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|March 7, 2019
SMMC TRANSPORTATION BENEFIT
Non-Emergent Transportation Back to Nursing Home after Hospital Stay
Recently, a FAHA H&S member experienced a frustrating situation regarding transportation for a resident returning home from a hospital stay. It was a complex issue that included a hospital refusing to coordinate transportation back to the nursing home after a hospital stay, an AHCA complaint, the transportation company billing the FAHA H&S member and all of these were unintended consequences of a health plan terminating a hospital’s contract. This issue has since been resolved and through that process we have obtained clarification on the transportation benefit.
If you have questions, please contact Dana McHugh via email or by calling her at (850) 339-2909.
SMMC Health Plan Provider Portals
RIPPED FROM THE HEADLINES
What Hospitals Want: How SNFs Can Break into New Payment Partnerships. Skilled nursing facility operators frequently hear about how forging hospital partnerships is essential to their success under new payment models, but the intricacies of those interactions can often be difficult to navigate. Read more...
New Value-Based Agreement with AmeriHealth Caritas is Bayada’s Largest Yet. Over the past few years, Bayada Home Health Care has entered into several value-based agreements with managed care organization partners, reflective of the U.S. health care system’s broader shift from quantity to quality. Read more...
Health plan updates
Simply Health – Provider Portal Information. Simply Health web portal can be accessed via registering on their site. There is a new provider portal since the rollout of the new SMMC contract. Please register for this new portal if previously enrolled in the Simply provider portal. Registration can be completed by clicking here.
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