ACCEPTED HEALTH INSURANCES Kissimmee Location As of: June, 2018
|
|
|
- Emil Cole
- 5 years ago
- Views:
Transcription
1 ACCEPTED HEALTH INSURANCES Kissimmee Location As of: June, 2018 CIGNA CORE SOURCE AETNA 1199 SEIU ALLIED BENEFIT SYSTEMS UNITED HEALTHCARE (Commercial) BCBS / Florida Blue (Commercial) CHAMPVA MEDICARE MERITAIN OPTUM OXFORD UMR GOLDEN RULE VALUE OPTIONS MAGELLAN (Commercial and Medicare) AVMED (Under Magellan) BEHAVIORAL HEALTH SYSTEMS VOCATIONAL REHABILITATION (Auth. Required) WORKERS COMPENSATION HUMANA (Commercial) CAREPLUS (Medicare HMO) (Under Magellan) ORLANDO VA (Referral and Auth. Required) MOLINA (Commercial) WELLCARE OF FLORIDA (Medicare HMO) TRICARE ONLY COMPSYCH (Auth. Required) ONLY STAYWELL (Medicaid HMO) ONLY UNITED HEALTHCARE (Medicaid HMO) ONLY UNITED HEALTHCARE (Medicare HMO) ONLY BCBS (Medicare HMO) ONLY PCP (Preferred Care Partners Medicare HMO) (Under UBH Medicare) ONLY PRESTIGE (Medicaid HMO) (Under OPTUM) ONLY UNDER PSYCHCARE HUMANA (Medicare HMO) HUMANA (Medicare PPO) FREEDOM (Medicare HMO) OPTIMUM (Medicare HMO) SIMPLY (Medicare HMO) COVENTRY (Commercial) COVENTRY (Healthy Kids) MOLINA (Medicaid HMO and Marketplace) CLEAR HEALTH ALLIANCE (Medicaid HMO) INSURANCES ACCEPTED FOR TMS ONLY ONLY ONLY SELF PAY FEES BLUE CROSS BLUE SHIELD Initial Evaluation: $ CIGNA 30-Min Mid-Level Appt.: $ MEDICARE Medication Management: $ FREEDOM Therapy: $95.00 OPTIMUM SIMPLY AETNA AETNA EAP CIGNA EAP WELLCARE UHC EAP OPTUM EAP TRICARE E 4 HEALTH EAP LIFE SOLUTIONS EAP EAP
2 ACCEPTED HEALTH INSURANCES Clermont Location As of: June, 2018 CIGNA COURE SOURCE AETNA (Commercial) AETNA (Medicare HMO) 1199 SEIU ALLIED BENEFIT SYSTEMS GEHA MERITAIN CHAMPVA MAGELLAN (Commercial and Medicare HMO) BEHAVIORAL HEALTH SYSTEMS CAREPLUS BEHAVIORAL HEALTH SYSTEMS MEDICARE / MEDICAID VALUE OPTIONS BCBS / FLORIDA BLUE WELLCARE OF FLORIDA STAYWELL TRICARE ORLANDO VA (Referral and Auth. Required) VOCATIONAL REHABILITATION (Auth. Required) NOTE: NO PSYCHOTHERAPY SERVICES OFFERED IN CLERMONT SELF PAY FEES Initial Evaluation: $ Min Mid-Level Medication Management: $ Follow-Up Medication Management: $110.00
3
4 ACCEPTED HEALTH INSURANCES Lake Nona Location As of: June, 2018 CIGNA COURE SOURCE AETNA (Commercial) AETNA (Medicare HMO) 1199 SEIU ALLIED BENEFIT SYSTEMS GEHA MERITAIN CHAMPVA MAGELLAN (Commercial and Medicare) BEHAVIORAL HEALTH SYSTEMS CAREPLUS BEHAVIORAL HEALTH SYSTEMS MEDICARE / MEDICAID BCBS / FLORIDA BLUE VALUE OPTIONS WELLCARE OF FLORIDA STAYWELL TRICARE UBH (Medicare) UBH (Commercial) UMR (Commercial) GOLDEN RULE OXFORD ORLANDO VA (Referral and Auth. Required) VOCATIONAL REHABILITATION (Auth. Required) SELF PAY FEES Initial Evaluation: $ Min Mid-Level Medication Management: $ Follow-Up Medication Management: $ Psychotherapy: $95.00
5
