Qualis Health Medicaid Review

Listing Websites about Qualis Health Medicaid Review

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External Quality Review - Washington Medicaid Qualis Health

(8 days ago) WEBAs the external quality review organization, Qualis Health's role is to assess the quality of care Medicaid recipients receive. If you have a concern about the care you or a family member has received, please contact the Washington State Health Care Authority. …

https://www.qualishealth.org/healthcare-professionals/eqro-washington-medicaid

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Home Comagine Health

(1 days ago) WEBComagine Health, formerly Qualis Health and HealthInsight, is a national, nonprofit, health care consulting firm. Utilization review and case management for better clinical …

https://comagine.org/

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Medicaid Managed Care Preventive Services and Vaccinations

(7 days ago) WEBQualis Health 2 As Washington’s Medicaid external quality review organization (EQRO), Qualis Health provides external quality review and supports quality improvement for …

https://www.hca.wa.gov/assets/medicaid-managed-care-preventative-services-and-vaccines-report.pdf

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Register to Access the Qualis Health Provider Portal dhcf

(3 days ago) WEBProvider registration and training is required to submit utilization review requests to Qualis Health.. Effective February 1, 2014, you must use the Qualis Health …

https://dhcf.dc.gov/release/register-access-qualis-health-provider-portal

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Utilization Review Requirements - Labor & Industries (L&I), …

(6 days ago) WEBThe Utilization Review Program applies only to claims that are adjudicated by the State Fund. For more information: OMD UR unit: phone: 360-902-5036, fax: 360-902-5600 …

https://www.lni.wa.gov/patient-care/authorizations-referrals/authorization/utilization-review-requirements

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Alabama Medicaid Medical and Quality Review Services and …

(Just Now) WEBThe purpose of this training is to discuss: Qualis Health’s role and responsibilities related to Long Term Care (LTC) retrospective reviews. Documents …

https://medicaid.alabama.gov/documents/2.0_Newsroom/2.5_Media_Library/2.5.1_Slide_Presentations/2.5.1_LTC/2.5.1_LTC_Training_PPT_5-30-14.pdf

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2.5 Medicaid Qualis Review Services Revised 9-16-13.ppt

(9 days ago) WEBThe receipt date will be the date the information is received at HP with a complete and CORRECT HP. cover sheet. If you have questions regarding the review, contact Qualis …

https://medicaid.alabama.gov/documents/2.0_Newsroom/2.5_Media_Library/2.5.1_Slide_Presentations/2.5.1_LTC/2.5.1_Medicaid_Qualis_Review_Services_Rev_9-16-13.pdf

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Qualis Health Wins Washington Medicaid External Quality Review

(4 days ago) WEBWashington State issues contracts to assess and improve quality of care delivered to Medicaid enrollees. Seattle, WA – Qualis Health has been selected by the State of …

https://www.qualishealth.org/about-us/newsroom/press-releases/qualis-health-wins-washington-medicaid-external-quality-review-contracts

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MEDICAID BULLETIN - SC DHHS

(8 days ago) WEBQualis Health Attn: SC Medicaid Prior Approval Review 440 Knox Abbott Drive, Suite 220 Cayce, South Carolina 29033 or Fax (877) 717 - 8594. Providers are responsible for …

https://www.scdhhs.gov/internet/pdf/PriorAuthSuptDocumReviewByNewQIOQualis.pdf

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Qualis Health CMS - Centers for Medicare & Medicaid Services

(8 days ago) WEBQualis Health. Organization Description: Local and community level projects to improve patient safety, reduce harm, and improve clinical care. Covered States and Territories: …

https://www.cms.gov/contacts/qualis-health/general-beneficiary-contact/1561746

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New Mexico Human Services Department Comagine Health

(8 days ago) WEBComagine Health provides third-party assessor and utilization review services to the New Mexico Human Services Department/Medical Assistance Division …

https://comagine.org/program/new-mexico-medicaid

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Qualis Health Wins Kansas Medicaid Contract for Utilization …

(1 days ago) WEBQualis Health will implement post-payment retrospective review of claims from inpatient hospitals, inpatient psychiatric hospitals, and ambulatory surgical centers …

https://comagine.org/article/qualis-health-wins-kansas-medicaid-contract-utilization-review

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Anti-Fungals – Topical Therapeutic Class Review - New York …

(5 days ago) WEBNew York State Department of Health. NYRx Medicaid program. Clinical Drug Review Program. Updated January 11, 2024. Accessed New York State Medicaid …

https://www.health.ny.gov/health_care/medicaid/program/dur/meetings/2024/docs/5-16_document.pdf

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Hudsonview Center for Rehabilitation and Healthcare - 6 Reviews

(2 days ago) WEB9020 Wall Street, North Bergen, NJ 07047. (800) 558-0653 (Caring Family Advisor™) Claim this listing. 5. ( 6 reviews) Offers Nursing Homes. Jump to: Reviews. …

https://www.caring.com/senior-living/new-jersey/north-bergen/hudsonview-center-for-rehabilitation-and-healthcare

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Stephen Robert Rossman , DO - Hackensack Meridian Health

(4 days ago) WEB277 Ratings, 53 Reviews The Patient Satisfaction Rating is an average of all responses to the care provider related questions shown below from our survey. Patients that are …

https://doctors.hackensackmeridianhealth.org/provider/Stephen+Robert+Rossman/1319754

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WEBThe Credentialing Department will, within two weeks, review the provider’s application and contact the prospective provider if any discrepancies arise or if more information is …

https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf

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District of Columbia, Department of Health Care Finance - Qualis …

(8 days ago) WEBPhone. (800) 251-8890. Fax. (800) 731-2314. Mail. Comagine Health Reconsideration Review. PO Box 34800. Washington, DC 20043. Please see Section 15 of the DC …

https://www.qualishealth.org/patients-families/dc-medicaid

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Welcome to New Jersey Medicaid 3

(5 days ago) WEBPlease contact their payer relations department at 800 527 - 8133 and choose Option 1 for details. For impacted providers who still cannot submit claims electronically, the State of …

https://www.njmmis.com/default.aspx

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Arizona's $2 billion Medicaid fraud was first announced one year ago

(8 days ago) WEB0:00. 1:34. Arizona's Medicaid agency is a "completely new" organization one year after a humanitarian crisis caused by massive fraud was announced to the public, …

https://www.azcentral.com/story/news/local/arizona-health/2024/05/16/arizonas-2-billion-medicaid-fraud-was-first-announced-one-year-ago/73706945007/

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