October 3, 2022
UnitedHealthcare: October 2022 update
October monthly overview
https://www.uhcprovider.com/en/resource-library/news/2022/policy-protoc…
October monthly overview
https://www.uhcprovider.com/en/resource-library/news/2022/policy-protoc…
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.
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.
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
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.
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.
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.
CHAMPS Enrollment Enforcement
CHAMPS is Michigan Medicaid’s Provider Enrollment System
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.
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.
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:
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.