Last updated on April 1, 2024

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_OTC Approved 04142021
Last updated on April 2, 2021

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_ProviderNewsMar2022 Approved 04202022
Last updated on March 29, 2022

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_myneedscard_web_v3 Approved 09062022
Last updated on September 14, 2022

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_ProviderLookUp Approved 01192022
Last updated on December 28, 2021

Photo credit: Linda Farwell Photography