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HFS – Behavioral Health Providers and MCOs Meeting … – Illinois.gov

www.illinois.gov

Humana/Beacon Health Responses. 1 | Page. Topic … authorization capabilities
– how are we to handle prior auth ….. Humana/Beacon cover ICP members 19+.

ICP MCO Performance Metrics SFY 2017 Q2 – Illinois.gov

www.illinois.gov

Humana. 15. 15 100%. 5. 5 100%. 4. 4 100%. 0. 0 N/A. 0. 0. N/A. IlliniCare …
Percentages of Appeals and Grievances Resolved for Total ICP Population …
Definition: Routine prior authorizations must be authorized or denied within 10
days.

Medi-Cal Eligibility Procedures Manual – California Department of …

www.dhcs.ca.gov

prior authorization is required for certain services. Limftations on the beneficiaries
' …. resided in an SlE/ICP for one day or -re during the retroactive r~onth(8) for …

Care Coordination in Managed Long-Term Services and … – AARP

www.dhhs.nh.gov

Jul 1, 2015 … ICP Impacts on Care Coordination in Illinois . …. Table 1. HCBS Waiver Programs
Included in the ICP as of February 2013 . ….. Service authorization ….. The prior
section presented findings of a review …. Humana Health Plan.

The Statewide Medicaid Managed Care Program – Florida …

www.floridahealth.gov

Oct 31, 2013 … Institutional Care Programs (ICP), as defined in Florida Statute. 20. Who Is
Required to … Humana. Medical Plan,. Inc. Molina. Healthcare of. Florida, Inc.
Sunshine …. If prior authorization is required, you must obtain it from the …

Common Conditions, Improvement Strategies and Best … – CMS

www.cms.gov

Aug 27, 2014 … We want to remind sponsors that 3 prior Best Practice/Common Findings … o
Applied prior authorization edits on claims for beneficiaries with a utilization …..
Sponsor did not provide evidence of individualized care plan (ICP).

Part C and Part D Program Audit Annual Report – CMS

www.cms.gov

Sep 6, 2016 … scope and logistics; and Sponsor instructions for pre-audit issue summary
submission ….. Sponsor improperly effectuated prior authorizations or exception
requests. … plans (ICP) for beneficiaries. …. 12/29/2015 Humana, Inc.

2015 08 18 Board Minutes – Employees Retirement System of Texas

ers.texas.gov

Aug 18, 2015 … Priya Kapila, CBIZ Humana Capital Services. Mr. Brian Ragland …. Prior
authorization is required for prescriptions $300 and up. As a result of …

Annual Report – PPV&FRA

www.plantauthority.gov.in

Oct 1, 2014 … the purpose of developing a new variety, the authorization of the breeder of the …
Essentially Derived Variety: A variety pre- dominantly derived from an initial …..
9701, ICP 84031 TAT – 10, ICPL 151,. GT –100 and Paras. 7.

Stakeholder Comments Received on the Draft CCC … – DMAS Portal

www.dmas.virginia.gov

Dec 21, 2016 … With the CCC, Humana was the only MCO who promptly removed the
indemnification … of timely service authorization, and financial pressure to
transition individuals …. plan's Person Centered Individualized Care Plan (ICP).
… than 9 months prior to the expected date of transition from early intervention.



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