6 ACCEPTED HEALTH INSURANCES FOR TRANSCRANIAL MAGNETIC STIMULATION (TMS) Kissimmee Location As of: June/2018 WELLCARE BLUE CROSS BLUE SHIELD CIGNA MEDICARE AETNA TRICARE Under Psychcare for Mental Health FREEDOM (Medicare HMO) OPTIMUM (Medicare HMO) SIMPLY (Medicare HMO)
7 PROVIDER INSURANCE PANELS May / 2018 AETNA /GEHA / 1199 SEIU / Meritain / Allied Benefit Systems Tonya King, ARNP BCBS / Florida Blue BCBS (Medicare) Behavioral Health Systems
8 CHAMP VA Tonya King, ARNP Mary C. Decker, ARNP CIGNA / CORE SOURCE Luis Olivera-Rodriguez
9 MAGELLAN (CAREPLUS OR AVMED) MEDICARE Tonya King, ARNP Optum (Medicaid) (Initials Only) (Initials Only) (Initials Only)
10 Orlando VA Tonya King, ARNP PSYCHCARE (Beacon Health Strategies) (All Plans) (All Plans) (Medicare HMO s only / NO Medicaid Plans) (Coventry HK only / NO Medicaid Plans) TRICARE
11 STAYWELL UBH /Optum / Oxford / UMR / Golden Rule (Commercial) UBH (Medicare)
12 UBH (Medicaid) (Initials Only) (Initials Only) Rosa Beltre (Initials Only) Value Options (Beacon Health Options) WELLCARE of FLORIDA
13 EAP / THERAPY ONLY AETNA EAP CIGNA EAP UBH / OPTUM EAP E4 HEALTH / LIFE SOLUTIONS EAP
Accepted Health Plans
Accepted Health Plans Lakeland Regional Health Medical Center While the hospital contracts with the following health plans, the hospital may not be included in all of the products (i.e. HMO, PPO, Behavioral
RESIDENTIAL, INPATIENT, DETOX, & MEDICATION ASSISTED TREATMENT DIRECTORY
RESIDENTIAL, INPATIENT, DETOX, & MEDICATION ASSISTED TREATMENT DIRECTORY Suboxone: You can find a Suboxone provider at www.suboxone.com using the Find a Doctor function and entering your zipcode. This
Government Plans 2016
Government Plans 2016 Use the site Find a Doctor and contact your insurance provider to verify participation. Definitions MMAI Persons eligible for Medicaid and, also called dual eligible. FHP Medicaid
Notes. Does Overlake Medical Center (Hospital) Participate? Clinics (OMC) Participate?
Health Plan Does Overlake Medical Center (Hospital) Participate? Does Overlake Medical Clinics (OMC) Participate? Notes Aetna Overlake Medical Clinics is NOT a designated Aetna Aexcel Physician Group Aetna
Effective December 18, 2017, the Agency launched a new Medicaid complaint tracking system.
Effective December 18, 2017, the Agency launched a new Medicaid complaint tracking system. Complainants now choose an Allegation Statement that they feel best describes his/her issue. The complaint tracking
201 E. Main Suite 600 El Paso, TX (915) Fax: (915) ADDENDUM
20 E. Main Suite 600 El Paso, TX 7990 (95) 887-340 Fax: (95) 774-020 ADDENDUM To: All Interested Proposers From: Diana Billingsley Date: March 7, 206 Subject: Telemedicine Services RFA # 6-00 Addendum
SMG KC Participation. No YES YES. Yes. Yes Yes YES. No Yes Yes Yes Yes Yes Yes Yes Yes No. No Yes. No No. Yes Yes Yes Yes Yes Yes.
