PA Medicaid Clears Backlog of Provider Enrollment Applications
During his first month in office, Pennsylvania Governor Josh Shapiro signed an Executive Order directing all state agencies to compile a catalog of the licenses, certificates, and permits they administer – including the length of time it takes them to process...
New Medicare Benefit Category
Beginning January 1, 2024 the Consolidated Appropriations Act, 2023 (CCA, 2023) establishes a new Medicare benefit category for mental health services. As early as Q4 2023, qualified MFT and MHC practitioners can begin enrolling in the Medicare program. The effective...Iowa Medicaid Updates Provider Enrollment System
HHS Technology Group, LLC (HTG) has partnered with Noridian Healthcare Solutions, LLC and the Iowa Department of Health and Human Services to enhance Iowa’s Medicaid provider management system. The partnership will implement HTG’s Discover your Provider...
Humana Exits Employer Group Commercial Medical Insurance
Humana Inc. made an important announcement today regarding its future business focus. The company has decided to discontinue its involvement in the Employer Group Commercial Medical Products business, which includes various medical plans such as fully insured,...
GA Governor Signs Law Banning ‘Medical Title Misappropriation’
Governor Brian P. Kemp of Georgia has signed a new law that will come into effect on July 1st, which requires medical specialists to have proper credentials to support their claims. Georgia Senate Bill 197, known as the “Health Care Practitioners Truth and...
Optum to Manage Provider Enrollment for NC Medicaid
Optum was selected by the North Carolina Department of Health and Human Services to streamline enrollment, credentialing and data management for more than 90,000 health care providers serving patients in the state’s Medicaid program. “We are honored to partner with...
Health Data Privacy & Telehealth
In response to the increased utilization of telehealth due to the COVID-19 pandemic, there has been growing concern over how telehealth vendors and practitioners protect and use health data. Policymakers and regulators have proposed or implemented policies to address...
2023 Final Rule for Marketplace
The Department of Health and Human Services (HHS) Notice of Benefit and Payment Parameters for 2023 Final Rule for Marketplace health plans has a Network Adequacy provision regarding telehealth services. As of January 2023, HHS requires health plans to identify and...What Is Provider Enrollment
Provider enrollment refers to the process of becoming a participating provider in a health insurance plan or network. This process is typically required for healthcare providers, such as doctors, nurses, and other medical professionals, who wish to provide care to...
