Qualis Health Medicaid Review
Listing Websites about Qualis Health Medicaid Review
External Quality Review - Washington Medicaid Qualis …
(8 days ago) WebAs the external quality review organization, Qualis Health's role is to assess the quality of care Medicaid recipients receive. If you have a concern about the care you or a family member has received, please contact the Washington State Health Care Authority. …
https://www.qualishealth.org/healthcare-professionals/eqro-washington-medicaid
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Qualis Health Wins Washington Medicaid External Quality Review
(4 days ago) WebWashington State issues contracts to assess and improve quality of care delivered to Medicaid enrollees. Seattle, WA – Qualis Health has been selected by the State of …
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District of Columbia, Department of Health Care Finance
(8 days ago) WebPhone. (800) 251-8890. Fax. (800) 731-2314. Mail. Comagine Health Reconsideration Review. PO Box 34800. Washington, DC 20043. Please see Section 15 …
https://www.qualishealth.org/patients-families/dc-medicaid
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Medicaid Managed Care Preventive Services and …
(7 days ago) WebQualis Health 2 As Washington’s Medicaid external quality review organization (EQRO), Qualis Health provides external quality review and supports quality improvement for …
https://www.hca.wa.gov/assets/medicaid-managed-care-preventative-services-and-vaccines-report.pdf
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Qualis Health Wins Kansas Medicaid Contract for Utilization Review
(8 days ago) WebQualis Health will implement post-payment retrospective review of claims from inpatient hospitals, inpatient psychiatric hospitals, and ambulatory surgical centers …
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2.5 Medicaid Qualis Review Services Revised 9-16-13.ppt
(9 days ago) WebThe receipt date will be the date the information is received at HP with a complete and CORRECT HP. cover sheet. If you have questions regarding the review, contact Qualis …
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Utilization Review Requirements - Labor & Industries (L&I), …
(6 days ago) WebThe Utilization Review Program applies only to claims that are adjudicated by the State Fund. For more information: OMD UR unit: phone: 360-902-5036, fax: 360-902-5600 …
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Alabama Medicaid Medical and Quality Review Services and …
(Just Now) WebThe purpose of this training is to discuss: Qualis Health’s role and responsibilities related to Long Term Care (LTC) retrospective reviews. Documents …
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Utilization Review New Mexico Human Services Department
(7 days ago) WebThe Human Services Department/Medical Assistance Division (HSD/MAD) has awarded the Medicaid Third-Party Assessor (TPA) contract to Qualis Health, effective March 1, 2015 …
https://www.hsd.state.nm.us/providers/utilization-review/
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Qualis Health CMS - Centers for Medicare & Medicaid Services
(8 days ago) WebQualis Health. Organization Description: Local and community level projects to improve patient safety, reduce harm, and improve clinical care. Covered States and Territories: …
https://www.cms.gov/contacts/qualis-health/general-beneficiary-contact/1561746
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MEDICAID BULLETIN - SC DHHS
(8 days ago) WebQualis Health Attn: SC Medicaid Prior Approval Review 440 Knox Abbott Drive, Suite 220 Cayce, South Carolina 29033 or Fax (877) 717 - 8594. Providers are responsible for …
https://www.scdhhs.gov/internet/pdf/PriorAuthSuptDocumReviewByNewQIOQualis.pdf
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Home Comagine Health
(1 days ago) WebComagine Health, formerly Qualis Health and HealthInsight, is a national, nonprofit, health care consulting firm. Utilization review and case management for better clinical …
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Behavioral Health Inpatient Psychiatric Review Provider Manual
(Just Now) Webquality in the review services Qualis Health provides. • Collaboration—Qualis Health promotes collaborative relationships, both internally and externally. Qualis Health values …
https://comagine.org/sites/default/files/resources/akbh-provider-manual-2015.pdf
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Medicaid Satisfaction Survey Report - New York State Department …
(5 days ago) WebDataStat, Inc. conducted the survey on behalf of the NYSDOH using the CAHPS 5.1H Adult Medicaid survey. A copy of the questionnaire can be found in Appendix A of the reports. …
https://www.health.ny.gov/health_care/managed_care/medicaid_satisfaction_report/2024/
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Horizon NJ Health QUICK REFERENCE GUIDE
(7 days ago) WebThe Credentialing Department will, within two weeks, review the provider’s application and contact the prospective provider if any discrepancies arise or if more information is …
https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf
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Credentialing Process Overview - Horizon BCBSNJ
(5 days ago) Webnavigate to copies of Agreements for both Horizon BCBSNJ and Horizon NJ Health Networks. Please review, complete and sign the appropriate Agreements for the …
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Quick Reference Guide for Horizon Behavioral Health Providers
(7 days ago) WebHorizon NJ Health Claims–Provider Services Line 1-800-682-9091 Any requests for a post service review and 1-800-543-5656–for FIDE-SNP Provider Clinical Appeals for …
https://s21151.pcdn.co/wp-content/uploads/HorizonNJHealth-QuickReferenceGuide-NewBenefits10.1.pdf
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