CMCS Connections

Receive Timely Medicaid payments By Rochelle Bailey C o o p e r a t i v e M a n a g e d C a r e Services (CMCS) processes claims for several Medicaid delivery systems. We want to ensure that providers receive their Medicaid payments on time. A common issue that interferes with timely payments is incorrect provider enrollment information, including incorrect addresses. More than 500 checks are returned to CMCS every year due to incorrect provider addresses, which creates time-consuming rework and a delay in reimbursing those providers. The Indiana Health Coverage P r o g r a m ( I H C P ) r e q u i r e s a l l providers to be enrolled properly with correct office, mail and payment address information. This enroll- ment information is documented on the Web Interchange (https:// i n t e r c h a n g e . i n d i a n a m e d i c a i d . com). Payers, such a third party administrators (TPA's) like CMCS, are unable to send payments to a provider address that does not match the provider enrollment information listed in the IHCP Webinterchange. The following excerpts from the IHCP Provider Manual, give direction on provider enrollment information, including having an accurate address: "If an IHCP-enrolled provider changes its address, TIN, license i n f o r m a t i o n , o r a n y o t h e r i n f o r m a t i o n c o n c e r n i n g g r o u p members (rendering providers), HP Provider Enrollment m u s t i m m e d i a t e l y b e n o t i f i e d o f t h e c h a n g e … C M C S c o n n e c t i o n s 1 s t q u a r t e r 2 0 1 5 C over your cough! Stop the spread of germs that can make you and others sick. Influenza (flu) and other serious respiratory illnesses like respiratory syncytial virus (RSV), whooping cough, and severe acute respiratory s y n d r o m e ( S A R S ) a re s p re a d b y cough, sneezing, or unclean hands. To help stop the spread of germs: • Cover your mouth and nose with a tissue when you cough or sneeze. • Put your used tissue in the waste basket. • If you don't have a tissue, cough or sneeze into your upper sleeve or elbow, not your hands! • Wash your hands often with soap and warm water for 20 seconds. • If soap and water are not available, use an alcohol-based hand rub. For More Information: Yo u c a n l e a r n m o re a b o u t good health habits and download additional posters at cdc.gov/flu/ protect/covercough.htm cough or sneeze into your upper sleeve, not your hands. Cover your mouth and nose with a tissue when you cough or sneeze Put your used tissue in the waste basket. or after coughing or sneezing. Stop the spread of germs that make you and others sick! clean with alcohol-based hand cleaner. Wash hands with soap and warm water or Minnesota Department of Health 625 N Robert Street, PO Box 64975 St. Paul, MN 55164-0975 651-201-5414 TDD/TTY 651-201-5797 www.health.state.mn.us IC#141-1428 Minnesota Antibiotic Resistance Collaborative Cover Cough Clean Hands your your Poster courtesy of CDC.gov (continued on next page) 5

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