eQHealth Solutions 2050 - 10 Finley Road, Lombard, IL 60148 Business Phone: 630.317.5100 Business Fax: 630.317.5101 Review Certification Line: 800.418.4033 - Mon-Fri, 8:30 am to 5:00 pm, CST As shared in Provider Bulletin 20-34 , Nebraska Medicaid now has a new Utilization Management Contractor, eQHealth Solutions.Below are resources for providers to get to know eQHealth Solutions: Available Training Sessions (through Oct 30); Training Videos: DHHS YouTube eQHealth Solutions will provide the following services to Medicaid providers: For more information on eQHealth Solutions, Inc. please visit the website. Precertification for Advanced Imaging providers: (Toll Free): 888-204-0502. eQHealth Solutions Governance. eQReview. EQ Health Prior Authorization Change Request Form - Confidential Prior Authorization FAX: 800-922-3508 Kepro Customer Service Phone: 720 -689-6340 Email: coproviderissue@kepro.com. They certify pre-authorizations and proactively reach out to members with specific health care risks. Home [fl.eqhs.com] eQ Health Solutions provides Medical Management and Care Coordination. Forgot Your Password? Induction of Labor - Clinical Considerations and Recommendations. eQHealth Solutions - Arkansas > Behavioral Health Fill out the form here If you choose to use our Service, then you agree to safegard ePHI in relation with this policy. The requests are only for patients who . PRIOR AUTH IMPORTANT: The grace period for late requests is over. Together, eQHealth and HCPF will serve Medicaid members by focusing on and implementing HCPF's mission to improve health care access and outcomes for the people we serve . CDC+ Physician Visit Documentation Form. eQSuite Login - eQHS Prior authorization is when your provider gets approval from Molina Healthcare to provide you a service. EQ Health Prior Authorization Change Request Form - Confidential Prior Authorization FAX: 800-922-3508 Kepro Customer Service Phone: 720-689-6340 Email: coproviderissue@kepro.com To request a change to a PAR originally completed by eQHealth, please complete this form and either fax to 800-922-3508, or securely email to coproviderissue@kepro.com. Search Results | Colorado Department of Health Care Policy ... System access control for changing authorized users. CDC+ Plan Of Care Form. Fax request form - Personal Care Service Providers. Here you will find links to the Log in for eQSuite, to the Mississippi Division of Medicaid and to Conduent web sites. Acute Home Health services are allowed without prior authorization for up to 60 calendar days or until the acute condition is resolved, whichever comes first. Individual Provider Training Request Form. Learn more about. They have a dedicated team of employees to answer calls and process claims. Prior Authorization Resources Page. ADX Reminder: ADX CODE: The admit dx code field requires all digits and no decimal. eQHealth Solutions, established in 1986, is a population health management and healthcare IT solutions company that touches millions of lives every year. Maternity & Newborn Authorization Requirements (After 7/1/13) Maternity & Newborn Authorization Requirements (Prior to 7/1/13) Out of state Authorization Process and Guidelines. ABS partners with eQHealth Solutions to provide utilization management for all services that require prior authorization. The health assessment will still be required for any rewards to be earned and annual physicals/well visits will only be rewarded for visits to Ascension Network (Tier 1) providers, the incentive amount is $125. The LSU First Health Plan is a self-insured plan. Ability to document and track peer-to-peer conversations, reconsideration reviews and multi-level appeal processes. eQHealth Solutions 2050 - 10 Finley Road, Lombard, IL 60148 Business Phone: 630.317.5100 Business Fax: 630.317.5101 Review Certification Line: 800.418.4033 - Mon-Fri, 8:30 am to 5:00 pm, CST If the primary dx code submitted for Prior Authorization review changes, do we need to contact eQHealth to change it on the review? Current CPT/HCPC Codes: Procedure Code and applicable modifier (s) Narrative Description . Prior Authorization. We ask that you update your records to reflect this change. INPATIENT PRIOR AUTHORIZATION FORM *INPATIENT SERVICE TYPE (Enter the Service type number in the boxes) Additional . PSYCH Review: No Axis grids I-V to fill out! CDC+ Reconsideration Request. Effective August 1st we will not accept any Prior Auth request less than 3 business days prior to the procedure. Effective