Coordinated Care has completed the Compliance Plan and Corrective Action Plan. COORDINATED CARE CORPORATION was registered on 04/28/1994 as a Domestic For-Profit Corporation registered at 7700 FORSYTH BOULEVARD, SUITE 800, ST. LOUIS, MO, 63105, USA. Washington Apple Health and Apple Health Foster Care plans issued by Coordinated Care of Washington, Inc. Ambetter plan issued by Coordinated Care Corporation, Benefits Overview: Adoption Support, Alumni and Reunification, Notice - Pharmacy Medication Coverage Changes, Apple Health Core Connections First Year Report, visit our Coronavirus Guidance page for providers on our Ambetter web site. A Claim Dispute (Level II) should be used only when a provider has received an unsatisfactory response to a Request for Reconsideration. Teladoc delivers 24-hour access to in-network healthcare providers for non-emergency health issues at no cost. Request a prescription or ask for medical advice by video or phone, 24/7. Pfizer Covid-19 Vaccine Admin 1st Dose (Adult), Pfizer Covid-19 Vaccine Admin 2nd Dose (Adult), Pfizer Covid-19 Vaccine Admin 3rd Dose (Adult), Pfizer Covid-19 Vaccine Admin Booster (Adult), Pfizer-BioNTech Covid-19 Pediatric Vaccine (12+ years), Pfizer Covid-19 Ped Vaccine Admin- 1st Dose (12+ years), Pfizer Covid-19 Ped Vaccine Admin- 2nd Dose (12+ years), Pfizer Covid-19 Ped Vaccine Admin- 3rd Dose (12+ years), Pfizer Covid-19 Ped Vaccine Admin- Booster (12+ years), Pfizer-BioNTech Covid-19 Pediatric Vaccine (5-11 years), Pfizer Covid-19 Ped Vaccine Admin- 1st Dose (5-11 years), Pfizer Covid-19 Ped Vaccine Admin- 2nd Dose (5-11 years), Pfizer Covid-19 Ped Vaccine Admin- 3rd Dose (5-11 years), Moderna Covid-19 Vaccine Low Dose Booster, Moderna Covid-19 Vaccine Admin- Low Dose Booster. coordinatedcarehealth.com)*. Coordinated Care | 569 followers on LinkedIn. A Request for Reconsideration (Level I) is a communication from a provider about a disagreement with the manner in which a claim was processed. Download the free version of Adobe Reader. Authorization requirements will be waived for any claim that is received with these specified codes. Pharmacists billing for this service must bill on a HIPAA 837 transaction using the billing taxonomy of 193200000X. Pharmacies may bill for COVID-19 vaccine administration when the performing provider is a pharmacist. For additional information and guidance on COVID-19 billing and coding, please visit the resource centers of the Centers for Medicare and Medicaid (CMS) and the American Medical Association (AMA). 12 out of 12 pts . Get more information on our insurance plans and see what you are eligible for. This applies to services that occurred as of February 4, 2020. The Company takes a local approach - with local . For dates of service from February 4, 2020 through March 31, 2020 providers should use the ICD-10 diagnosis code: For dates of service of April 1, 2020 and later, providers should use the ICD-10 diagnosis code: For our Apple Health (Medicaid) members, Coordinated Care covers telemedicine services provided by our community providers in accordance with all Health Care Authority (HCA) policies and guidelines as outlined in HCAs published billing guidelines and fee schedules. When medically necessary care is needed beyond the scope of what the PCP can provide, PCPs and Ambetter members are encouraged by Ambetter to initiate and coordinate the care members receive from specialist providers. WRITE REVIEW. A coordinated care plan is a classification of Medicare Advantage plans. HCA has purchased a limited number of licenses for Zoom, a video conferencing technology platform that helps providers with telehealth visits. The provider must check a client's vaccination status in the provider's medical records and the Department of Health WAIIS database. H3499 | 3 Years | Dual-Eligible. To bill for these services, the pharmacist who delegates the task should be entered as the servicing provider. If the provider is already seeing the patient for a prescheduled visit, and counseling for COVID-19 vaccination increases complexity of the visit or the time spent with the patient, the provider may account for this by choosing the appropriate E/M level. The company's filing status is listed as Active and its File Number is 603144203. Centene Corporation, indicated that the app's privacy practices may include handling . Ambetter Telehealth * gives you access to doctors for non-emergency health issues or questions. INTRODUCTION . Registered Agent: The encounter rate is not payable for drugs/pharmaceuticals. HCA clinical and policy guide for COVID-19 (PDF). This policy does not apply to other vaccines. Usually, the presenting problem(s) are minimal. The Registered Agent on file for this company is Coordinated Care Management Corporation and is located at Suite 1800, 107 Delaware Ave., Buffalo, NY . May not select a Virginia Mason primary care provider (PCP). We offer affordable Medicare Advantage plans in Washington that includes the same benefits of Original Medicare PLUS extra benefits such as prescription drug coverage, vision, dental and hearing care. Immunization registry checks may be performed within a reasonable timeframe of the vaccine counseling visit to accommodate for data lags. Coordinated Care health insurance is offered by Centene Corporation, a Fortune 500 company that provides a portfolio of services to government-sponsored healthcare programs.Coordinated Care emphasizes healthcare that treats the whole individual, not just the physical body.Centene Corporation is committed to . Their business is recorded as FOREIGN PROFIT CORPORATION. Key Takeaways Ambetter has Gold, Silver, and Bronze health plan options, with Gold having the most comprehensive coverage, lowest deductible, and highest premiums. Company information. You will need Adobe Reader to open PDFs on this site. During the Public Health Emergency (PHE), Use CR modifier to denote when service provided over the phone/audio-only. Alien Emergency Medical (AEM) clients can access care within the providers office setting (outside of the emergency department, inpatient and other outpatient settings) to diagnose and treat COVID-19. Coordinated Care Corporation Compliance Plan Page 3 of 4 . Also please reference revisions made to the Apple Health COVID-19 Vaccine Clinical Policy (PDF). COORDINATED CARE CORPORATION. Virginia Mason is NOT contracted, but will accept Coordinated APPROVED referrals for specialty care. Must have enrolled with either Washington State Department of Health or the Centers for Medicare & Medicaid Services (CMS) to administer COVID-19 vaccine shots. COORDINATED CARE CORPORATION; Alternative Names. Counseling Visits should be documented in a patients medical record according to standard documentation guidelines. Ambetter from Coordinated Care Corporation: 1-877-687-1197 (TTY/TDD 1-877-941-9238) | Ambetter.CoordinatedCareHealth.com | 2. We're excited to help you take charge of your health and to help you lead a healthier, more fulfilling life. Providers performing Counseling Visits should be prepared to provide vaccine or be able to refer to appropriate, accessible vaccine sites for the member in counseling. Let us help! For specimen transfer related claims, the following codes can be used: Specimen transfers are currently a non-covered service per Health Care Authority (HCA) fee schedules. Ambetter from Coordinated Care Corporation has been serving Washington since 2012 and currently serves more than 280,000 members across its Ambetter, Washington Apple Health Plan, Apple Health . For Additional Ways to Pay, by mail or MoneyGram, log into your member account or look on the back of your invoice to get specific payment information. Our health insurance programs are committed to transforming the health of the community one individual at a time. Allwell from Coordinated Care is a new Medicare Advantage plan, providing quality healthcare you'd expect from a big company, but delivered on a local level. COORDINATED CARE CORPORATION Dual-Eligible. We believe in treating the whole person - mind and body. Coordinated Care provides free and low-cost health insurance coverage to more than 280,000 Medicaid, foster care and marketplace members across Washington state, with more than 30,000 providers in . If immunization registry checks are infeasible, client attestation to vaccination status is acceptable. Cleanliness 4.4. Find a Doctor. 