Medicatio​n Alerts from AHCA

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Important Provider Notification

• 5010 Readiness Bulletin
• Informed Consent for Psychotherapeutic Medication Update
• AHCA Alert - HIV or Hepatitis C Medications and Statins - July 2012

• Promoting Breastfeeding: http://www.uspreventiveservicestaskforce.org/uspstf08/breastfeeding/brfeedrs.pdf
• Folic Acid Supplementation fr Prevention of Neural tube defects in your baby: http://www.uspreventiveservicestaskforce.org/uspstf09/folicacid/folicacidrs.pdf

• Potentially Inappropriate Medication Use in Older Adults: http://media.empr.com/documents/2/ltc-beers_3pt1_1165.pdf
• Printable Pocket Card of Potentially Inappropiate Medication Use in Older Adults: http://www.americangeriatrics.org/files/documents/beers/PrintableBeersPocketCard.pdf
• U.S. Preventive Services Task Force (USPSTF) Recommendations for Adults: http://www.uspreventiveservicestaskforce.org/adultrec.htm
• U.S. Preventive Services Task Force (USPSTF) Recommendations for Children and Adolescents: http://www.uspreventiveservicestaskforce.org/tfchildcat.htm
• National Kidney Foundation KDOGI Guidelines: http://www.kidney.org/professionals/KDOQI/guidelines_ckd/p9_approach.htm.
• Hypertension and Antihypertensive Agents in Chronic Kidney Disease - National Kidney Foundation: http://www.kidney.org/professionals/KDOQI/guidelines_bp/index.htm
• Summary of Revisions for the 2012 Clinical Practice Recommendations; Additions to the Standards of Medical Care in Diabetes - 2012: http://care.diabetesjournals.org/content/35/Supplement_1/S11.full
• Chronic Heart Failure: ACC/AHA 2005 Guideline update: A report f the ACC/AHA task force on practice guidelines: http://circ.ahajournals.org/content/112/12/e154
• Screening for Bacterial Vaginosis in Pregnancy:http://www.uspreventiveservicestaskforce.org/uspstf08/bv/bvrs.pdf
• Gestational DM Screening: http://www.uspreventiveservicestaskforce.org/uspstf08/gestdiab/gdrs.pdf
• USPSTF Grade Definitions of Guideline Recommendations: http://www.uspreventiveservicestaskforce.org/uspstf/gradespost.htm#irec

News

• Toll-Free Provider Services Phone Line

Diabetes

For information about diabetes, click www.diabetes.org

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Asthma

Asthma Quick Care Reference Guide, click: http://www.nhlbi.nih.gov/guidelines/asthma/asthma_qrg.pdf

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Psychcare

For information about Psychcare go to http://www.psychcare.com:

For Provider manual click here

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Simply Provider Newsletter

• Fall/Winter 2012

Provider Bulletin

Bulletin Volume 1, Issue 1- Jan.1, 2012 - In Office Lab Services Reimbursement Begins for Medicaid FFS PCP’s
Bulletin Volume 1, Issue 2- March 8, 2012 - Simply is Live with Availity

Bulletin Volume 1, Issue 3- Sept. 26, 2012- Vaccines for Children

Bulletin Volume 1, Issue 4- Nov.1, 2012- Pharmacy Notice

Bulletin Volume 1, Issue 5- Dec. 1, 2012- Provider Portal Enhancements

Bulletin Volume 1, Issue 6- Jan. 1, 2013- AAAHC

Simply Medicare Special Needs Plans

IMPORTANT NOTICE REGARDING Simply Healthcare Plans ELECTRONIC CLAIM SUBMISSION, see Provider Bulletin below

• Bulletin Volume 1, Number 2 - Electronic Claim Submission through EMDEON (UPDATED 04/20/11)

IMPORTANT NOTICE REGARDING Simply Healthcare Plans NEW CORPORATE OFFICE ADDRESS and PO BOX, see Provider Bulletin below

• Bulletin Volume 1, Number 1 - New Corporate Address

Provider Web Portal

In an effort to serve you better, Simply Healthcare Plans has instituted a new Web Portal for its Simply Medicaid and Healthy Kids lines of business. Effective September 27, 2010, you may access the Simply Web Portal. The following services will be available via the Web Portal commencing September 27, 2010:

• Eligibility verification
• Claim Status
• Referral Entry and Status Review

You may register, as a participating provider, on the new Simply Web Portal by entering your Tax Identification Number and NPI as requested on the Registration portion of the Web Portal. Please contact Simply via e-mail should additional assistance be required.

Evidence Based Guidelines

UM304(A)-MA - Clinical Practice Guidelines Reference Guide

UM304(B)-MA - Preventative Services Reference Guide

A copy of the guidelines are available upon request by calling the Provider Services number.

Claims Submission

All paper claims should be sent to the following new address:

Simply Healthcare Plans
PO Box 21535
Eagan, MN 55121

Provider Directories

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The forms you download here are viewable using Acrobat Reader.

Title	Last Updated
Broward - Medicaid Provider Directory	May2013
Dade - Medicaid Provider Directory	May2013
Orlando - Medicaid Provider Directory	May 2013
Polk - Medicaid Provider Directory	May 2013
Tampa - Medicaid Provider Directory	May 2013
Simply Stay At Home	Apirl 2013

Prior Authorization Forms

Title		Last Updated
Medication Prior Authorization Form - Use for Medicaid and Medicare		February 2012
Medication Prior Authorization Fuzeon MEDICAID ONLY		February 2012
Medication Prior Authorization HIV-HEP-B Diagnosis Verification MEDICAID ONLY		February 2012
Medication Prior Authorization Selzentry Maraviroc MEDICAID ONLY		February 2012
Medication Prior Authorization Serostim		February 2012
Synagis Request MEDICAID ONLY		February 2012
Medicaid Prior Authorization & Step Therapy MEDICAID ONLY		December 2011

Downloads

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The forms you download here are viewable using Acrobat Reader.

Title	Last Updated
Informed Consent Form	August 2012
OB Provider Pregnancy Assessment Form – Use for Medicaid and Medicare	July 2012
Diabetes Supplies	January 2012
Simply Exclusive Participating Provider Networks	January 2013
Medicaid Provider Handbook	January 2013
Medicaid Reform Provider Handbook	January 2013
PreAuthorization Form (to be completed by the prescribing physician)	February 2013
Helping Smokers Quit, A Guide for Clinicians	February 2012
Cultural Competency and Minority Recruitment Plan	August 2012