FSSA announced earlier this year that they would be adding a fourth Managed Care Entity (MCE) as an option for HHW and HIP members. Upon successful completion of the readiness evaluation, the MCE options will be Anthem, CareSource, MDwise, and MHS. What does this mean for current members? FSSA will hold a special enrollment period for […]
The presumptive eligibility (PE) processes will continue to operate with CoreMMIS. Advocates and Qualified providers (QPs), will use the new Portal to submit PE applications beginning February 13, 2017. Functionality for processing PE applications will remain available throughout the transition to CoreMMIS and the Portal. The transition of processing PE applications from Web interChange to the Portal will […]
In the course of working with many of our disabled and aged patients, we will run into patients that qualify for Medicare coverage that have not enrolled in that coverage. Many of them believe that they are not eligible for Medicare or cannot afford the part B premium and have dis-enrolled from that coverage. We […]
What should I do if a patient is having difficulty with a provider accepting their temporary (PE) coverage?
For any patient that is having difficultly having a provider accept their temporary coverage (PE), direct them to contact their corresponding plan customer service number. For HIP it would be their MCE. Click here for guide. For Fee for Service plans ( Pregnancy, low income family, children, infants and former foster children) they should contact the […]
FSSA announced earlier this year that they would be adding a fourth Managed Care Entity (MCE) as an option for HHW and HIP members. Upon successful completion of the readiness evaluation, the MCE options will be Anthem, CareSource, MDwise, and MHS. Since CareSource is a new MCE, you will need to confirm with your facilities whether or […]
In the days prior to the transition of Web interChange to the new CoreMMIS Provider Healthcare Portal, there may be a disruption of functions and information while still working in Web interChange. Please read the bulletin below paying close attention to the information given on page 3 & 4 under the “Eligibility File Updates” & […]
From the CAC Team at Centers for Medicare & Medicaid Services (CMS): This year, we will again have a designated call center line for Assisters. This line will allow Assisters to bypass the regular call center line. A new features this year allows assisters to select specific topics for assistance. The selections include an option […]