An order of rehabilitation was issued 11/1/16 by the Superior Court of the State of Connecticut naming Commissioner Wade HealthyCT’s rehabilitator. This is the next progression in the orderly run-off of HealthyCT with the primary goal of protecting the policyholders. The Commissioner’s oversight as Rehabilitator makes certain that the covered claims of HealthyCT members will continue to be paid under the terms of the policies and for the duration of those policies. For individual policyholders, coverage remains in effect through December 31, 2016. For employers who renewed their year-long group plans on or before July 1, 2016, coverage for their workers can remain in effect until the end of their policy year, which could be until June 30, 2017. Customers must continue to pay their monthly premium to sustain that coverage and can continue to see their providers and fill their prescriptions with no interruption in service. Pursuant to the Rehabilitation Order, HealthyCT will pay provider claims for all covered services rendered to a HealthyCT member. Providers are prohibited from balance billing members. Under the terms of the Rehabilitation Order all contracted providers are enjoined from terminating their contractual relationship with HealthyCT without the Rehabilitator’s and Court’s consent. Whether you … Read More
Summer 2016 – What the Order of Supervision Means to Your Practice, BRCA Testing, “Surprise Bills,” Provider Manual Updates and more. (Read More)
Spring 2016 – Provider Survey, Disease Management Programs for Members, Check Out Your Provider Manual, Utilization Review Decisions. (Read More)
JOIN US FOR AN UPCOMING WEBINAR: LEARN HOW TO FIND COMMUNITY RESOURCES FOR YOUR PATIENTS 211 CONNECTICUT March 9, 2016 12:00 PM– 1:00 PM Please register for the webinar at this link: https://attendee.gotowebinar.com/register/8448771964885982466 Attend this informative webinar to learn more about the 211 system, available for you and your patients 24 hours a day, 7 days a week, both online and over the phone. Representatives from the United Way will explain how to access the system and how it can benefit your patients. The 211 Connecticut system is a resource to connect with essential health and human services, including: Youth behavioral health crisis intervention Services for children with suspected development delays The food stamp program Medical expense assistance Medical appointment transportation services Prescription assistance programs Nutritional support services such as community food banks We hope you can join us! For questions, please email Sandra Coppola at firstname.lastname@example.org.
We invite you to participate in a Orthopedic Advisory Group Meeting As a physician or practice manager, you can let us know how we’re doing, what we can do better and how we can help you and your patients. Don’t miss this opportunity, your input is valued! Tuesday, March 22, 2016 – 5:30 PM Connecticut State Medical Society Offices 127 Washington Ave. East Building 3rd Floor North Haven, CT Dinner will be provided The focus of this meeting will be to discuss the bundling of orthopedic services, including your experiences, discharge issues, management of patient choice, etc. Space is limited – to register, click here to fill out the form.
Winter 2016 – Introducing Teladoc, Quality Improvement program, new accumulator look tool, claims information. (Read More)
Russell J. Munson, M.D., Chief Medical Officer at HealthyCT, contributed an article to the November 2015 publication of Medical Home News (page 3). Read the publication here.
NCQA Accreditation, Getting Ready for Flu Season, New Radiology Vendor and more
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