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Wellness Appointment Outreach
We’re assisting at-risk members in scheduling their annual wellness visits.
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Individual Plans Transferring to Ambetter
QualChoice individual plans only have been transferred to Ambetter from Arkansas Health & Wellness.
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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.
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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.
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Manage your blood sugar. Protect your eyes.
Besides being American Diabetes Month, November is also Diabetic Eye Disease Awareness Month.
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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!
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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.
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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.
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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.
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Value-Based Care Programs 2018 Year End
Thank you to CPC+* and PCMH** program participating providers for working with us to improve healthcare! Please review these reminders as we prepare to wrap up another successful program year.
