MEDICAID
IMPORTANT
CHANGE – MEMBER
DISENROLLMENT
Effective August 17, 2015, Medicaid will begin enforcing new requirements on member address updates. When Kentucky Medicaid
receives undeliverable/returned mail that was sent to a Medicaid
member, they will terminate Medicaid coverage for that member
by the end of the following month unless the member updates
his/her address with Kentucky Medicaid. For example, if returned
mail is received on August 20, 2015, the member must update their
address by October 1, 2015, or risk being disenrolled in Medicaid.
It is important for providers to verify member eligibility using
KyHealth Net at http://www.chfs.ky.gov/dms/kyhealth.htm. Physicians may ask Medicaid patients if they have moved recently and
remind them that they are required to update their address to
stay covered with a Medicaid Managed Care Organization (MCO).
Practices can help patients avoid losing Medicaid coverage due
to an address change by informing them of this new change and
reminding them to contact the Department for Medicaid Services
each time their address changes. The Managed Care Organizations
are not permitted to update the members address. Kentucky
Medicaid maintains the member eligibility file and will only accept
an address update from the member or authorized representative. The Medicaid member may use the following resources to
update their address:
»»
»»
»»
»»
Call Medicaid at 1-855-306-8959
Call kynect at 1-855-4kynect (459-6328)
Update online via kynect
Find a local DCBS office
ICD-10 HASSLE
TRACKING
GLMS is here to help providers with payer-related ICD-10 issues.
After October 1, if claims using ICD-10 codes are not being paid
appropriately, if prior authorizations are being delayed or denied
or you are experiencing payment delays, you may contact GLMS
Physician Education & Practice Support for assistance with these
concerns. We will begin tracking ICD-10 specific issues that are
submitted and contacting the payers on behalf of GLMS members.
Complete a Hassle Report Form online at www.glms.org or email
your issue to [email protected].
GLMS will be hosting a Multi-Payer Roundtable on Thursday,
October 29 at 7:00 a.m. Representatives from Anthem, Humana, Kentucky Health Cooperative and United Healthcare have
been invited to participate in this Roundtable with GLMS members/practices. In addition to member questions, the agenda
will also include time for discussion of ICD-10 issues that have
surfaced since the October 1 implementation. Please RSVP to
[email protected] or by calling 502-736-6354.
Don’t miss KMA’s Two-Day ICD-10 Boot Camp, August 31-September 1. This training will prepare coders to successfully complete
the AAPC proficiency exam, which is required to maintain certification. This course will be led by certified ICD-10 instructor Jean
Pryor and her experienced staff. Included in your registration fee
is breakfast and lunch (both days), all meeting handouts, practice
exam, 16 CEUs and a voucher for the A APC proficiency exam
WHERE: Hyatt Regency, Downtown Louisville
COST: $575 KMA Members and Staff/$850 Nonmembers and
Staff
Space is limited and on a first-come, first-served basis. KMA members and their staff should register online. Non-members should
contact Rachel Sender at 502-814-1396 or [email protected].
PRECEPTORS NEEDED FOR 2015 WEAR THE
WHITE COAT
GLMS will proudly host the fifth annual Wear the White Coat program this fall giving business and community leaders the unique
opportunity to shadow a physician preceptor.
Wayne Tuckson, MD, right, and his WTWC participant, WFPL News
Health Reporter Ja’Nel Johnson.
Wear the White Coat is an excellent opportunity for physicians
to get involved and rub elbows with other Louisville community
leaders. Preceptors and community participants have repeatedly
praised the program for allowing a window into the day-to-day
life of some of the city’s best and brightest.
To volunteer as a preceptor, contact Jennifer Howard at Jennifer.
[email protected] or 502-736-6362.
6
GLMS NEWS AUGUST 2015