SMG KC Insurance Participation -TIN # 45-3074284 rev 01-15-18 Advantra Medicare_Coventry HMO, PPO, POS Aetna All Commercial Products Aetna Medicare Advantage- PPO, POS,HMO Aetna Work Comp Access Allwell
Building photos courtesy of LLT Building Corporation
Building photos courtesy of LLT Building Corporation Primary areas of prevention and health promotion High risk drinking and drug prevention Mental health Physical health (nutrition, physical activity,
Health Plans Accepted by the Hospital (Effective April, 2018)
Health Plans Accepted by the Hospital (Effective April, 2018) 1199 SEIU National Benefit Fund Home Care Benefit Fund Greater New York Benefit Fund AARP AARP Medicare Complete Plan 1 United HealthCare AARP
Florida s Medicaid 1115 Managed Medical Assistance Waiver Post Award Forum
Florida s Medicaid 1115 Managed Medical Assistance Waiver Post Award Forum Agency for Health Care Administration November 1, 2017 Public Meeting 1115 Research and Demonstration Waivers Section 1115 of
COMPARING FULL SERVICE CALIFORNIA HMO ENROLLMENT FOR MARCH 31, 2014 AND MARCH 31, 2015 (see Notes, pg 8)
COMPARING FULL SERVICE CALIFORNIA HMO ENROLLMENT FOR MARCH 31, 2014 AND MARCH 31, 2015 (see Notes, pg 8) ALL HMO PRODUCT LINES ENROLLMENT HMO Plans 2014 HMO Plans 2015 Difference Percent Chg Commercial
Post Award Forum for Florida s 1115 Managed Medical Assistance Waiver. Presented at the September 2014 Medical Care Advisory Committee Meeting
Post Award Forum for Florida s 1115 Managed Medical Assistance Waiver Presented at the September 2014 Medical Care Advisory Committee Meeting Statewide Medicaid Managed Care (SMMC) Program The SMMC program
Medicare Advantage PFFS Products HFMA 2008 Spring Education Conference Kiet Lam Senior Manager, Triage Consulting Group
Medicare Advantage PFFS Products HFMA 2008 Spring Education Conference Kiet Lam Senior Manager, Triage Consulting Group In the news Medicare Audits Show Problems in Private Plans NY Times (Oct 2007) Medicare
Wound Care. Equipment & Supplies. HME Wound Care is available throughout Wisconsin.
HME Wound Care is available throughout Wisconsin. Wound Care Equipment & Supplies 2021 Riverside Drive Green Bay, WI 54301 (920) 465-3000 (800) 236-2619 Fax: (920) 465-3003 Hours of Operation: Monday-Friday
MEDICAID REFORM HEALTH PLANS AND NETWORKS AS OF JULY 1, 2006
MEDICAID REFORM HEALTH PLANS AND NETWORKS AS OF JULY 1, 2006 CHRISTY HARRIS LEMAK LILLIANA L. BELL R. PAUL DUNCAN ALLYSON G. HALL PREPARED BY THE DEPARTMENT OF HEALTH SERVICES RESEARCH, MANAGEMENT AND
Molly L. VanDuser, M.S. Ed., LPCS, NCC President/Clinical Supervisor
Molly L. VanDuser, M.S. Ed., LPCS, NCC President/Clinical Supervisor PEACE OF MIND, INC. 817 West Front Street, P.O. Box 2088, Lillington, NC 27546 Office: (910) 814-2197 ext. 11 Fax: (910) 814-2167 Emergency
Florida s Medicaid 1115 Managed Medical Assistance Waiver Extension Request. Agency for Health Care Administration October 18, 2016 Public Meeting
Florida s Medicaid 1115 Managed Medical Assistance Waiver Extension Request Agency for Health Care Administration October 18, 2016 Public Meeting 1115 Research and Demonstration Waivers Experimental, pilot,
Contracted Insurance Plans
Contracted Insurance Plans As of September 1, 2018, Children s Health SM has contracts with the following health care insurance plans for the following locations: Children s Medical Center Dallas Children
Managing Illinois Medicaid Reform at Your Practice. May 2015
Managing Illinois Medicaid Reform at Your Practice May 2015 1 Outline For Discussion 1. Overview of the marketplace today and transformational forces in the industry 2. Review of new Medicaid managed care
Contracted Insurance Plans
Contracted Insurance Plans As of December 1, 2017 Children s Health SM has contracts with the following health care insurance plans for the following locations: Children s Medical Center Dallas Children
Native American Frequently Asked Questions
Native American Frequently Asked Questions What is Centennial Care? Centennial Care is the new name of the New Mexico Medicaid program. Centennial Care will begin January 1, 2014 and services will be provided
Contracted Insurance Plans
Contracted Insurance Plans As of March 1, 2018, Children s Health SM has contracts with the following health care insurance plans for the following locations: Children s Medical Center Dallas Children
COMMUNICATING WITH YOU
Patient Intake Form Appointment Date and Time: Patient Account#: *Initial Visit Deposit of $60 is required before securing your initial appointment. Refer to Cornerstone Psychiatric Services, Inc. David
Contracted Insurance Plans and Episodic Programs Accepted at NCHS
FQHC CHDP/FQHC Contracted Insurance Plans and Episodic Programs Accepted at Newborn FQHC 3 161 186 Medi-Cal Medi-Cal Fee-For-Service (FFS) 14 Medi-Cal (straight Medi-Cal) - eligibility is issued from the
URGENT WAY WALK-IN MEDICAL CENTER. Affordable, Compassionate, & Convenient Care
