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2019

Spring Issue

 
Cover300  

Highlights:

  • 2019 HEDIS reporting season: Thank you!
  • DHS enrollment (new PROMISe ID requirement by July 1)
  • Certifications for Small Businesses (SBs) and Small Diverse Businesses (SDBs)
  • Now available for download: Recent HPP webinars
  • Annual D-SNP Model of Care training (required)
  • Reminder: Recent change to routine vision vendor
  • Current practice information: Keep us up-to-date
  • Wellness Rewards: Our improved Medicare incentive program
  • 2019 QCP and MQCP programs
  • Access, appointment & availability standards
  • Non-discrimination policy
  • PA ACCESS/EBT cards
  • 2019 provider education & training opportunities
  • Community HealthChoices (CHC) reminder
  • Medicaid appeals procedure (updated address for 1st-level appeals)
  • Help with SSI from Human Arc
  • Stay up-to-date with HPP formularies
  • Insulin Glargine formulary change (Basaglar replaces Lantus)
  • Xolair administration: Proper coding
  • Medicare Home Infusion prior authorizations
  • Reportable conditions (PA-NEDSS)
  • Foot care for Medicaid adult members
  • Pennsylvania Perinatal Quality Collaborative (PA PQC)
  • Well-child visits and screenings for your youngest patients
  • Proper billing for combined sick visits and well-child visits (Modifier 25)