2020-2021 Community Impact Report
The 2020/2021 Community Impact Report is the story of how we work to fulfill our purpose: Helping Arkansas Live Better. We believe healthier individuals create more vibrant communities.
Post-Payment DRG Clinical Validation Audits
Beginning February 1, 2023, QualChoice will perform post-payment DRG clinical validation audits of facility claims.
Outpatient Surgery? Consider an ASC
There are more options available today to get quality health care at a lower cost. If you need outpatient surgery, an Ambulatory Surgery Center (ASC) may be an option to consider.
National Imaging Associates Online Training for Providers
QualChoice recently announced an agreement with National Imaging Associates, Inc. (NIA) to manage diagnostic and cardiac imaging services. Providers are encouraged to register for one of the upcoming online training sessions provided by NIA.
High-Tech Imaging Change
National Imaging Associates, Inc. (NIA), a subsidiary of Magellan Health, will manage QualChoice diagnostic and cardiac imaging.
Requirements for Availity 270/271 Eligibility Check
Review the requirements for Availity 270/271 eligibility processing.
COVID-19 Vaccine Coverage
The Centers for Medicare and Medicaid Services (CMS) has released an interim final rule addressing COVID-19 vaccine coverage.
270/271 Change Effective December 15
Eligibility verification for QualChoice will now be provided by Availity.
Value-Based Care High Performers
Thank you and congratulations to the Arkansas practices who earned performance award payments in the QualChoice 2019 value-based care programs!