Telehealth Services During COVID-19 Outbreak
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Telehealth Services During COVID-19 Outbreak

QualChoice is making it easier for Arkansans to get the medical care they need through telemedicine and telephonic technologies. This will allow members to see a doctor, nurse practitioner or physician assistant remotely by using an audio-visual communication system.

Wellness Appointment Outreach
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Wellness Appointment Outreach

We’re assisting at-risk members in scheduling their annual wellness visits.

Individual Plans Transferring to Ambetter
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Individual Plans Transferring to Ambetter

QualChoice individual plans only have been transferred to Ambetter from Arkansas Health & Wellness.

New AutoAuth Services
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New AutoAuth Services

Thank you to all providers who are using our AutoAuth online pre-authorization system! We’re happy to announce that two new services have been added to the system.

Keeping Spirits Bright in the Winter
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Keeping Spirits Bright in the Winter

More than 50% of people will be diagnosed with a mental illness or disorder during their lifetime. Winter weather and holiday stress can affect our mental well-being, so now is a great time to take stock of your mental state.

Manage your blood sugar. Protect your eyes.
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Manage your blood sugar. Protect your eyes.

Besides being American Diabetes Month, November is also Diabetic Eye Disease Awareness Month.

Working Together to Improve Healthcare
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Working Together to Improve Healthcare

We are proud to recognize the medical providers who had outstanding performances in the QualChoice 2018 value-based care programs. Thank you for helping improve healthcare for our members!

Progress in Primary Care Delivery Models
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Progress in Primary Care Delivery Models

The CPC+* and PCMH** value-based care programs were designed to test improved provider payment and service delivery models. The goals are better care for patients, smarter spending and healthier communities.

Change in ACH Provider Payment System
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Change in ACH Provider Payment System

Providers: Effective July 1, ACH payments and the corresponding 835 remittances will no longer be distributed through Optum Bank.

Risk Adjustment Data Validation Audit
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Risk Adjustment Data Validation Audit

HHS has recently initiated audits of health plans subject to risk adjustment under the Affordable Care Act (ACA). QualChoice is included in this audit and we, along with our contracted providers, are required to fully comply.