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Molina Healthcare Customer Service Issues

26 Apr 2017 Posted by emily in Uncategorized

We always strive to help clients get every dollar that is owed them by their insurance company. Currently, we have been experiencing some issues with Molina Healthcare–both the Marketplace plans and Medicaid Managed Care plans. We are working very hard to get benefit verification and…

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Major Changes in Medicaid

09 Sep 2014 Posted by emily in Billing Code Changes, Midwives

The Florida Medicaid program is making some big changes. In May, Medicaid changed the fee schedules for Licensed Midwives and Birth Centers. Medicaid eliminated almost every code for Birth Centers and added one, leaving them with a total of two billable codes. Midwives also lost…

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Updated Fee Schedules

08 Sep 2014 Posted by emily in Billing Code Changes, Midwives

In case you missed it… As of May 21, 2014 these are the only codes Medicaid will process for Licensed Midwives and Birth Centers. Birth Center Fee Schedule Licensed Midwife Fee Schedule In January 2014, Medicaid also updated the fee schedule for Advanced Registered Nurse…

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Midwives Covered?

17 Feb 2011 Posted by caroline in Midwives

When asking if Midwives are covered be sure to define the Midwife type.  Many Licensed Midwives are experiencing denials because plans are only covering Certified Nurse Midwives. It is important to ask the Insurer if Licensed Midwives are covered and then to go one step…

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Medicaid code changes

17 Feb 2011 Posted by caroline in Midwives

Medicaid is now only paying for certain Rhogam meds. If you are not using the ones that are payable on their list they will not reimburse you. Your NDC must match. Check out the information below from Florida Medicaid Provider Type(s): 25, 26, 29, 30, 34,…

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Florida Medicaid Re-enrollment

07 Jul 2010 Posted by caroline in Midwives

Per the Summer 2010 Medicaid bulletin “Provider Reenrollment has begun!” This process has been simplified and should now be more streamlined than before.Medicaid advise that “Ninety (90) days before your Florida Medicaid Provider Agreement expires, you will be sent a reenrollment packet. Providers whose agreements…

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A Midwifes Dilemma

02 Mar 2010 Posted by caroline in Maternity Insurance

Often, when accepting a new client into care many Midwives are faced with the dilemma of should I spend my valuable time on the phone verifying benefits or simply put it off and do it later.  This approach of “doing it later” can often be a costly choice. Just because…

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