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|June 5, 2019
CONFIRM HEALTH PLAN ENROLLMENT OF MEDICAID LTC RESIDENTS
Ensure all Medicaid LTC Residents are Assigned to Health Plan after Medicaid Re-Certification
Always confirm the eligibility and health plan assignment of your Medicaid LTC residents after the Medicaid re-certification process. Recently, a FAHA H&S member experienced a situation that resulted in their resident be assigned to a different health plan after the Medicaid re-certification process. AHCA explained this happened due to the Medicaid LTC health plan having their membership frozen in areas of the state.
Because of the frozen membership status, a health plan cannot receive or be assigned new members during this time-period.
If you have questions, please contact Dana McHugh via email or by calling her at (850) 339-2909.
RIPPED FROM THE HEADLINES
HMA Summary of Fiscal Year 2020 Medicare Proposed Rules for Medicare Part A Providers. Between April 17 and April 23, 2019, the CMS issued proposed rules for general acute hospitals paid under the Inpatient Prospective Payment System (IPPS), the skilled nursing facility (SNF) prospective payment system (PPS), the Intpatient Rehabilitation Facility (IRF) PPS, the Long-Term Care Hospital (LTCH) PPS, the Hospice PPS, and the Inpatient Psychiatric Facility (IPF) PPS. These proposed regulations include annual payment rate changes and other proposed policy changes. Read more...
Health plan updates
OfficeLink Updates. June 2019 newsletter. Find updates on important changes to plans and procedures, drug lists, Medicare and state-specific information. Read More...
Network Bulletin. The June 2019 UnitedHealthcare national provider newsletter to health care professionals and facilities. Read More...
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