URGENT WAY WALK-IN MEDICAL CENTER Affordable, Compassionate, & Convenient Care I found going to the clinic a very positive experience. Dr. Khan was very welcoming and friendly. The first thing she mentioned
Procedures that require authorization by evicore healthcare
Go directly to the Blue Cross code lists. Go directly to the BCN code lists. Overview The codes listed in this document represent the procedures requiring authorization for the following: Select Blue Cross
Medicaid Managed Care Overview
Medicaid Managed Care Overview 2011 Medicaid Reform Law In 2011, the General Assembly passed PA 96-1501 to address increasing budget pressures in the Medicaid program, requiring Illinois to enroll 50%
MEDICAL HOMES Arkansas Hospital Association
MEDICAL HOMES Arkansas Hospital Association Framing our discussion Environmental snapshot of health care Hospitals and the PCMH Arkansas Medical Homes Patients/Consumers 2 1 Health Policy is changing Budget
Florida Healthy Kids Program Performance Improvement Project Validation Reporting on PIPs Implemented During the Evaluation Period
Florida Healthy Kids Program Performance Improvement Project Validation Reporting on PIPs Implemented During the 2011-2012 Evaluation Period Prepared for the Florida Healthy Kids Corporation Prepared by
Entering Private Practice or Primary Care in West Virginia: A Guide For Registered Dietitian Nutritionists
Entering Private Practice or Primary Care in West Virginia: A Guide For Registered Dietitian Nutritionists CO-AUTHORS: MEREDITH CHAPMAN & LACY DAVIDSON MAY 12, 2017 Objectives 1. Supplement the AND s Toolkit:
Frequently Asked Questions
Frequently Asked Questions Central Florida HMO Medical Options WHAT TO PRIMARY Eligible Disney employees and Cast Members in Central Florida* who want to enroll in an HMO for will have a choice of two
Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Aetna Medicare Physician Marketing Program
Quality health plans & benefits Healthier living Financial well-being Intelligent solutions 2017 Aetna Medicare Physician Marketing Program Provider Marketing Opportunities: Aetna has a strong network
HMO West Pennsylvania Employees Benefit Trust Fund Benefit Highlights Active Eligible Members. Providers None $6,850 single / $13,700 family
Benefit Provision HMO Network Providers None $6,850 single / $13,700 family DEDUCTIBLE (Per Calendar Year) OUT-OF-POCKET MAXIMUM (includes costs for medical, mental health and substance abuse benefits
The Comprehensive Primary Care Initiative: New Payment Models Will Rely on Use of Health IT
The Comprehensive Primary Care Initiative: New Payment Models Will Rely on Use of Health IT Richard J. Baron, MD, MACP Group Director, Seamless Care Models Innovation Center, CMS Advancing Primary Care
OptumInsight Eligibility Payer List ANSI HIPAA 270/271 (As of 02/28/2013)
Payers highlighted are new or have been altered in the last 90 days. Please verify that your system is setup correctly for this payer AARP-UnitedHealthcare Ins Co 36273 ALL Loop 2100B should contain Tax
Last Name: First Name: Middle Initial: City: State: Zip Code: City: State: Zip Code:
1240 South Loop Road Alameda, CA 94502 1-877-585-PLAN (7526) TTY 1-800-735-2929 8 a.m. - 8 p.m., 7 days a week www.alliancecompletecare.org I wish to enroll in the Alliance CompleteCare (HMO SNP) Medicare
CCHHS Strategic Planning Presentation: CountyCare Health Plan Prepared for: CCHHS BOD. Steven Glass, Executive Director, Managed Care May 19, 2016
CCHHS Strategic Planning Presentation: CountyCare Health Plan Prepared for: CCHHS BOD Steven Glass, Executive Director, Managed Care Payor Milestones Early 1900 s Mid 1900 s Late 1900 s 1990s 2000-2016
PRIMARY PARTNERS, LLC. Our Journey with the State HIE
PRIMARY PARTNERS, LLC Our Journey with the State HIE About Us As a 2012 starter, Primary Partners was one of the 1 st Medicare ACO s in the country Our 2 nd Medicare ACO was formed in 2013 In late 2014
PROVIDER TRAINING NOTICE OF MEDICARE NON-COVERAGE (NOMNC)
PROVIDER TRAINING NOTICE OF MEDICARE NON-COVERAGE (NOMNC) 2015 NOMNC OVERVIEW In this training module, you will learn about: What a Notice of Medicare Non-Coverage (NOMNC) is When you are required to deliver
The Medicare Medicaid Alignment Initiative (MMAI): A Program for People with Medicare and Medicaid. updated July 2016
The Medicare Medicaid Alignment Initiative (MMAI): A Program for People with Medicare and Medicaid updated July 2016 1 1 What is the Medicare Medicaid Alignment Initiative (MMAI)? A managed care program
SMMC: LTC and MMA. Linda R. Chamberlain, P.A. Member Firm Florida Elder Lawyers PLLC
SMMC: LTC and MMA Linda R. Chamberlain, P.A. Member Firm Florida Elder Lawyers PLLC 727.443.7898 Why should you care about SMMC Florida has 7M+ people 50 y/o + 4M+ Social Security beneficiaries 3.5M+ Medicare
ICD-10 Frequently Asked Questions for Providers Q Updates
ICD-10 Frequently Asked Questions for Providers Q4 2012 Updates What is ICD-10? International Classification of Diseases, 10th Revision (ICD-10) is a diagnostic and procedure coding system endorsed by
Thank you for joining us today. We ll start momentarily.
