Clever Care Health Plan

Provider Portal

Sign in to streamline your administrative tasks, from checking member benefits to viewing your payment history.

Start Here

Event Request Form

Complete the form below to register your sales event. Be sure to submit your request at least seven (7) days prior to the start of your event. In order to ensure your request is actioned in a timely and appropriate manner, please provide as much detail as possible.

For event changes or cancellations, please contact eventsubmission@ccmapd.com team at least 48 hours in advance. Be prepared to provide a list of beneficiaries that have RSVP’d and describe any outreach (if any) that has been done to inform them of the changes or cancellations.

New Event Registration Form
  • Requester Information
  • Agent Information
  • Location Information
  • Event Information

Requester Information

Provide us with information about yourself so we know who to contact for questions and updates.