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Summer Workout Tips
Whether you’re running, playing basketball or going for a power walk, exercising in hot weather puts extra stress on your body. Follow these summer workout tips to help reduce your risk of serious, heat-related illness while staying in shape.
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Care Management Helps Employees and Employers
Employees with serious medical conditions may find managing their health to be stressful. But if Care Management is included in their health plan, there are experts who can help.
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How We Make Coverage Decisions
We work to make sure our members get the right healthcare in every care setting. We support proper care decisions based on medical necessity and the member’s specific health plan. When a service needs pre-authorization, our Medical Director and clinical staff follow QualChoice Medical Coverage Policies. They also follow the peer-reviewed and nationally noted guidelines of MCG Health, LLC.
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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.
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Keep Your Skin Safe in Summer
Summer is right around the corner, and many of us will soon be spending more time in the sun. But that can increase the chance of skin cancer, the most common cancer in the U.S. One in five Americans will develop it at some time. But the good news is: you can prevent it!
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Tips for Healthy Meal Planning
Whether you are cooking for just yourself or a larger group, planning meals is a good place to start improving your food choices. Taking the time to plan a healthy evening meal can help you avoid a less healthful "drive-through" dinner -- and save you money in the process.
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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:
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New for 2017: PCP Required for Individual Plan Members
Beginning January 1, 2017, QualChoice individual metallic plan (Bronze, Silver, Gold, Platinum and Catastrophic) members, as well as those with insurance through HealthCare.gov or Arkansas Works will be in the Select network...
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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.
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CPC+ Takes Off
The Comprehensive Primary Care Plus (CPC+) program is under way! Rosters of participating providers may be accessed through the My Account portal.