Quality & Incentives Thank you for joining us today. We ll start momentarily. If you haven t already, please call into the webinar to hear us speak. Your phone will automatically be set to mute. Conference
2011 ANNUAL REPORT. SHAREHOLDERS MEETING April 24, Arnold Blustein, MD Board President. Steven Yedlin, MD Chief Medical Officer
2011 ANNUAL REPORT SHAREHOLDERS MEETING April 24, 2012 CHILDREN FIRST MEDICAL GROUP Arnold Blustein, MD Board President Steven Yedlin, MD Chief Medical Officer Lenda Townsend-Williams, MBA Chief Operating
California Pay for Performance: A Case Study with First Year Results. Tom Williams Integrated Healthcare Association (IHA) March 17, 2005
California Pay for Performance: A Case Study with First Year Results Tom Williams Integrated Healthcare Association (IHA) March 17, 2005 Agenda National Perspective California Program Overview Data Collection
Notification/Prior Authorization for Certain Surgical Procedures Frequently Asked Questions
Notification/Prior Authorization for Certain Surgical Procedures Frequently Asked Questions Key Points For many UnitedHealthcare commercial plan and UnitedHealthcare Community Plan members, we require
March 15, 2017 UCCCN Learning Session - Summary
March 15, 2017 UCCCN Learning Session - Summary Healthy U Molina Health Choice Utah SelectHealth Pediatric Specialty Learning Session Panelists (Insurers) Liz Armour-Roth, Manager, Care Management Sheila
A letter to my patients,
A letter to my patients, As of April 1, 2018, Texas Family Physicians will change our practice model from Traditional Fee for Service to a Medical Membership model. Medical Membership is a hybrid between
Managed Care 101: Understanding the Basics and Opportunities for Partnership. Bruce A. Chernof, M.D. President & CEO
TSF Webinar January 8, 2013 Managed Care 101: Understanding the Basics and Opportunities for Partnership Bruce A. Chernof, M.D. President & CEO Presentation Overview: Managed Care 101 Background Goals
Steve Yedlin, MD Chief Medical Officer. Lenda Townsend-Williams, MBA Chief Operating Officer
2015 ANNUAL REPORT Steve Yedlin, MD Chief Medical Officer Lenda Townsend-Williams, MBA Chief Operating Officer 2015 Annual Report Shareholder s Meeting May 3, 2016 To Our Shareholders, 2015 has been a
Carolinas Collaborative Data Dictionary
Overview Carolinas Collaborative Data Dictionary This data dictionary is intended to be a guide of the readily available, harmonized data in the Carolinas Collaborative Common Data Model via i2b2/shrine.
Evolution of ACOs in California. Accountable Care Congress Los Angeles November 11, 2014 Jill Yegian, Ph.D.
