FLORIDA UPDATES EVELYN LEADBETTER, MPA NETWORK SERVICES MANAGER - - PowerPoint PPT Presentation

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Sep 18, 2022 20 likes •164 views

FLORIDA UPDATES EVELYN LEADBETTER, MPA NETWORK SERVICES MANAGER HOMETOWN HEALTH PHYSICIAN COMPARE CALL Thursday, September 28 from 1:30 to 3 pm ET Register for Medicare Learning Network events. This event is being evaluated by CMS for CME

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FLORIDA UPDATES

EVELYN LEADBETTER, MPA NETWORK SERVICES MANAGER HOMETOWN HEALTH

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PHYSICIAN COMPARE CALL

Thursday, September 28 from 1:30 to 3 pm ET Register for Medicare Learning Network events.

 This event is being evaluated by CMS for CME

and CEU continuing education credit (CE). Check the event webpage for CE Activity Information & Instructions.

 Target audience: Physicians and other

clinicians; medical groups; practice managers; medical and specialty societies; and other interested stakeholders

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CMS: SPECIAL OPEN DOOR FORUM

The IMPACT Act and Improving Care Coordination: Thursday, September 28th @ 2:00pm Eastern Special Open Door Participation Instructions: Participant Dial-In Number: 1-800-837-1935 Conference ID #: 66557294

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MLN PUBLICATIONS AND REMINDERS

 IMPACT Act Call: Audio Recording and Transcript — New

 Medicare Diabetes Prevention Program: Audio

Recording and Transcript — New

 A Physician’s Guide to Medicare Part D Medication

Therapy Management Programs MLN Matters Article — Revised

 Preventive Services Poster Educational Tool — Revised  Telehealth Services Fact Sheet — Reminder  Transitional Care Management Services Fact Sheet —

Reminder

 Federally Qualified Health Center Fact Sheet — Reminder  Rural Health Clinic Fact Sheet — Reminder  Critical Access Hospital Booklet — Reminder

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CHANGES TO THE NATIONAL PROVIDER IDENTIFIER (NPI) REGISTRATION PROCESS

A new validation process to prevent adding the same NPI information to multiple provider records. An online, searchable Taxonomy Guide provided to view a list

f taxonomies appropriate for each provider type and specialty.

An interactive menu for selection of taxonomies on the Web- based Provider Enrollment Wizard. A new “Date Used for Claims” field will be associated with the NPI on a provider’s record. Providers may contact the Provider Enrollment Call Center at 1-800-289-7799, option 4, or their local Field Services Representative for any assistance with the enrollment process.

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THE ROADMAP TO BEHAVIORAL HEALTH

https://www.cms.gov/About-CMS/Agency- Information/OMH/Downloads/Coverage-to-Care-Behavioral-Roadmap.pdf

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SUMMER 2017 FLORIDA MEDICAID PROVIDER BULLETIN NOW AVAILABLE

 AHCA Releasing the Invitation to Negotiate for SMMC

Re-Procurement

 Florida Medicaid Adopted Policies 2016-17  Florida Medicaid Policies in Process 2017-18  Florida Medicaid Promulgated Fee Schedules  New Medicaid Report Providing Critical Data for Quality

Improvement

 EAPG Pricing Implementation

http://ahca.myflorida.com/Medicaid/Program_Coordination/pr

vider_bulletins/docs/Summer_2017_Provider_Bulletin.pdf

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FLORIDA CELEBRATES NATIONAL HEALTH IT WEEK (OCTOBER 2-6)

 Monday, 10/2 @ 1 p.m. –

Health IT: The Florida Perspective

 Tuesday, 10/3 @ 1 p.m. –

Event Notification Service (ENS): Do You Know Where Your Patient Is?

 Wednesday, 10/4 @ 1 p.m. –

Understanding Security Concerns In Health IT

 Thursday, 10/5 @ 1 p.m. –

EHR Incentive Program: The Beginnings Revisited

 Friday, 10/6 @ 10 a.m. –

Florida Health Finder: Did You Know? @ 1 p.m. – Health IT: What Is On The Horizon Please visit www.florida-hie.net for further information about events in Florida, andwww.healthitweek.org to learn about National Health IT Week events, partners, and ways to get involved.

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ASPR TRACIE HTTPS://ASPRTRACIE.HHS.GOV/

Click here for the 2017 Newsletter: Issue 5

Dr. John Hick: shares how ASPR TRACIE was

developed to meet the specific needs expressed by emergency health care professionals.

Nevada Health District
Texas Therapy Health Services
Shayne Brannman, Director of ASPR TRACIE
Dr. Hick: Opioid Crisis

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FLORIDAHEALTHFINDER.GOV

This week you have TWO opportunities to participate in the FloridaHealthFinder.gov Webinar:

Wednesday, September 27 @ 3 p.m.: https://attendee.gotowebinar.com/register/6437040632905558018 AND Friday, September 29 @ 10 a.m.: https://attendee.gotowebinar.com/register/9013398686924276226

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FLORIDA MEDICAID FEE SCHEDULE WEBINAR Join us for a webinar on October 17, 2017 at 10:00 AM EDT. Register now! https://attendee.gotowebinar.com/register/6804465 532942933507 View System Requirements Audio Attendee Phone Number: 1-888-670-3525 Participant Passcode: 1306614187#

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PRESTIGE INFORMATION

Hurricane Irma Update
Important provider information regarding Hurricane Irma Emergent

Claims Processing.

Governor Rick Scott previously declared a state of emergency, and it is

still in effect. This means that members may continue to refill their prescription medications early. Existing authorizations for home health services and durable medical equipment (DME) have been extended through September 30, 2017. Thank you for serving our members every day, especially during this difficult time.

Click here to access the links associated with the Prestige Provider Training

and Education Click here to access the links associated with the Prestige Physician continuing education resources

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WELLCARE PROVIDER NEWS

Provider Resources Free CME/CEU Credit Providers can visit Sunshine Health’s special login page. They will need to click “Register now” to set up a new account Providers:

SUNSHINE HEALTH NEWS

Provider News Hurricane Irma Provider Message Submit your appeal using this linked form

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