FSSA Selects Four MCEs for HIP and HHW

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 […]

Presumptive Eligibility in CoreMMIS Portal

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 […]

How to assist an individual in gaining Medicare Part B coverage

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 […]

2017 HIP and HHW MCE Options

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 […]

Web interChange disruptions during transition to CoreMMIS

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” & […]

Marketplace Assister Call Line

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 […]