New CMS Training Requirements Starting in 2016, all Medicare Advantage organizations and Prescription Drug Plan sponsors, like Health Alliance Medicare, will be required to provide general compliance and fraud, waste, and abuse (FWA) training for all employees of their organization and for the first-tier, downstream, and related entities (FDRs) they partner or contract with to provide benefits or services.
Assistant Surgeon Reimbursement Rate Change Effective January 1, 2016, Health Alliance is changing the reimbursement for assistant surgeons from 25% to 20% to align with CMS standards. If you have any questions about this change, please contact your provider relations specialist.
Starting in 2016, all Medicare Advantage organizations and Prescription Drug Plan sponsors, like Health Alliance Medicare, will be required to provide general compliance and fraud, waste, and abuse (FWA) training for all employees of their organization and for the first-tier, downstream, and related entities (FDRs) they partner or contract with to provide benefits or services.
As of November 1, 2015, Illinois Partnership for Health members in 15 Central Illinois counties will transition to Health Alliance Connect. We will send members new ID cards that identify them as Health Alliance Connect members.
The Illinois Medicaid Program Advanced Cloud Technology (IMPACT) initiative is a multi-agency effort to implement a Web-based system to give providers a more convenient and consistent user experience and to make sure Medicaid patients receive timely and high-quality care.