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 and will be required to choose a PCP. A unique QualChoice ID card will help you identify them.
Members who do not choose a provider will be assigned one. Rosters of newly assigned members will be available through My Account* under the Provider Reports tab. Learn more.
The Centers for Medicare & Medicaid Services (CMS) has announced the practices selected for the Comprehensive Primary Care Plus (CPC+) model. QualChoice will be reaching out to those practices to secure contract amendments.
CPC+ integrates many features of the original CPC initiative, including practice readiness, aligned payment reform, actionable performance-based incentives, robust data sharing and an innovative payment structure.
Welcome Providers & Administrators
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Resources & Tools
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Time-sensitive administrative and billing updates, medical policy revisions, etc. delivered electronically.
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800.235.7111 or 501.228.7111, ext. 7004
Provider Relations Representatives