August 1st we will not accept any Prior Auth request less than 3 business days prior to the procedure. Prior authorization is required regardless of reimbursement type (DRG or Per Diem). The Prior Approval Unit handles durable medical equipment, therapeutic supplies, mobility devices, therapies, home health, and bariatric surgery request for the Illinois Department of Health Care & Family Services. This page is used to inform website visitors regarding our policies with the collection, use, and disclosure of electronic Protected Health Information (ePHI) if anyone decided to use our Service, the eQSuite | Care Coordination website. PRIOR AUTH IMPORTANT: The grace period for late requests is over. Out Of State -Authorization Request Form. Web Administrator Guide Fax: 601-352-6358. WebTPA provides medical claim administration. Call us toll-free for business development, marketing and sales at 1-800-720-2578. . How To Guides; Register for a webinar; Archived Bulletins; Behavior Analysis. Better manage expenses by improving utilization review, utilization management and prior authorization. Suite 101. If an admission has an admitting dx code that is on Attachment C (reviewable) and there is a prior authorization on file for an ICD9 procedure on Attachment F, will the case require both prior authorization . Reconsideration Review Request Form. Click HERE to LOGIN again. Services include: prior authorization and utilization review, care coordination, quality improvement activities, medical record review, health and wellness, and quality review services for home and community based waiver programs. Please include any addtl dx codes in . information in one location. The form is designed to serve as a standardized prior authorization form accepted by multiple health plans. Welcome to eQHealth Solutions' Website. Prior authorization review is strictly for certification (prior authorization) of specific procedures. They have a dedicated team of employees to answer calls and process claims. Address Change: Effective 11/29/21, our office will relocate to 5201 W. Kennedy Blvd #900, Tampa, FL 33609. . 528 BH Chemical Substance Abuse 529 BH Psychiatric Admission 531 BH Eating Disorders 532 BH Crisis Stabilization Unit 535 BH Residential Treatment - Substance Use 536 BH Residential Treatment - Mental Health. o If the request is approved, the approval is valid for a 60-day period from the date of the QIO's eQHealth Solutions, the QIO-like organization for the Arkansas Department of Human Services (DHS), provides utilization and quality control peer review for outpatient behavioral health services to qualifying Arkansas Medicaid beneficiaries. eQHealth Solutions, established in 1986, is a population health management and healthcare IT solutions company that touches millions of lives every year. How To Guides; Register for a webinar; Archived Bulletins; Behavior Analysis. Select the resource you need by clicking the topic on the left. January 15, 2020. eQHealth Solutions is the new vendor partner that is providing utilization management services for Ascension SmartHealth beginning Jan. 1, 2020. eQHealth has a portal to submit prior authorization requests which allows for immediate authorization in certain cases when criteria is met based on clinical documentation provided. eQHealth also provides utilization and quality control peer review for inpatient psychiatric services for Arkansas Medicaid beneficiaries underage of . This is not an inpatient admission (concurrent) review. Select the resource you need by clicking the topic on the left. Prior Authorization Request Form Fax to 586-693-4829 Effective: 01/01/2020 Version: 12/10/2019 Page 1 of 2 Please be aware that you may submit all inquiries for prior authorization requests via the eQSuite® Provider Portal at Home; Provider Resources. CDC+ Required Supporting Documentation. eQ Health Solutions provides Medical Management and Care Coordination. All reviews will be conducted by a licensed speech, occupational or physical therapist depending on the type of service under review. The department will use this page to communicate prior approval information to our providers. Baton Rouge, LA 70809. Please include any addtl dx codes in . Home; Provider Resources. The Agency for Health Care Administration has contracted with a certified Quality Improvement Organization (QIO), eQHealth Solutions, Inc. to provide medical necessity reviews for Medicaid home health services. PSYCH Review: No Axis grids I-V to fill