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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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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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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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 …

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

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2018 Annual Technical Report - ICDST

(9 days ago) WEBAs Washington’s Medicaid external quality review organization (EQRO), Qualis Health provides external quality review and supports quality improvement for enrollees of …

https://dl.icdst.org/pdfs/files3/5d74c481473f7369da3d33c3010b7211.pdf

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Qualis Health Wins Kansas Medicaid Contract for Utilization Review

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

https://www.qualishealth.org/about-us/newsroom/press-releases/qualis-health-wins-kansas-medicaid-contract-for-utilization-review

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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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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 Provider Portal to …

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

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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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Utilization Review New Mexico Human Services Department

(7 days ago) WEBThe Human Services Department/Medical Assistance Division (HSD/MAD) has awarded the Medicaid Third-Party Assessor (TPA) contract to Qualis Health, effective March 1, …

https://www.hsd.state.nm.us/providers/utilization-review/

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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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Behavioral Health Inpatient Psychiatric Review Provider Manual

(Just Now) WEBquality in the review services Qualis Health provides. • Collaboration—Qualis Health promotes collaborative relationships, both internally and externally. Qualis Health …

https://comagine.org/sites/default/files/resources/akbh-provider-manual-2015.pdf

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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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Medicaid Satisfaction Survey Report - New York State Department …

(5 days ago) WEBMVP Health Care (PDF) UnitedHealthcare Community Plan (PDF) Adult Medicaid Special Needs Plan Survey - CAHPS - April 2024. Statewide Plan Survey Results-SNP (PDF) …

https://www.health.ny.gov/health_care/managed_care/medicaid_satisfaction_report/2024/

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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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Welcome to New Jersey Medicaid 2

(5 days ago) WEBProvider Services. 1-800-776-6334. Click here for ICD 10 Resources. Revised: A revised DMAHS Disclosure of Ownership Form (FD-452) dated May 2023 has been published …

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

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Henry J. Austin Health Center, Inc. - Bellevue Avenue, Trenton

(3 days ago) WEBTrenton NJ, 08618. Contact Phone: (609) 278-5900. Clinic Details: Henry J. Austin Health Center, Inc. (HJAHC) is located in Trenton, New Jersey. Established in 1969 as …

https://freeclinicdirectory.org/detail/henry_j_austin_health_center_hamilton2_trenton_nj.html

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