24/7 medical help from doctors via video and phone, with $0 co-pay. Beginning January 1, 2020, Washington state law protects you from balance billing if you receive emergency services from out-of-network hospitals or providers in Washington, Oregon and Idaho. Providers billing with these codes will not be limited by provider type. Get medical advice, a diagnosis or a prescription by phone or video, at no cost to you! #106 lake forest california 92630, 4373 Alexander Blvd Ne, Albuquerque, NM 87107-6802, 4830 W Kennedy Blvd Ste 600, Tampa, FL 33609-2584, 4419 Dusty Meadow Ln, Sugar Land, TX 77479-3409, 2900 University Pkwy, Lawrenceville, GA 30043-4588, 6551 Loisdale Ct, Springfield, VA 22150-1828, 750 Prides Xing Ste 200, Newark, DE 19713-6105, 11631 Kew Gardens Ave Ste 200, Palm Beach Gardens, FL 33410-2762, 3817 Nw Expressway, Oklahoma City, OK 73112-1489, 1099 N Meridian St Ste 900, Indianapolis, IN 46204-1030, 1099 N Meridian St Ste 800, Indianapolis, IN 46204-1046, 1099 N Meridian St Ste 1000, Mp In040l-0003, Indianapolis, IN 46204-1045, 1099 N Meridian St, Indianapolis, IN 46204-1075, 1099 N Meridian St, Suite 400, Indianapolis, IN 46204-1075, Addiction (Substance Use Disorder) Counselor, 1099 N Meridian St, 900, Indianapolis, IN 46204-1075, 1099 N Meridian St, Ste. 19.2 out of 20 pts . A Reconsideration can be submitted to Coordinated Care via the Provider Portal, or by mailing a completed Reconsideration and Dispute form to the address listed on the form. The provider may bill 99401 using modifier 25 in addition to billing EM visit. Materials to assist provider conversations with patients: Additionally, CMS has also published a set of toolkits to help providers prepare to swiftly administer the vaccine. If there is no indication that the patient is vaccinated, or there is indication that the patient is only partially vaccinated, the provider can reach out to the client for a counseling visit. Any claims that have been denied due to noncoverage of revenue code 0771 should be resubmitted with the location revenue code for services provided for dates of service prior to February 15, 2021. 1994041460. September 2022. Use Telehealth when you need it, or make an appointment for a time that works with your schedule. This guidance is in response to the current COVID-19 pandemic and may be retired at a future date. A counseling visit is a conversation between a provider or qualified health professional, nurse, or medical assistant, and a patient about the COVID-19 vaccine. After you've learned about median download and upload speeds from Gunzenhausen over the last year, visit the list below to see mobile and fixed . We are complying with the rates published by Health Care Authority (HCA) for the following codes: Any additional rates will be determined by further HCA guidance and communicated when available. HCA's Behavioral Health Policy and Billing FAQ (PDF) reinforces the state's current policies regarding telemedicine as defined in WAC 182-531-1730 and covers new telehealth policies that will only be in effect during this health care crisis. For Apple Health (Medicaid) providers, please refer to the. For Coordinated Care, bill as a pharmacy point-of-sale transaction and follow NCPDP standards: The vaccines and vaccine administration codes listed in the table below, are covered by Apple Health (Medicaid). Pharmacists may prescribe, administer, and bill for COVID-19 vaccine administration. Coordinated Care Corporation is a Washington Foreign Profit Corporation filed On September 16, 2011. Call us 24/7 at (800) 695-5748. This information on internet performance in Gunzenhausen, Bavaria, Germany is updated regularly based on Speedtest data from millions of consumer-initiated tests taken every day. Ambetter from Coordinated Care is a part of Centene Corporation, a Fortune 500 company with over 30 years of experience in the managed care and specialty health industry. The Registered Agent on file for this company is C T Corporation System and is located at 711 Capitol Way S Ste 204, Olympia, WA 98501. The Company provides asthma and diabetes management, healthcare needs, and pregnancy care programs. As a reminder, only those services associated with screening and/or treatment for COVID-19 will be eligible for prior authorization waivers. If necessary, the Company must timely submit a sufficient alternative access delivery request that will obtain approval from the Insurance Commissioner. Address: 550 N Meridian St. Indianapolis, IN 46204-1207. This Contract has been prepared by us to help explain your Download the free version of Adobe Reader. If there is an issue where we cannot process claims, we will notify you. Welcome to Ambetter from Coordinated Care Corporation! Get medical advice, a diagnosis or a prescription by phone or video, at no cost to you! Members can receive medical advice, a diagnosis, or a prescription for colds, flu, fever, rash/skin conditions, sinuses/allergies, respiratory infections, and behavioral health. 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