August 2018

Hot Topics

The Importance of Prenatal Care Screening for Domestic Violence and Substance Use

Providers play a vital role in helping identify patients needing substance abuse treatment and/or domestic violence intervention. The American College of Obstetricians and Gynecologists, and the U.S. Preventive Services Task Force recommend all women seeking prenatal care be screened for both.

How to Keep the Cash Flowing: Billing Appropriate Diagnosis Codes

Keep claims payments coming in a timely manner by ensuring ICD-10 diagnosis codes are correct on claims. Invalid codes delay payments.

Learn the Benefits of Case Management and How to Make a Referral

Case Management is an optional program for members wanting to focus on health care goals. It’s important to know the benefits of Case Management, who’s eligible and how to make a referral.

New Private Duty Nursing Checklists and Pharmacy Prior Authorization Forms

Access new LTSS checklists for private duty nursing and pharmacy prior authorization forms for STAR/CHIP and STAR Kids.

THSteps Periodicity Schedule Changes

Due to recent changes and added benefits for THSteps checkups, the periodicity schedule has changed. Make sure you are familiar with the updates.

Back-to-school Immunizations

According to the Centers for Disease Control and Prevention (CDC), “Vaccines prevent an estimated 2.5 million deaths among children younger than age 5 every year around the world.” As summer comes to a close and school begins, ensure your patients are up to date with their immunizations regardless of their age. Older children need boosters or additional immunizations to protect them from preventable diseases. The CDC immunization schedule details recommended immunizations based on age and references the “catch-up schedule” for patients who are behind on their immunizations.

Health Tips to Share

Help your patients live a healthier life by sharing relevant wellness information with them. You can print individual articles, or point your patients to the websites so they can review topics that interest them. Anyone can access the websites; no login required.

Connect invites users to get answers, share information and gain knowledge on topics like well-being and health coverage through blogs, videos and downloadable content. Participants can create a profile and like posts, add their opinions in the comments and subscribe to content they’re interested in. Spanish content is available.