- Posted
HEDIS Medical Records Review
Healthcare Effectiveness Data and Information Set (HEDIS) is a set of standardized performance measures designed to enable consumers to compare performance across health plans.
- Posted
Medications Can Help You Quit
Medications can double your chances of quitting tobacco for good. Using medications doesn't mean you aren't strong enough to quit on your own. It can even strengthen your resolve to quit.
- Posted
Arkansas PCPs Are Improving Healthcare
Congratulations to these medical providers for their outstanding performance in the QualChoice 2017 Comprehensive Primary Care Plus program!
- Posted
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.
- Posted
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.
- Posted
Reporting Health Coverage on Your Taxes
The Affordable Care Act (ACA) requires everyone to have health insurance. You must report it on your 2017 federal tax return. Here are some tips on which forms you’ll need.
- Posted
Employer Group Email: Demographic Verification
QualChoice sends member lists each year to the Internal Revenue Service (IRS) as proof of members’ health coverage. If member records do not match IRS records, QualChoice has 30 days to submit the correct data to the IRS.
- Posted
Freeze on Cancellation/Non-renewals in Disaster Areas
Over the last several weeks, many in our state have suffered great losses due to severe storms and floods. Governor Asa Hutchinson has asked to declare the following counties disaster areas:
- Posted
Transition Policy Extended for Non-ACA Compliant Plans
The Centers for Medicare and Medicaid Services (CMS) recently extended an existing transition policy for non-ACA compliant plans through the end of 2018.
- Posted
Amended Medical Coverage Policy
Preventive health benefit BI062 has been updated to allow virtual colonoscopy with pre-authorization. Added that Cologuard and Epi proColon tests will not be covered.
