(614)355-5560
South Central / Southeast Region
June 8, 2022
June Managed Care Plan Updates

This past month, CareSource and United Healthcare Community Plan have published a variety of updates around events and policy changes impacting their organizations.

CareSource Updates

  • CareSource Maternal and Infant Support Program Update: Effective January 1, 2022, CareSource’s Maternal and Infant Support Program (MISP) added coverage of lactation consultants and services, including DME updates. The update allows more codes to be billed and a wider range of provider support. Click here to review the update.  Also effective January 1, 2022, the Maternal and Infant Support Program will reimburse for group prenatal care services (e.g. Centering Pregnancy), while continuing to reimburse for pregnancy education such as Lamaze and tobacco cessation.  Click here to view this update as well.
  • New Administrative Policy Statement for Claims Editing and Review: Effective September 1, 2022, CareSource will update the coding rules, manuals, guidelines, directives and relevant state and federal regulations it will utilize within its claims editing processes.  Click here to review the new policy.

United Healthcare Community Plan Update

  • United Healthcare Community Plan PRAs Are Going Paperless: Effective September 9, 2022, United Healthcare Community Plan will no longer print and mail paper provider remittance advice (PRAs) to most network health care professionals and facilities in Ohio.  Click here to read more about the update.

 

 

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