2017 Preauthorization Changes and Clarifications In our October Newsletter, we notified you that hospitals need to notify us of any observation stays, effective January 1. These details clarify this requirement:
2017 Preauthorization and Notification Changes - Effective January 1, 2017 In addition to notifying Health Alliance for inpatient admission, facilities will need to begin notifying us of any observation stays. You must notify us within 24 hours, or the next business day if it’s a holiday. Online Claims Reprocessing Inquiries We’ve moved claims reprocessing inquiries onto Your Health Alliance for providers.
Changes Coming to Health Alliance Medicare This year, we’re offering Medicare Advantage point of service (POS) plans rather than preferred provider organization (PPO) plans. Since these members are already your patients, the transition for you will be easy.
This year, we’re offering Medicare Advantage point of service (POS) plans rather than preferred provider organization (PPO) plans. Since these members are already your patients, the transition for you will be easy.
According to a plan developed by the Illinois Department of Healthcare and Family Services (HFS), Health Alliance Connect Medicaid coverage will end in 2 phases, beginning in northern Illinois on October 31 and in central Illinois on December 31. Members will be moved back to standard Medicaid fee-for-service until they choose a new plan or are assigned to a new plan. No one will lose Medicaid eligibility because of this change.