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Coverage Guidelines—Mental Health and Substance Use Disorder
MEDICAL PROVIDERS: Please review these guidelines for our Outpatient Therapy for Mental Health & Substance Use Disorder medical coverage policy (BI273).
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Improving Healthcare with PCMH
At QualChoice, our goal is to make health insurance simple and to make healthcare better. We’re working with providers, payers and state and federal groups to move from volume-based to value-based care.
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It Pays to Use AutoAuth!
Thank you to all providers who are using our AutoAuth® online pre-authorization system! To encourage even more use of the system, we’re sweetening the pot.
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Employer’s Healthcare Costs Have Plateaued
PwC’s Health Research Institute predicts that, without benefit design changes, large employers will see a 6 percent increase in health plan costs in 2019, the same rate of increase as in 2018. Costs for the previous five years have increased between 5.5 percent and 7 percent.
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AutoAuth® Update
Thank you to all providers who are using our AutoAuth® online pre-authorization system! Adoption has been good, and we are continually adding more services to the system.
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Arkansas PCPs Are Improving Healthcare
Congratulations to these medical providers for their outstanding performance in the QualChoice 2017 Comprehensive Primary Care Plus program!
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Medical Records Collection for IVA
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.
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Using the ECHO Health EFT Payment System
Providers--now get faster EFT payments with ECHO Health, Inc.! Funds will now be issued from ECHO Health instead of from QualChoice.
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Opioid Misuse and Guideline for Prescribing
Opioid addiction can occur even at appropriately prescribed doses. Review the CDC guidelines for prescribing opioid medication for chronic pain.
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QualChoice is Helping PCPs Improve Healthcare
A Primary Care Physician (PCP) can act as your personal healthcare adviser. And QualChoice is working to help PCPs improve healthcare in Arkansas.