Evolution of ACOs in California Accountable Care Congress Los Angeles November 11, 2014 Jill Yegian, Ph.D. Integrated Healthcare Association Statewide multi stakeholder leadership group that promotes quality
Care Provider Demographic Information Update
Care Provider Demographic Information Update Please use this form for a single care provider practitioner update. Incomplete forms will not be processed. Fields with an asterisk (*) are required for practitioners
Campus Health Services
Campus Health Services WHERE ARE WE? Patient Confidentiality If a student is UNDER 18, parents/guardians will be contacted about treatment except for encounters related to: Substance Abuse Mental Health
TEN MINUTES CAN SAVE THOUSANDS OF DOLLARS Presented by Alliance Ambulance, Inc. (713)
TEN MINUTES CAN SAVE THOUSANDS OF DOLLARS Presented by Alliance Ambulance, Inc. (713) 682-2273 http://www.alliance-ambulance.com FORMS OF PAYMENT FOR AMBULANCE SERVICES: MEDICARE MEDICARE HMO MEDICARE
Restructuring Healthcare The Role of Technology
Restructuring Healthcare The Role of Technology Philip Gaziano, MD October 11, 2012 2 Physician Owned & Lead Organizations Accountable Care Associates, LLC (ACA): Founded in 2010, it is physician owned
PRIMARY CARE PHYSICIAN MANUAL FOR BEHAVIORAL HEALTH SERVICES
PRIMARY CARE PHYSICIAN MANUAL FOR BEHAVIORAL HEALTH SERVICES Version 2013 2014 CLIENT PRIMARY CARE PHYSICIAN MANUAL SURVEY, V. 2013-2014 Dear Client Primary Care Physician: Psychcare annually distributes
Jay Hale Accepts New Position. Welcome New Clinical Care Manager
0% Jay Hale Accepts New Position Written by David Patterson, President and CEO of CBHA Jay Hale, LPC, CEAP, Director of Health Plan Administration at CBHA has accepted the position of Manager of Clinical
MANAGED CARE IS HERE
MANAGED CARE IS HERE Survive or Thrive Susie Mix CEO/President Mix Solutions Inc. 1 Nursing Home (NH) Industry Transformation Senior Care Industry Trends & Strategies Why do we care about change? Finances
6/5/2014 ABOUT ME ORGANIZATIONS
ABOUT ME 1985-1990 Worked 5 years for CPA (client accounting & payroll for about 30 companies) 1990-2011 Worked 21 years for private practice 2005-2011 Did Medical Billing on the side 2011-2014 Started
Overall Learning Objectives How large is the specialty pharmaceutical market? Drug Trends Source: CVS Caremark 2013 Drug Trend Focus Report
What s So Special About Specialty Pharmacies? Overview and Role of Pharmacists and Pharmacy Technicians Implementation of a Specialty Pharmacy Program Overall Learning Objectives For Pharmacists and Pharmacy
Change Healthcare Real-Time Payer List
Real-Time Payer ID Table Column Descriptions: Change Healthcare Real-Time Payer List Updated: Date added since last publication. N = New Payer, U = Update to payer record. Those marked as 'Coming Soon'
Provider Orientation to Magellan s Outpatient Behavioral Health Model
Provider Orientation to Magellan s Outpatient Behavioral Health Model July 2017 Big-picture objectives Magellan Healthcare s outpatient care management model: Reduces provider administrative tasks Expedites
NewsBrief. Network. MyQuest Offers Online Lab Results. Best Practices for Doctor-Patient Experience. Role of PCPs in AOD Dependence
Network NewsBrief A publication for AvMed Providers and Staff Spring 2018 MyQuest Offers Online Lab Results Best Practices for Doctor-Patient Experience Role of PCPs in AOD Dependence TABLE OF CONTENTS
May Non-Physician Practitioner (NPP) Nurse Practitioners and Physician Assistants. Collaborating Together as a Team
May 2015 Non-Physician Practitioner (NPP) Nurse Practitioners and Physician Assistants Collaborating Together as a Team What is a Non-Physician Practitioner (NPP) or Physician Extender } Physician Assistant
OF FLORIDA MEDICAID PROVIDERS PRODUCT CATALOG EBOOK
27 February, 2018 OF FLORIDA MEDICAID PROVIDERS PRODUCT CATALOG EBOOK Document Filetype: PDF 117.39 KB 0 OF FLORIDA MEDICAID PROVIDERS PRODUCT CATALOG EBOOK Fillable apply for medicaid florida. Call the
Partnering with Public Health Departments in Managed Care. THIS AREA CAN BE LEFT BLANK or ADD A PICTURE
Partnering with Public Health Departments in Managed Care THIS AREA CAN BE LEFT BLANK or ADD A PICTURE 2/3/2017 The Value of Medicaid Managed Care States Have Seen the Value of Medicaid Managed Care 75
