Resources and contacts received to date:
MCO & BH-ASO Contact List – updated Jan 2020
Prior Authorization resources – updated Jan 2020
Shared Provider Roster template – updated with MCO contacts 4/29/19
WISe forms & Tracker submission
CMS Guidance – Use of Modifier 59
Contracts & Reconciliation Contacts
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Molina – Megan Gillis [email protected]
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Amerigroup – Kathleen Boyle [email protected]
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CHPW – Cathy Neiman [email protected]
Updating practice demographic data (address, hours, tax ID, etc.)
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Amerigroup – Form is on our website https://providers.amerigroup.com/pages/wa-forms.aspx under Provider Data Update Forms. The best place to send the completed form is [email protected]. You can also use that email address or call 1-800-454-3730 with questions.
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CHPW – “Clinic & Group Change Term” form available on website https://www.chpw.org/for-providers/documents-and-tools/ under Tools & Resources. Ask for 30 days notice thru the form. Contact directly if shorter timeline than that.
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Coordinated Care – reach out to your contract contact.
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Molina – will send specific email box for that.
