Tag: Cigna Healthcare (MA), Also see HealthSpring (HCSC)

Attached is the link to the Cigna Medicare Advantage PCP Newsletter for June 2020. Topics this month include:

·         Social Determinants of Health (SDOH)

·         2020 Medicare Advantage Prior Auth (PA) Requirements

·         CoverMyMeds.com

·         Valuable Insights:COVID-19 Resources

·         CAHPS Corner: COVID-19 Updates

[embeddoc url=”https://community.poetllc.org/wp-content/uploads/2020/06/Non-physician-provider-guidelines-CignaHS.pdf” download=”all” viewer=”google”]

Attached is the link to the Cigna Medicare Advantage PCP Newsletter for May 2020. Topics this month include:

• Healthy Equity Resource: CultureVision
• National Osteoporosis Month
• COVID-19 Update
• National Mental Health Month
• National Nurse’s Week
• CAHPS Corner

[embeddoc url=”https://community.poetllc.org/wp-content/uploads/2020/05/May-2020-Printable.pdf” download=”all” viewer=”google”]

Attached is the PCP E-Newsletter for the month of April. Topics this month include:

• Patient Assistance Programs
• World Immunization Week
• 2020 Formulary QRG
• CAHPS Corner
• Valuable Insights: News You Can Use

[embeddoc url=”https://community.poetllc.org/wp-content/uploads/2020/04/APRIL-2020.pdf” download=”all” viewer=”google”]

To view the memo.

[embeddoc url=”https://community.poetllc.org/wp-content/uploads/2020/04/Caskey-Tele-Visit-Memo-on-Letterhead-04132020.pdf” download=”all” viewer=”google”]

Effective April 1, 2020, Cigna Medicare is accepting the Arcadia 360s via telehealth until further notice.

Attached is the latest announcement regarding this change. Also attached is the Arcadia 360 User Guide for performing the 360s via telehealth.

Key items to note are:

•  Telehealth 360s must be both visual and audio.
• In the Location field of the 360, the provider will need to select “Other”. In “Other Location” they should type “telehealth”.
• Vitals and physical exam are not required to pass the audit check for a telehealth visit.
• Telehealth 360s are reimbursing at the same rate – $150 plus FFS reimbursement on the corresponding claim.
•  CMS has not yet approved telehealth for risk adjustment. CareAllies and Cigna have been working with CMS to see if there may be some opportunity for clemency during this pandemic.

[embeddoc url=”https://community.poetllc.org/wp-content/uploads/2020/04/covid-19-360-telehealth-assessment.pdf” download=”all” viewer=”google”]