MMW Topical Brief: Medicaid Managed Long Term Services and Supports (MLTSS)
June 10, 2016 MMW Topical Brief: Medicaid Managed Long Term Services and Supports (MLTSS) Dear MMW Members, We wanted to share with you important information about a new program, the Medicaid Managed Long
Clinical Integration & ACO Contracting
& Clinical Integration & ACO Contracting 1 The First TXCIN ACO Contract: Cigna Collaborative Accountable Care (CAC) Benefits of ACO Contract Participation: 1. Patients Attributed to PCPs (IM, FP, PEDS,
Referrals, Prior Authorizations, Medical Management, and Appeals
Referrals, Prior Authorizations, Medical Management, and Appeals 1 An Independent Licensee of the Blue Cross Blue Shield Association 044506 (12-21-2017) 2017 Premera. Proprietary and Confidential. Referrals
Working with Anthem Subject Specific Webinar Series
Working with Anthem Subject Specific Webinar Series Special Session Working with Anthem Medicaid Access audio conference: 877-497-8913 Conference code: 132-281-9809# Please Mute Your Phone Use the mute
Blue Shield of California: Consumer Initiatives
Blue Shield of California: Consumer Initiatives UC/CHCF California ecare Conference January 15, 2003 Los Angeles Alan Gellman Jeff Rideout, M.D., M.A. Valli Bowman Vice President, ebusiness President Director,
SFY EXTERNAL QUALITY REVIEW TECHNICAL REPORT
Florida Agency for Health Care Administration SFY 2011 2012 EXTERNAL QUALITY REVIEW TECHNICAL REPORT January 2013 3133 East Camelback Road, Suite 300 Phoenix, AZ 85016 Phone 602.264.6382 Fax 602.241.0757
Evaluation of Pharmacy Delivery Models
Evaluation of Pharmacy Delivery Models As Required By House Bill 1, 84th Legislature, Regular Session, 2015 (Article II, Health and Human Services Commission, Rider 83) Health and Human Services Commission
Implementing Coordinated Care for Dual Eligibles: Conflicts and Opportunities Prepared by James M. Verdier Mathematica Policy Research
Implementing Coordinated Care for Dual Eligibles: Conflicts and Opportunities Prepared by James M. Verdier Mathematica Policy Research Workshop on Effectively Integrating Care for Dual Eligibles World
The Business of Medicine
The Business of Medicine Coding as a profession Objectives How the coder fits in Hospital vs. physician services Hierarchy of providers Reimbursement aspects Payers Medical necessity ABN 1 Regulations
Report of the Connecticut State Medical Society-IPA, Inc. to the Connecticut State Medical Society House of Delegates September 30, 2015
Report of the Connecticut State Medical Society-IPA, Inc. to the Connecticut State Medical Society House of Delegates September 30, 2015 Each year the Connecticut State Medical Society IPA (CSMS-IPA) provides
Anthem Blue Cross Cal MediConnect Plan (Medicare- Medicaid Plan) Santa Clara County Behavioral Health provider training
Anthem Blue Cross Cal MediConnect Plan (Medicare- Medicaid Plan) Santa Clara County Behavioral Health provider training Anthem Blue Cross Cal MediConnect Plan Effective January 1, 2015, Anthem Blue Cross
BLUE CROSS AND BLUE SHIELD OF ILLINOIS FAQS
BLUE CROSS AND BLUE SHIELD OF ILLINOIS FAQS BCBSIL TERMINATED OSF Q: Why did Blue Cross and Blue Shield of Illinois (BCBSIL) terminate OSF? A: On October 2, BCBSIL terminated the contracts with three OSF
Is Audiology effected by the Changes or will it be?
Is Audiology effected by the Changes or will it be? The basic problem The U.S. has the highest absolute medical expenditures and highest per capita medical expenditures of any nation. The U.S. also has
What is an Organized Delivery System (ODS) from a Filing and Legal Perspective?
What is an Organized Delivery System (ODS) from a Filing and Legal Perspective? Presented By: Kevin Joyce: VP, Network & Delivery Systems, QualCare, Inc. Carol Grelecki: Esq, Brach Eichler, LLC July 16,
O n June , Computerworld Honors Program awarded UMCET with the Laureate award for
UMCET Receives Laureate Award for CaneCare Development VM/HPA System Enhancements Page 2 GE/IDX EDI Eligibility Page 2 Switching a Slot Page 3 Medicaid Conversion Page 4 Medicare Educational Sessions Page
GE/IDX EDI Eligibility Goes Live!
