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|April 18, 2019
MEDICARE ADVANTAGE PLANS AND NOMNC PROCESS
NOMNC Process Training and Review
The health plans are providing additional training and clarification on the NOMNC process to FAHA H&S members. Last week, Florida Blue provided a NOMNC training session with a FAHA H&S member. This training addressed Florida Blue’s NOMNC policy as well as an agreement to improved communication and accountability processes. Because this session was considered successful, Florida Blue has offered to repeat the training session for all FAHA H&S members. We are in the process of scheduling this session and will send out an invitation in the coming weeks.
Medicaid Provider Enrollment Policy and Process in One Reference Document
RIPPED FROM THE HEADLINES
Centene, WellCare deal Raises Antitrust Questions Centene Corp.’s proposed $17.3 billion acquisition of WellCare Health Plan would make Centene the third-largest publicly traded managed care provider, according to S&P Global Market Intelligence’s analysis of membership data. Read more...
Medicaid Plan Complaint Process. All Medicaid health and dental plans have a provider complaint system to allow providers to dispute plan policies, procedures, or any aspect of a plan’s administrative functions, including proposed actions, claims/billing disputes, and service authorizations. Read more...
Health plan updates
Network NewsBrief. When all providers are on the same page, patients win. Care continuity and coordination has been linked to improved care outcomes, lower costs and a better overall patient experience. Learn more here…
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