Managed Care Minute March 2020 Volume 18

NEW THINGS COMING FOR YOU As you can already see, we here at Managed Care Consultants of Florida have some new and exciting things coming 2020. We have made some changes to our newsletter format. We have created some new email addresses for mass correspondence: information@mccfl.us credentialing@mccfl.us We are also making some changes to our portal where you will be able to create your own log in and password. Stay tuned for some more exciting news for 2020.

New items with Aetna: Authorizations and claims now can be accessed through Availity. Remember to seek authorizations for your residents that are awaiting LTC coverage. The authorization document can be found here Don't let your network status change - complete your required Medicare compliance training to adhere with CMS requirements Visit the Aetna portal today! CareCentrix: Provider training is now being offered monthly and can be found on the CareCentrix portal here under Wellcare PAC materials. OTHER HOT TOPIC ITEMS THIS MONTH: CareCentrix issued a Provider Flash Notice with regard to the way they are handling NOMNC's CarePlus is moving to an Electronic Fund Transfers - EFT system will be effective 6/1/2020 Centene Merger of Sunshine Health and Wellcare -FAQ Florida Medicaid - January 1, 2020 Providers Must bill Dual Eligible Special Needs Plans (D-SNP) for all services FMMIS will deny any claims not to the D-SNP for recipients enrolled in those plans. We've updated our PDPM tracker and will continue to do so throughout the year All of these items can be found on our portal at MCCFL.us under the tools tab. You will need your login credentials.

THINGS TO REMEMBER... We suggest as a best practice, to run Medicare verification's on ALL skilled members on the 1st and 15th of the month to catch any potential payer changes. When employees leave/are terminated, please remember to remove their access to insurance portals in order to keep HIPAA compliant. If you need your MCCFL portal login information please contact our office.

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Managed Care Consultants Of Florida, Inc. 888.620.8222 2313 East Fort King Street Ocala, FL 34471

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