Providers

Over the last several years, the need for mental health services in our nation as well as our own communities has steadily increased. Based upon the results of Lakeland’s Community Needs Assessment, we have learned that in order to meet the mental health demands of the community, we must expand our network.

Specific to mental health providers, Lakeland Care has credentialed physician psychiatrists and LP’s (Licensed Psychologists) which include the doctoral level degrees of PhD, PsyD, and EdD.

LMOA is an independent, non-profit organization dedicated to providing quality education to southwestern Michigan's healthcare community.

The Lakeland Medical Office Association invites you to attend our November luncheon and seminar.  

Program:  Safety in Physician Offices

Nearly half of all non-fatal injuries that occur at work, take place in either Health Care or Social Services settings.

Attached you will find the latest information regarding the Southwest Michigan Pediatric Subspecialty Center. These clinics run on a rotating basis at our Health Park Medical Suites, 3950 Hollywood Road, St. Joseph, MI.

Listed are the dates and contact phone numbers for each of the specific pediatric clinics.

Please see the attached notification of upcoming ASR changes impacting the areas of:

• Pre-certification for Outpatient Infusion & Injection Therapy
• Increased dollar threshold for medical equipment requiring pre-certification

The updated version of these requirements will also be included in a revision to the Provider Administrative Manual, which is available online through the ASR Provider Portal.

Also attached, is a revised “At-A-Glance” page, reflecting these changes. 

A repeat of a previous article.

For MeridianChoice, commercial product found on the exchange, attached you will find the Prior Authorization list for services.

On September 28, 2018, Cigna changed how providers will register for, and obtain the appropriate level of access to, the Cigna for Health Care Professionals website (CignaforHCP.com).* Now, newly assigned website access managers at each practice will manage these functions.

Important New Medicare Card Mailing Update — Wave 7 Begins, Wave 5 Ends

Thanks to all who spent the afternoon with us this week at the annual Lakeland Care Network Payor Conference. We hope it was a valuable day for you and your office or department.  Attached are presentations for your reference.  The link to ASR's summary is here.

Updated Medicaid Managed Care Plan Provider Enrollment Timeline

August 29, 2018: Health care providers that serve Medicaid beneficiaries are facing an upcoming enrollment deadline that is necessary for them to continue to receive payments from Medicaid. 

While the Michigan Department of Health and Human Services (MDHHS) has revised the timeline to give providers more time to enroll, the department is urging providers to complete the screening and enrollment process as soon as possible.

The Centers for Disease Control and Prevention (CDC) recommends that patients 6 months and older receive an annual flu vaccine.

This year’s seasonal flu vaccine will cover the three most common strains in the Northern Hemisphere, as identified by the CDC:

• A/Michigan/45/2015 (H1N1)pdm09-like virus

• A/Singapore/INFIMH-16-0019/2016 (H3N2)-like virus

• B/Colorado/06/2017-like (B/Victoria/2/87 lineage) virus

Please read the attachment for additional information.