Quality Health Matters
News and Updates for Employer Groups
May 2017

How We Make Coverage Decisions
We work to make sure our members get the right healthcare in every care setting. We support proper care decisions based on medical need and member health plans. When a service needs pre-authorization, our Medical Director and clinical staff follow QualChoice medical Coverage Policies. They also follow the peer-reviewed and nationally recognized guidelines of MCG Health, LLC.  Read more
Freeze on Cancellation/Non-renewals in Disaster Areas
The Arkansas Insurance Department has issued a 60 day freeze on the cancelling and/or non-renewal of policies for non-payment of premiums, starting April 26, 2017. It applies to Arkansans in the 28 disaster-area counties who had serious property damage, injuries or loss of life because of the storms. Plan members must request the extension from their health plans.  Read more

Employer Group Email:
Demographic Verification
QualChoice is required to submit a complete list of members to the IRS during the 1094/1095 B reporting process. If member records do not match IRS records, QualChoice has 30 days to submit the correct data to the IRS. Recently, we sent an email to some employer groups, asking for correct member data.   Read more
Care Management Helps Employees and Employers
Employees with serious medical conditions may find the details of their healthcare to be stressful. But if Care Management is included in their health plan, there are experts who can help. Read more
Updated Forms
To make sure you are using current QualChoice forms, please download from the Employer Forms page at QualChoice.com each time you need to use one.
In the Media
On Monday, May 16th, Shonda Rocke with Qualchoice appeared on THV11 at Noon to provide tips on how to keep your skin safe this summer.

In the Community
Walk with Me - Aug. 19, 2017
One Walk - Oct. 8, 2017
Race for the Cure - Oct. 14, 2017
Dove Tree Wrapping Party -   Dec., 2017 (date TBA)

1705 MK 002