JANUARY 1, 2020 PHARMACY CHANGES

The Department of Healthcare and Family services has two new policies impacting pharmacy. The details and impact are outlined HERE.

ARE YOU A CERTIFIED BEP / MINORITY OWNED BUSINESS? 

If you are a certified BEP Minority Owned Business interested in collaborating with Medicaid health plan, please let IAMHP know and they will send that information on to the Medicaid health plans. 

Complete the Certified BEP/Minortiy Owned Business Submission Form and IAMHP will send at least a weekly report to the plans with your information.

ARE YOU INTERESTED IN SERVING AS AN INTEGRATED HEALTH HOME? 

If you are interested in serving as an IHH, please let IAMHP know and they will send that information on to the Medicaid health plans. 

Complete the IHH Submission Form and IAMHP will send at least a weekly report to the plans with your information.

IAMHP COMPREHENSIVE BILLING GUIDE

In partnership with our provider partners, IAMHP and it's member plans have developed a comprehensive billing guide to better assist providers:  

IAMHP’s Comprehensive Billing Guide

For specific plan inquiries or questions, please contact the health plan directly.

For general questions or feedback regarding the comprehensive billing guide, please contact IAMHP.

SUCCEEDING WITH THE NEW MANAGED CARE PROGRAM

From the Department of Healthcare and Family Services (HFS), a series of notices to help providers with the enhanced Managed Care Program:

1. What is my relationship with health plans that weren’t awarded a contract for the new program?
   
   
2. Four keys ways the new managed care will mean less work for providers
   
   
3. Simplified credentialing: Cutting back on provider overhead costs
   
   
4. How HFS and the health plans will communicate transition details to clients
   
   
5. How you can help you patients understand what they need to know about this transition

REPORTING AND TRANSPARENCY FOR MANAGED CARE ORGANIZATIONS

Ensuring the accuracy and transparency of data is as vital for managed care organizations as it is for the Illinois Department of Healthcare and Family Services (HFS). Data drives everything in modern healthcare;

• it impacts how we deliver quality,
• coordinated care to Medicaid beneficiaries,
• how we pay our providers,
• how we are paid by the state.
  
  

RESOURCE DOCUMENTS