AMS has been notified that some changes have been made to a physician’s selection of high priority beneficiaries. The AHIN portal (BCBS) will reopen May 25 for physicians to reselect their PCMH HPBs for the 2018 performance period. This opportunity is due to the recent primary care provider (PCP) reassignment. It was identified that beneficiaries of specific benefit plans were ­­­dropped from their assigned PCP after implementation of the new Medicaid Management Information System (MMIS). The reassignment took place on the weekend of April… Read More

  Beginning in April 2018, the Centers for Medicare & Medicaid Services (CMS) will mail new Medicare cards to all people with Medicare on a flow basis by geographic location and other factors. Additional details… Read More

AMS has learned from the Medicaid program that a capitation payment (PBPM) for Quarter 1 of 2018 was generated to PCMHs on March 10 with a settlement date of March 16 and some of those… Read More

The new Medicare card is a result of MACRA’s requirement that CMS issue Medicare cards that do not display Social Security numbers to address the risk of beneficiary identity theft. New Medicare cards will be… Read More

After receiving a number of calls about concerns regarding the new Medicaid Management Information System (MMIS) portal, AMS recently met with representatives of DXC, DHS and AFMC to discuss the complaints. Those complaints include lack of… Read More

AMS has learned that the state’s largest insurance carrier, Arkansas Blue Cross and Blue Shield will reduce reimbursements to its provider network effective January 1, 2018.  The reduction applies only to the carrier’s individual metallic… Read More

New MMIS Healthcare Portal Official Go-live Date is November 1, 2017. This is the new way claims will transmitted to Medicaid.  In preparation for this transition, many activities leading up to November 1 will be… Read More

USA Today (3/20, Groppe) reports that Republicans released a modified bill Monday night “in an attempt to shore up support among both conservatives and moderates.” The revised bill would allow states “to require able-bodied Medicaid… Read More

The Wall Street Journal (3/3, Peterson, Hackman, Armour, Subscription Publication) reported the House Energy and Commerce Committee is drafting legislation to reshape Medicaid that would allow states which expanded the program under the Affordable Care… Read More

CMS has announced that the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, requires the removal of Social Security Numbers (SSNs) from all Medicare beneficiary cards by April 2019. A new randomly generated Medicare… Read More

The Wall Street Journal (12/16, Evans, Walker, Subscription Publication) reported that the Obama Administration has scrapped a controversial plan to alter how Medicare reimburses physicians for Part B drugs which they administer in their offices… Read More