State expands managed care for people with disabilities
During January – July 2012, adults with disabilities receiving Medical Assistance (Medicaid) will be assigned to a Special Needs BasicCare (SNBC) health plan, unless the individual chooses to opt out of enrollment.
Current Personal Care Assistant (PCA) Application and PCA Change Form
In order to have your facility's Personal Care Assistants (PCAs) added to our network in a timely fashion, always use the most current PCA Application on our website.
Certificate of Coverage (COC) to Evidence of Coverage (EOC)
Beginning in 2012, the member document previously known as the Certificate of Coverage (COC) will be called Evidence of Coverage (EOC).
Should I resubmit or replace a claim?
The following are reminders regarding the corrected/
replacement claims information found in Chapter 4, Billing Policy, of PrimeWest Health's Provider Manual.
PrimeWest Health holiday hours
Please note the following 2012 first quarter dates on which PrimeWest Health and the Provider Contact Center will be closed.
Disease Management/Chronic Care Improvement Program (DM/CCIP)
The PrimeWest Health Disease Management/Chronic Care Improvement Program (DM/CCIP) helps our members with chronic diseases learn to better manage their conditions through education and professional support.
Emergency dental care coverage
All dental offices deal with emergencies. Some situations are more emergent than others, and members' definitions of what constitutes an emergency can vary.
Evidence-Based Childbirth Program begins January 1, 2012
Effective January 1, 2012, Minnesota law requires hospitals to do the following for all births covered by Minnesota Health Care Programs (MHCP).
Fracture coding
Coding fractures can be challenging. There are two main categories of fracture codes: acute fracture codes and aftercare codes. Aftercare codes are available when the patient has completed active treatment of a fracture.
Provider Services Suggestions and Tips
Additional tools are available through the provider web portal.
HIPAA 5010
The January 1, 2012, deadline for HIPAA 5010 compliance is now a reality. We have put together some frequently asked questions (FAQs) that we hope will help if you still have questions about 5010 preparation and compliance.
Including appropriate diagnosis codes
Why is it necessary to include appropriate diagnosis codes on my claims?
