This year United Health Care Community Plan will be offering grant opportunities in the following categories:
*Women's Care
*Patient Centered Medical Home (PCMH)
*Non-emergent ER reduction
UHC Community Plan encourages you to start thiking of methods to utilize additional funding to improve the delivery of care in these categories for their Medicaid members.
Lakeland Care has executed a contract with United Health Care (UHC) to provide access to all Lakeland Care physicians, and all Lakeland facilities and affiliates. The effective date of this contract is 3/15/12, therefore all Lakeland Care physicians will be participating with UHC starting on 3/15/12 and going forward.
Lakeland Care has executed a contract with the Pokagon Band of Potawatomi Indians to provide access to our specialists. The agreement does not meet our minimum contract terms as they are looking to access only our specialists, OB/GYNs, and pediatricians. The Pokagon’s have a primary care health clinic located in Dowagiac that acts much like a Patient Centered Medical Home that will coordinate referrals and authorize treatment by our specialists.
Lakeland Care issued a new fee schedule that went into effect for all Lakeland Care payors on 1/1/12. However, Aetna/Cofinity was unable to meet that deadline so they have been allowed to load the new Lakeland Care fee schedule for dates of service beginning 2/1/12 and going forward.
If you are seeing January claims being paid at the old fee schedule rates, that is correct and has been approved by Lakeland Care. For February dates of service, however, those claims should be paid according to the new Lakeland Care fee schedule.
Their mailing address, phone & fax numbers will stay the same but their website will change to www.mhplan.com.
The Claims Dept moved next door on Woodward Avenue, so the claims address may change for billers submitting paper claims. They will send out notices when that takes effect. Their payer ID did not change so the process is the same for electronic billers.
All Great Lakes Health Plan patients will be reissued new ID cards. The top of the new card will read "UNITED HEALTH CARE" and in the lower right hand corner of the card you will MEDICAID written in small font.
The change is part of a national branding campaign that United Health Care medicaid groups are undergoing to simplify their name from state to state.
What will change? Their logo, the ID card, and their website. Please update your Great Lakes Health Plan website address to be www.uhccommunityplan.com.
