Complete Provider Resource will be contacting QualChoice providers in July to request member records with dates of service from January 1 to December 31, 2017 for the Initial Validation Audit (IVA), in compliance with the Affordable Care Act (ACA). We appreciate your cooperation in this important time-sensitive request, as noted in your plan agreement.
Thank you for using AutoAuth online pre-authorization! Your feedback is helping us optimize the system’s efficiency for your use. Because of your input, we have updated topics in our training materials.
We are proud to announce that we will soon launch a convenient new online pre-authorization tool. Automated pre-authorization via the MCG Cite AutoAuth module will be accessible through the My Account provider portal at QualChoice.com.
We work to make sure our members get the right healthcare in every care setting. We support proper care decisions based on medical necessity and the member’s specific health plan. When a service needs pre-authorization, our Medical Director and clinical staff follow QualChoice Medical Coverage Policies. They also follow the peer-reviewed and nationally noted guidelines of MCG Health, LLC.
Beginning January 1, 2017, QualChoice individual metallic plan (Bronze, Silver, Gold, Platinum and Catastrophic) members, as well as those with insurance through HealthCare.gov or Arkansas Works will be in the Select network...