Molina Healthcare of Michigan (Molina) has contracted with eviCore healthcare (eviCore), an independent specialty medical benefits management company, to provide outpatient utilization management services. The new program is designed to streamline the authorization process through on-line and/or phone requests. eviCore … Continued
Effective August 1, 2019, Meridian is implementing updates to Meridian Medical Policy B. 05 Readmission Review. This policy outlines Meridian’s processes of reviewing, adjudicating, and adjusting claims payments for inpatient admissions that are deemed to be potentially preventable readmissions.
Michigan Department of Health and Human Services (MD HHS) has redefined how to submit Health Risk Assessments (HRAs) for Healthy Michigan Plan (HMP) members through CHAMPS. Fax submissions through the HRA fax line are still acceptable. Advantages of completing the … Continued