out! What are Prior Authorizations? The Prior Authorization Template is optional, hospitals are not required to submit the form to . (If the member is on a Health First Colorado Managed Care Program, prior … In order to request service, you will need to fill out the Service Request Form and submit it. Prior Authorization Template and Instructions. It is needed before you can get certain services or drugs. eQHealth Solutions is pleased to be selected by the Colorado Department of Health Care Policy and Financing (HCPF) to provide services for the ColoradoPAR (prior authorization request) program, effective September 1, 2015. eQ Health Difference CMS Certified Care Management High-Tech & High-Touch Solutions End-to-End Clinical Integration HITRUST Certified Testimonials Awards Insights Blog In The News Events Resources Webinars/Videos-On-Demand Podcast About Us History Leadership Locations Careers Partners Affiliates . Medical Necessity Review/Prior Authorization Request Form Fax: 866-337-8690 Mail: eQHealth Solutions 1431 Greenway Drive Suite 500 Irving, TX 75038 Page 1 of 2 Effective: 12/05/2019 Version: 12/04/2019 **PLEASE PRINT** **PLEASE PRINT** UR/Pre-Authorization Contact: 866-560-9069 CONFIDENTIALITY NOTICE: This fax / electronic transmission and its attachments may contain PRIVILEGED and CONFIDENTIAL INFORMATION and / or PROTECTED PATIENT HEALTH INFORMATION (PHI) intended solely for the use of US Family Health Plan and the recipient(s) named above. WebTPA provides medical claim administration. Provider Notice Issued 01/10/2020. eQ Health will process all prior authorization requests within seventy-two (72) hours of receipt of complete documentation clearly establishing medical necessity. Prior Authorization Resources Page. Prior authorization, concurrent, and retrospective reviews. Call us toll-free for business development, marketing and sales at 1-800-720-2578. Access Forms; Provider Manuals; Codes that require prior authorization User Name: * Therefore any requests submitted on or before July 31 will be handled by eQHealth and providers will submit related inquiries, requested information and documentation to eQHealth during the month of August. Access Forms; Provider Manuals; Codes that require prior authorization ADX Reminder: ADX CODE: The admit dx code field requires all digits and no decimal. 8440 Jefferson Highway. eQ Health Difference CMS Certified Care Management High-Tech & High-Touch Solutions End-to-End Clinical Integration HITRUST Certified Testimonials Awards Insights Blog In The News Events Resources Webinars/Videos-On-Demand Podcast About Us History Leadership Locations Careers Partners Affiliates . Helpline (Toll Free): 866-740-2221. The Standardized Prior Authorization Form is not intended to replace payer specific prior authorization processes, policies and documentation requirements. o If the request is approved, the approval is valid for a 60-day period from the date of the QIO's The prior authorization submission instructions for HPE are available by going to www.ctdssmap.com and selecting Information>Publications, and then scrolling down to Chapter 9 Prior Authorization>Section 9.2>page 10 The following providers or services have Prior Authorization requirements: • Durable Medical Equipment (DME)* eQHealth Health Solutions is the fee-for-service (FFS) Utilization Management vendor contracted with the Division of Medicaid . Baton Rouge, LA 70809. CDC+ Parent or Legal Guardian Work Schedule. The Illinois Department of Healthcare and Family Services (HFS), in conjunction with its Quality Improvement Organization, eQHealth Solutions (eQHealth), has created a new process to allow hospitals to submit inpatient concurrent review requests for MANG Pended patients. Prior authorization is required regardless of reimbursement type (DRG or Per Diem). Behavior Analysis Providers: This is a reminder that according to Behavior Analysis Services Coverage Policy (7.2), BA services require prior authorization before they . Prior Authorizations. 8440 Jefferson Highway. If prior authorization is needed for a certain service, your provider must get it before giving your child the service. Corporate Headquarters. Suite 101. Multi-faceted ability to receive UM requests via web-based entry on a provider portal, call center and/or fax submission and tracking. All prior authorization reviews in process before Aug. 1 will be completed by eQHealth as part of the transition to Alliant. 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