National Healthcare

Industry Updates: Qualified Provider HPE Metrics, CareSource, CoreMMIS, and MDwise Leaving Hoosier Care Connect

Qualified Provider (QP) Hospital Presumptive Eligibility (HPE) Metrics In the last quarter of 2016, letters were distributed by the state of Indiana FSSA to all acute care and psychiatric hospitals contracted as Qualified Providers (QPs) with the Medicaid Presumptive Eligibility (PE) program. These letters served as a “first warning” of non-compliance with state metrics and […]

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Industry Updates: FSSA Selects MCEs, Updates to PE In-Patient Coverage, and MCE Coverage for short-term Institutional stays

FSSA Selects MCEs The Indiana Family and Social Services Administration recently announced the selection of four vendors who will administer health care services to Healthy Indiana Plan and Hoosier Healthwise members.  The four vendors are Anthem Blue Cross and Blue Shield, CareSource Indiana, MDwise Inc. and Managed Health Services of Indiana.  CareSource is a new option […]

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Industry Update: IDOI Hearing for Indiana Navigator and Application Organization Proposed Rules

On April 12th, the Indiana Department of Insurance (IDOI) will hold a public hearing on a proposed rule relating to individuals acting as a navigator and entities acting as an application organization in Indiana. Some items to be discussed are: Certification and Registration Requirements Precertification Education and Examinations Continuing Education Duties Conflicts of Interest Privacy and […]

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February 2016 Update

HIP 2.0 Updates As HIP 2.0 celebrates its 1 year anniversary, ClaimAid continues to be an integral part of the enrollment and redetermination process for Hoosiers throughout the state.  An estimate of over 370,000 individuals is currently enrolled in the coverage and will have the opportunity to renew that coverage annually.  If you or your […]

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March Update

HIP 2.0 enrollment continues and ClaimAid is holding public education and enrollment events across Indiana. Additional HIP 2.0 resources for providers available at the ClaimAid HIP 2.0 website. Hospital Presumptive Eligibility (HPE) program replaces retroactive coverage for the expanded Medicaid populations and Hoosier Care Connect replaces Care Select. Our goal remains to provide you and […]

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February Update: HIP 2.0 Announced!

HIP 2.0 is finally here, expanding eligibility to an additional 350,000 Hoosiers. Resources for providers are now available at the ClaimAid website. The Hospital Presumptive Eligibility (HPE) program expands aggressively in Indiana and the final rule for IRS 501 (r) regulations will have a major impact on charitable organizations. Our goal remains to provide you […]

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November Update

The Open Enrollment period for the HealthCare.gov insurance Marketplace has begun. The HIP 2.0 Waiver Proposal is still in negotiation between state and federal officials. The Supreme Court will decide next year if individuals in most states can receive a tax subsidy under the Affordable Care Act (ACA). Our goal remains to provide you and […]

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September Update

The public comment period for the Healthy Indiana Plan 2.0 (HIP 2.0) waiver proposal closes this month. Hospital Presumptive Eligibility has been slow to roll out, but may become an important part of HIP 2.0. ClaimAid is working with the Indiana Family and Social Services Administration (FSSA) to plan public information sessions in anticipation of […]

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August Update

The Healthy Indiana Plan 2.0 (HIP 2.0) waiver proposal has a very brief process delay and is now back in the hands of the federal government for review. Several new organizations plan to participate in Indiana’s HealthCare.gov Marketplace for the 2015 enrollment year. ClaimAid continues its work with the Indiana Family and Social Services Administration […]

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