Qualis Health Medicaid Reviews

Listing Websites about Qualis Health Medicaid Reviews

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External Quality Review - Washington Medicaid …

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

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2.5 Medicaid Qualis Review Services Revised 9-16 …

(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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Annual Technical Report - Washington State Health …

(1 days ago) WebApple Health, Washington’s Medicaid program, serves over 1.8 million of the state’s residents. Nearly 85% of Apple Health clients are enrolled in managed care. In 2019, the …

https://www.hca.wa.gov/assets/billers-and-providers/eqr-technical-report-2019.pdf

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Homepage Qualis Health

(9 days ago) WebQualis Health is one of the nation's leading population health management organizations. We partner with our clients The Centers for Medicare & Medicaid [ learn more ] …

https://www.qualishealth.org/

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Alabama Medicaid Medical and Quality Review …

(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 required to submit for …

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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Medicaid Managed Care Preventive Services and …

(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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Utilization Review Requirements - Labor & Industries …

(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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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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Developmental Disabilities Supports Division (DDSD)

(9 days ago) WebQualis Health- Qualis Health is the contracted Medicaid Third Party Assessor. Qualis Health reviews and processes all Level of Care packets for DD Waiver recipients. …

https://prod.nmhealth.org/publication/view/newsletter/3461/

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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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External Quality Review - Washington Medicaid Qualis Health

(7 days ago) WebMost recently, Ms. Rimpau was part of a team that conducted the external quality reviews for Washington and Oregon with Acumentra Health. She brings that experience and a …

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

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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 values …

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 for fee-for …

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

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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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Idaho Medicaid Renews Contract With Qualis Health BioSpace

(1 days ago) WebQualis Health has had an office in Boise since 1986 and has held the Quality Improvement Organization (QIO) contract with Idaho Medicaid since 1989. Accredited by URAC in …

https://www.biospace.com/article/releases/idaho-b-medicaid-b-renews-contract-with-b-qualis-health-b-/

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Dr. Sonal Pathak, MD - North Bergen, NJ - Endocrinology

(4 days ago) WebSometimes, I think that due to their preparation and experience, they forget that the doctor-patient exchange is essential for the relief and healing process. 5 of 5 stars. Reviewed …

https://doctors.hackensackmeridianhealth.org/provider/sonal+pathak/1318971

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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 for fee-for …

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

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Medicaid Therapists in Ringwood, NJ - Psychology Today

(6 days ago) WebFind Medicaid Therapists, Psychologists and Medicaid Counseling in Ringwood, Passaic County, New Jersey, get help for Medicaid in Ringwood.

https://www.psychologytoday.com/us/therapists/medicaid/nj/ringwood

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Medicaid Therapists in Oradell, NJ - Psychology Today

(5 days ago) WebFind Medicaid Therapists, Psychologists and Medicaid Counseling in Oradell, Bergen County, New Jersey, get help for Medicaid in Oradell.

https://www.psychologytoday.com/us/therapists/medicaid/nj/oradell

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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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SURGICAL PROCEDURE REQUEST FOR REVIEW FORM - Qualis …

(3 days ago) WebWA Medicaid ID # (9 digits ending in WA): Female Male NOTE: Review is only performed by Qualis Health if the patient has Fee-For-Service Medicaid. Check …

https://www.qualishealth.org/sites/default/files/WA-Medicaid-Surgical-Procedure-Review-Request-Form.pdf

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Stephen Robert Rossman , DO - Hackensack Meridian Health

(4 days ago) WebMedicaid; Medicare; MultiPlan; Oxford Health Plans; QualCare; Railroad Medicare; TRICARE; Search reviews. Search Reviews. 5 out of 5 stars 5 of 5 stars. Reviewed …

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

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