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.
A patient-centered medical home (PCMH) is a care model that focuses on aligning a care plan more closely with the specific needs of a patient. PCMHs:
The Illinois Department of Healthcare and Family Services' recommended IMPACT Provider Revalidation submission date of August 31, which we told you about previously, has now passed. All providers' enrollments must be revalidated by September 24.
Online Claims Reprocessing Inquiries Coming Soon We're moving claims reprocessing inquiries onto Your Health Alliance for providers.