GE/IDX EDI Eligibility Goes Live! Switching of a Superslot Page 2 GE/IDX Deactivation Form Page 3 UMCET Training Positions Page 3 GE-IDX Flowcast SSN Masking Page 5 Trainer s Corner Page 6 Baby Face Challenge
DEFINITION OF AN ENCOUNTER A billable encounter is defined as a face- to-face visit with a physician, physician assistant, midwife or nurse practition
ILLINOIS DEPARTMENT OF HEALTHCARE & FAMILY SERVICES Federally Qualified Health Centers (FQHC) Rural Health Centers (RHC) 09-28-11 DEFINITION OF AN ENCOUNTER A billable encounter is defined as a face- to-face
EVIDENCE OF COVERAGE. January 1 December 31, Your Medicare Health Benefits and Services as a Member of Cigna HealthSpring Advantage (PPO)
January 1 December 31, 2018 EVIDENCE OF COVERAGE Your Medicare Health Benefits and Services as a Member of Cigna HealthSpring Advantage (PPO) This booklet gives you the details about your Medicare health
Ages Ages 3 through 64.
Medicaid: Follow-Up After Discharge from Community Hospitals, State Psychiatric Hospitals, and Facility Based Crisis Services for Mental Health Treatment The percentage of discharges for individuals ages
Medicaid SED Program
1 Medicaid SED Program Referrals Provider Self Other Independent Assessment Person Centered Plan Updates Ongoing Treatment Engagement Medicaid Eligibility CANS Updates Receipt of Services Access to Services
Welcome to the Agency for Health Care Administration (AHCA) Training Presentation for Managed Medical Assistance Specialty Plans
Welcome to the Agency for Health Care Administration (AHCA) Training Presentation for Managed Medical Assistance Specialty Plans The presentation will begin momentarily. Please dial in to hear audio: 1-888-670-3525
2018 Medication Therapy Management Program Information
2018 Medication Therapy Management Program Information What is the Medication Therapy Management Program? The Medication Therapy Management Program is a service for members with multiple health conditions
Enrollment, Eligibility and Disenrollment
Section 2. Enrollment, Eligibility and Disenrollment Enrollment: Enrollment in Medicaid Programs: The State of Florida (State) has the sole authority for determining eligibility for Medicaid and whether
Transforming Physician Practices: Evolution of ACOs in California. National Association of ACOs - Washington, DC October 2015
Transforming Physician Practices: Evolution of ACOs in California National Association of ACOs - Washington, DC October 2015 Integrated Healthcare Association Statewide multi-stakeholder leadership group
FOR BCBSTX Providers Only
Integrated Behavioral Health Program Updates Frequently Asked Questions For BCBSTX Providers Only Blue Cross and Blue Shield of Texas (BCBSTX) will implement changes to the Behavioral Health Program*.
October 5 th & 6th, The Managed Care Technical Assistance Center of New York
October 5 th & 6th, 2015 The Managed Care Technical Assistance Center of New York What is MCTAC? MCTAC is a training, consultation, and educational resource center that offers resources to all mental health
Medical Plan Options - Retirees Age 65 or Over/ Disabled Participants with Medicare Coverage
Program Name U of M Retiree Plan with Group MedicareBlue SM Rx Group Platinum Blue SM Plan C with Group MedicareBlue SM Rx Freedom Plan & Freedom Plan & Type of Policy Coordinates with Medicare and includes
A DIRECTORY OF NURSING HOMES IN CHESTER COUNTY
A DIRECTORY OF NURSING HOMES IN CHESTER COUNTY 2018 Compiled and published by: The Chester County Department of Aging Services Government Services Center, Suite 320 601 Westtown Road, P. O. Box 2747 West
Nonreimbursable Code List for Outpatient Hospitals
Nonreimbursable Code List for Outpatient Hospitals Some procedure codes are either reimbursed as part of a more comprehensive procedure or are deemed nonreimbursable by Tufts Health Plan. The following
Patient Centered Care
Patient Centered Care and dthe Future of Healthcare e Delivery e PCH Group Patient Centered Health Group A Division of R.S. Williamsand and Associates, Inc. Introduction PCMH Background and the Medical
Medical Nutrition Therapy (MNT): Billing, Codes and Need at Adelante Healthcare
Medical Nutrition Therapy (MNT): Billing, Codes and Need at Adelante Healthcare An investigation of Medical Nutrition Therapy (MNT) billing requirements and handling By Melissa Brito Phillips Beth Israel
UC SF Medical Group & Medical Center Active Contracts Report and LOA Training
UC SF Medical Group & Medical Center and LOA Training April 18, 2012 Agenda Letter of Agreement (LOA) Questions 1 2 Health Plans 3 Health Plans Column A contains all of the Health Plans that are contracted
Medicare Behavioral Health Authorization List Effective 5/26/18
100 All inclusive room and board 101 All inclusive room and board 104 Anesthesia, ECT 114 Room and Board- private psychiatric 116 Room and Board- private room detoxification 118 Room and Board- private