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Tag: Payer

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FAQ’s for Managed Care Organizations E-Consult Programs

FAQs for education of State agencies on e-consult.

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November 10, 2020

Proposed Changes to CMS Physician Fee Schedule for 2021

Medicare provider fee schedule including e-consult CPT codes (99446-9 and 99451-2). https://www.cms.gov/newsroom/fact-sheets/proposed-policy-payment-and-quality-provisions-changes-medicare-physician-fee-schedule-calendar-year-4

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August 10, 2020

eConsults: A Triple Win for Patients, Clinicians and Payers (Milbank Foundation)

Milbank Foundation-supported literature review of successful e-consult programs. https://www.milbank.org/wp-content/uploads/2020/06/eConsults_Milbank_Report_v4.pdf

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June 30, 2020

Partnership Health Plan Telehealth Policy

Partnership Health Plan Telehealth Policy

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January 30, 2020

Medi-Cal All Plan Letter

California State Medicaid letter directing plans to support provider use of telehealth and e-consult.

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August 15, 2019

California Department of Managed Health Care E-Consult Reporting

State agency process for reporting process and networks involved in Medicaid plan-supported e-consult programs. https://www.dmhc.ca.gov/LicensingReporting/SubmitHealthPlanFilings.aspx

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July 30, 2019

North County Health Services and Blue Shield of California Promise Health Plan Collaborate to Bring Safety Net Patients High-Quality Care

A California Medi-Cal managed care plan demonstrates support for an FQHC e-consult program.

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January 30, 2019

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