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What's New
2011 Grant Winners
2011 Quick Reference Guide
Transitioning to HIPAA 5010 and ICD-10 - Important Information
Provider Relations Annual Report - a compilation of UnitedHealthcare Great Lakes milestones and achievements in 2010:
10 Ways We Delivered to Providers
We're Ranked in Nation's Top 20 AGAIN!
Achievements in PCP Reimbursement
Investment in Pharmacy Improvements
Our Members Matter
2010 Grant Winners
Great Opportunities to Serve Your Patients
Click here
to obtain the Provider Relations Annual Report 2010
Benefits Update
Starting April 1, 2010 Medicaid will pay for some medicines that used to be covered by your health plan(such as mental health drugs). You will need to show both your green mihealth card and your health plan card when you go to the pharmacy to get medicine. For members who are age 21 or over and needs one of these medicines covered by Medicaid, you will have a co-pay. Your co-pay will be $1.00 for generic medicines or $3.00 for brand name medicines. Your pharmacy can tell you if your medicine is generic or brand medicine.
H1N1 Update
Our nation is facing potentially serious issues and health consequences associated with the H1N1 influenza virus. The federal government has made the decision to purchase supplies of the H1N1 vaccine which they will disseminate for free through state and local health department lead initiatives. We at UnitedHealthcare/AmeriChoice are working collaboratively with federal and state officials to ensure the success of this essential vaccination campaign.
Recently we announced that we would cover and reimburse for the administrative costs for vaccine administration, regardless of the member’s benefit plan. We would like to encourage primary care physicians and obstetricians who participate in our commercial, Medicare and Medicaid networks to immediately contact the state or local health officials leading the campaign in your local area if you are interested in participating in the H1N1 vaccine program. You can identify the contact in your state by visiting the Centers for Disease Control and Prevention Web site at
www.cdc.gov/h1n1flu/vaccination/statecontacts.htm
.
If you choose to not administer the vaccine, we encourage you to identify physicians in the UnitedHealthcare/AmeriChoice network and immunization clinics in your local area that will offer H1N1 immunizations for your patients who are insured by UnitedHealthcare/AmeriChoice. You can access a searchable list of in-network physicians and other health care professionals by visiting AmeriChoice.com under Tools>Find a Physician or by visiting the Web site listed on the back of your patients’ heath care ID card.
In the days to come we will have more information and guidance concerning this effort including billing and reimbursement information, but it is important that you take action now to participate in this important effort. We thank you for your attention to this matter and for the care you provide to UnitedHealthcare/AmeriChoice members.
Vaccine Administration Fees
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Great Lakes Health Plan Ranked in Top 20
Great Lakes Health Plan is among the highest rated Medicaid plans in the nation, according to this year’s rankings published by the National Committee for Quality Assurance (NCQA) and U.S. News & World Report (USN&WR). GLHP was rated #19 with a score of 84.3. Health plans can score a possible 100 points based on quality, member satisfaction and NCQA accreditation scores. In 2007 GLHP was ranked #66.
Each year, NCQA and USN&WR join together to rank the nation’s Medicaid health plans based on access to care, overall member satisfaction, prevention, and overall quality score. GLHP would like to thank our physicians, hospitals and other health care professionals for their contributions in making GLHP one of the Best Health Plans in 2009.
Good news! NCQA is offering free on-line cont
Online Programs: NCQA Education & Events
inuing education programs to enhance practitioners understanding of the nature and treatment of:
Chronic Obstructive Pulmonary Disease (COPD)
Attention Deficit Hyperactivity Disorder (ADHD)
Diabetes Care
Low English proficiency- HRSA Unified Health Communication
For complete accreditation information, please go to:
www.ncqa.org/education
GLHP is Excellent!!
We are pleased to announce that the National Committee for Quality Assurance (NCQA) has awarded GLHP an accreditation status of Excellent. Many of you participated in the survey process and are aware of the effort required to attain this goal. In fact, we couldn’t have done it without you.
Our accreditation status – the highest level achievable – was awarded after rigorous evaluation by NCQA of all aspects of our plan, including preventive health services, member satisfaction, physician credentialing and quality improvement.
The review included both on- and off-site evaluations conducted by a team of physicians and managed care experts. A committee of physicians then analyzed the team's findings and assigned us an Excellent status based on our performance compared to NCQA standards.
Studies widely reported in the trade and lay press have shown that health plans earning NCQA Accreditation outperform non-accredited health plans across a variety of measures of clinical quality and member satisfaction. Earning NCQA Accreditation recognizes the commitment of our organization to provide quality products to our members and demonstrates that we have incorporated quality improvement into our standard operating procedures.
Each of you, in your work with your patients – our members – contributed to our achieving accreditation. It is an important accomplishment in which we should all take pride. We thank you for your ongoing support and look forward to working with you for many years to come.
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Page Last Updated on 5/5/2011 9:07:44 AM
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Keratoconus:
Cone-shaped cornea with the apex of the cone being forward. Also called conical cornea.
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