Category: Medicare
Cigna MA Stars 101 Webinar
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Cigna MA
Overview of the Stars Program
Cigna’s West Region Stars Team will provide an overview of the Stars Program and available reporting and resources:
- What is the Star Rating and why is it important
- Components of the Star Rating
- A review of available reporting related to Stars
- Tools and Resources available for your office
Event Number: 179 385 5641
Event Password: stars
June 9th, 1:30 CST
TWO New Measures for Part C Stars
The Part C Stars Specification Overview has been updated for 2022 Dates of Service.
It includes two new measures –
- Follow-Up After Emergency Dept Visit for People with Multiple High-Risk Chronic Conditions (FMC)
- and Transition of Care (TRC).
It’s Only Money
APRIL 1, 2022
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Medicare sequester begins to phase back in at 1%
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UHC Policy Updates for March 2022
Just click the button to check out the latest from UHC.
Quarterly Update for Clinical Laboratory Fee Schedule (CLFS)
Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment
POET Is Seeing a Trend, UPDATE
On January 5th, Sir Seymore posted on Ink that POET is seeing a trend from Physician Offices that are trying to get a referral from Cigna MA.
Please scroll down to review that post for details.
POET received this information from Cigna MA: “Unfortunately, we’re experiencing a known enterprise-wide issue within the MHK/HSConnect platform that is affecting how many of our participating specialists are reflecting in the dropdown box or search box when attempting to generate a referral. The MHK/HSConnect team is working towards remediation but I have not yet heard when the expected date for completion might be.”
Just a reminder: SCPs do not need a referral due to the Public Health Emergency (PHE). The PHE has been extended until April 16, 2022.
PCPs and SCPs you are welcome to confirm participation with POET or Leslie.
Per Cigna MA, you should be able to manually enter the specialists’ (SCP) name/NPI for a referral.
CIGNA MA Information Update from POET
POET has received a few calls regarding the Cigna MA PPO plan that came into effect January 1, 2022.
- To the left is a screen shot of one PPO product’s card. (I’m sorry it is not to pretty.)
- No PCP is required.
- Referrals are not required
- Providers are still responsible for receiving PRIOR AUTHORIZATION.
You may have noticed the Cigna MA insurance card no longer sports the “HealthSpring” Logo.
The below list are for Provider use only. Not to be distributed to Patients
HMO Customer Benefit Plans for Our Service Area
PPO Customer Benefit Plans for Our Service Area
- Cigna Preferred Medicare HMO
- H4513-061-001
- CignaTotalCare HMO D-SNP
H4513-060-001 - Cigna Fundamental Medicare HMO H4513-009-000
- Cigna Preferred Savings Medicare HMO
H4513-066-000
- Cigna True Choice Medicare PPO
H7849-038-000 - Cigna True Choice Plus Medicare PPO
H7849-062-000
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