NEWS AND UPDATES

DSS Begins Perinatal Care Management Pilot

The Missouri Department of Social Services recently announced the creation of the Missouri Perinatal Health Management Pilot Program, which is designed to increase the number of healthy pregnancies among Medicaid patients. This project will be a partnership between Alpha Maxx HealthCare, MO HealthNet, and Pemiscot County Hospital. The program will provide care coordination and care management services to high-risk pregnant women and newborns. DSS expects the pilot to decrease premature births and infant mortality and reduce the costs of NICU/PICU care. The program will be piloted in Pemiscot, Dunklin, New Madrid, Cape Girardeau, Mississippi, Scott, Stoddard and Butler counties. You can fin

Missouri Telehealth Network Training

You are invited to attend the Missouri Telehealth Network Training Conference to learn more about telehealth and the Show-Me ECHO project. The ECHO project uses telehealth to offer providers expert training in complex disease states. When: November 9 & 10, 2016 Where: Assessment Resource Center, 2800 Maguire Blvd., Columbia The main objectives of the training are for participants to learn: How to use the telehealth devices and be given instruction on trouble-shooting equipment problems and how to schedule and conduct a telehealth clinic. About public and private policies impacting telehealth, billing requirements, JCAHO standards and HIPAA regulations. How to conduct a telehealth clinical

Mo HealthNet Managed Care and NEMT Updates

At a Mo HealthNet Oversight Committee hearing yesterday, the department presented an updated timeline for statewide managed care contracts. The due date for bids is extended to August 1 because of minor errors in the original data book. The department will evaluate bids in August and September and award contracts October 1 (this date is the same despite the new due date). Open enrollment in the new plans is set to begin January 20, 2017 and auto assignment will start April 14. Services under the new contracts will begin May 1, 2017. Plans have until the readiness reviews in April to get their provider networks in place. Some plans have told providers they have to sign contracts immedia

Free Rural Health Coding and Billing Training

The Missouri Department of Health and Senior Services/ Office of Primary Care and Rural Health is holding a two-day Rural Health Coding & Billing Specialist Training on August 29 and 30. The sessions will be held at the Capital Mall in Jefferson City (3600 Country Club Drive, Community Room) from 9:00 am to 3:30 pm each day. With CMS' new requirement that rural health clinics provide HCPCS code-level detail, it has never been more important to make sure you are documenting and coding for 100% of the services completed. Billing is not supposed to change, but if your clinic is not documenting and coding correctly, revenue may be left on the table. The training session is free but enrollment

Governor Signs Healthcare Bills

Yesterday Governor Jay Nixon signed a number of healthcare bills, which contain several provisions that could benefit rural health clinics and their patients. Below is a list of some of the major issues included in these bills. Healthcare Workforce Data: Allows state professional boards to contract with a third-party to collect and analyze data on healthcare providers. The data is meant to give the state a more accurate picture of provider shortages to assist in future workforce planning efforts. Signed on SB 635, sponsored by Sen. Dan Hegeman, and HB 1816, sponsored by Rep. Andrew Koenig. Medication Synchronization: Requires health carriers to cover medication synchronization services so

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