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Home Tricare 2014 September CoventryCare Medicaid PA Migration, CMS HETS Eligibility Change

CoventryCare Medicaid PA Migration, CMS HETS Eligibility Change

A couple of quick updates for this week:

CoventryCares to Aetna Better Health of PA Migration

Coventry Care of Pennsylvania will be migrating their Medicaid business to Aetna Better Health effective 10/1/2014. New cards are being sent out with the new payer ID and claim address. See the top of page two of their newsletter.

http://www.aetnabetterhealth.com/pennsylvania/assets/pdf/provider/provider-newsletter/provider-summer-newsletter-pa.pdf

I’ve see several member notifications but very little to the providers. I’ll keep you posted as they provide more info.

CMS Date of Service Change

CMS will be changing how far in the past they will allow eligibility requests. Effective 9/28, CMS will begin limiting inquiries to 12 months in the past (vs 27 months which you can do now). Any transactions requesting eligibility through HETS with old dates of service will get rejected.

HETS Eligibility Release Summary for September 2014

CMS Posts Reminder to Marketplace Members on 9/30 deadline.

CMS posted another update to Healthcare.gov regarding providing proof of income and citizenship in order to keep coverage through the marketplace. The deadline is 9/30.

https://www.healthcare.gov/blog/submit-proof-of-income-documents/

 

Sep 18, 2014Payer Goddess
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