News
November 28, 2022
Blue Care Network: Precision medicine and pharmacogenomics webinar recording is available
If you were unable to attend our Blue Cross Personalized Medicine℠ webinar for primary care physicians that was held on Nov. 10, the recording and presentation are now available on our provider training website. CME credit is available for those who watch the recording.
November 17, 2022
UnitedHealthcare: November 2022 Network News
The latest updates from UnitedHealthcare.
November 16, 2022
LMOA: Jim Leach resource
Attached are the PowerPoint slides for the seminar hosted by the Lakeland Medical Office Association on Wednesday, November 16, 2022.
November 14, 2022
Blue Cross/BCN Announce delay in 2021 BCN Advantage and Medicare Advantage PPO settlements
Dear BCN Medical Care Group Business Administrator, Blue Cross Physician Organization Administrator and Blue Cross Risk Based Contracted Entity Administrator:
Blue Cross Blue Shield of Michigan and Blue Care Network’s 2021 BCN Advantage℠ and Medicare Advantage PPO settlements will be delayed due to a delay in Blue Cross receiving the final revenue file from the Centers for Medicare & Medicaid Services.
November 7, 2022
UnitedHealthcare: November 2022 update
Please see that attached November 2022 Network News bulletin updates and the UHCCP P4P updates flyer.
November 1, 2022
Meridian: Known system claim issues NEW website link
We have recently created a new “known claim issues” posted on our MIMeridian website, it provides all the current system issues and that will be updated.
November 1, 2022
LMOA: November 2022 speaker presentation
The Lakeland Medical Office Association invites you to attend our November luncheon and seminar presented by Jim Leach.
October 27, 2022
BCH: Blue Cross personalized medicine webinar
We’d like to invite you, your primary care physicians, pharmacists and support staff to an upcoming webinar discussing our new end-to-end precision medicine pharmacogenomics (PGx) program called Blue Cross Personalized Medicine℠.
October 25, 2022
Priority Health: Introducing a new PIP program for 2023 search news
It’s been our priority for more than 25 years to reward the high-quality care you provide our members through our PCP Incentive Program (PIP). We’re excited to usher in opportunities for you to earn incentive payments more frequently throughout the year through our 2023 PIP program.
A whole new PIP
We’ve redesigned and rebuilt the PIP program from top to bottom for 2023. Starting in January, you’ll:
October 20, 2022
Lakeland Care Annual Payor Conference
Presentations by Lakeland payor partners
October 20, 2022
Humana: Humana claim payment inquiry resolution Guide, Availity information, tools and resources 2022 updates
The Humana Claim Payment Resolution Handbook is attached.
October 19, 2022
BCBS: Blueprint allocation as of July 1, 2023
In order to support the transition from fee for service to value-based care, we will be introducing a 1.5% allocation from commercial PPO professional fees to fund the commercial PPO Blueprint provider risk arrangements.
October 18, 2022
Blue Cross/BCN: Use only contracted ambulance services for non-emergency ground transfers
On Oct. 12, 2022, Blue Cross Blue Shield of Michigan and Blue Care Network posted the attached provider alert, ordering transfers from noncontracted (or nonparticipating) ambulance services costs members money.
October 11, 2022
CIGNA and Priority Health: Traveling members are covered within PPO network
As a reminder, Cigna members who are under different health plans are covered by Priority Heath through our Strategic Alliance with Cigna. This means that Cigna members traveling in Michigan who have health plans covered under a Cigna Strategic Alliance can see our in-network PPO providers.
October 3, 2022
UnitedHealthcare: October 2022 update
October monthly overview
https://www.uhcprovider.com/en/resource-library/news/2022/policy-protoc…
April 25, 2022
Implicit Bias Training: a LARA Required Training for all Medical Licenses and Renewals
Why Implicit Bias training? Effective June 1, 2022, LARA announced the adoption of new rules that require Implicit Bias Training for all medical licenses and renewals.
All renewing licensees are required to complete 1 hour of this training for each year of their license cycle. The training is required to be interactive.
Please see the attached FAQ sheet for details.
February 21, 2022
Aetna: Aetna Signature Administrator (ASA) Information Sheets
Provided to our office from Aetna:
Sometimes there is a lot of information regarding payors that is confusing to our offices on what is or is not participating.
Aetna Signature Administrator (ASA) are PAR with Lakeland Care Network.
Please read the attachment for details regarding ASA Payers and TPA information that will be helpful to navigate these plan for offices and for providers alike.
February 25, 2021
Meridian Websites and February Monthly Updates
There are three websites offered by Ambetter / Meridian Health as resources to providers and their offices:
Medicaid – Mhplan.com
Complete - https://corp.mhplan.com/en/provider/michigan/complete/
Ambetter – ambettermeridian.com
August 18, 2020
MDHHS Offers CHAMPS Webinar Series
MDHHS is hosting a series of CHAMPS 101 Webinars over the next several weeks for interested providers and billers. MI Operations & Regulatory Affairs wanted to share in the event that we’d like to share with any of our provider community.
January 13, 2020
NEW Medicaid Claims and MDHHS Billing Requirements for the New Year
Medicaid claims that do not meet the Michigan Department of Health and Human Services (MDHHS) billing requirements are being rejected as of Jan. 1, 2020.
October 16, 2018
CHAMPS - Get Enrolled!
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.
January 31, 2018
CHAMPS Enrollment Enforcement- Deadline Approaching
CHAMPS Enrollment Enforcement
CHAMPS is Michigan Medicaid’s Provider Enrollment System
January 4, 2018
CHAMPS Registration Required January 1, 2018
All Lakeland Care providers are now required to access CHAMPS to register in the Michigan Medicaid program. Registering in the Michigan Medicaid program does not require you to be a Medicaid FFS provider. The State of Michigan is requiring this change in accordance with the 21st Century Cures Act.
November 1, 2017
CHAMPS Requirement for UHC Community Plan
All current and new UnitedHealthcare Community Plan Michigan Medicaid providers, including out-of-state providers, are now required to access CHAMPS to register in the Michigan Medicaid program. Registering in the Michigan Medicaid program does not require you to be a Medicaid FFS provider. Effective January 1, 2018, failure to enroll in CHAMPs will result in claim denials.
Please see the attachment for further details.
October 7, 2016
All Medicaid Plans Now Require Enrollment in CHAMPS
Meridian Health and McLaren Health Plan have also confirmed with Lakeland Care that physicians who see any Medicaid, or even simply refer Medicaid patients to Lakeland for any services, MUST ENROLL and ATTEST to their information within the CHAMPS System. Please note that enrolling in CHAMPS does not require you to be a Medicaid FFS Provider.
Here's how you enroll in CHAMPS:
September 16, 2016
UHC Community Plan Requires CHAMPS Enrollment
In case you haven't heard, UnitedHealthcare Community Plan (Medicaid) is now requiring all new providers to be enrolled in CHAMPS, due to State policy changes. They warn that failure to enroll could cause unnecessary delays in payment. This applies to both rendering and ordering/referring providers that are servicing Medicaid members. As they receive rosters from Lakeland Care, they will validate each new provider to ensure they are enrolled in CHAMPS. If the provider is not found in CHAMPS, Lakeland Care will notify your office.