Please remember to submit all Health Alliance preauthorization requests through Your Health Alliance. Please do not fax your requests. Any faxed requests will be returned so that the appropriate preauthorization avenue can be used: Clear Coverage for medical tests or procedures or the Health Alliance online preauthorization tool for any medical tests or procedures not noted on Clear Coverage.
You can find the updated Health Alliance provider manual for Medicaid on the Forms & Resources page of Your Health Alliance.
Health Alliance welcomes Christina Dorsett to our provider relations specialist team. She is responsible for the Southern Illinois service area, which includes Alexander, Bond, Bureau, Clay, Clinton, Edwards, Franklin, Gallatin, Hamilton, Henry, Jackson, Jefferson, Johnson, Lawrence, Madison, Marion, Monroe, Perry, Randolph, Richland, Saline, St. Clair, Union, Wabash, Washington, Wayne, White, and Williamson counties. Christina is also responsible for the Deaconess Health Plan network, which includes Clay, Daviess, Dubois, Fountain, Gibson, Knox, Martin, Parke, Pike, Posey, Putnam, Spencer, Sullivan, Vanderburgh, Vigo, and Warrick counties. If you’re a provider in one of these areas, you can reach Christina at 217-337-8007 or Christina.Dorsett@healthalliance.org.
HEDIS® Chart Reviews Coming Soon Each spring, Health Alliance collects data to determine how we measure up against national averages for the Healthcare Effectiveness Data and Information Set (HEDIS®). This data collection and analysis indicates where we need to focus our quality efforts and is required for National Committee for Quality Assurance (NCQA) accreditation. Successfully generating our HEDIS report depends largely on the cooperation we receive from provider office staff.
HEDIS® Chart Reviews Coming Soon Each spring, Health Alliance collects data to determine how we measure up against national averages for the Healthcare Effectiveness Data and Information Set (HEDIS®). This data collection and analysis indicates where we need to focus our quality efforts and is required for National Committee for Quality Assurance (NCQA) accreditation. Successfully generating our HEDIS report depends largely on the cooperation we receive from provider office staff.