Friday, May 27, 2016
Wednesday, May 25, 2016
Springfield Primary Care Update Conference! June 17-18, 2016
Springfield Primary Care Update Conference
The popular Essential Evidence format which has been used in Chicago twice, as well as Arizona and Michigan is coming to Springfield! Downstate members should make their plans to pack in an amazing amount of up to date, 11.75 evidence-based CME credits over two days. This CME conference will unite University of Illinois at Chicago with Southern Illinois University family medicine and pediatrics to provide the total primary care learning and networking experience!June 17 and 18, 2016 - Online Registration is now open!
View the full schedule of topics and speakers
Sponsorship Opportunities: Contact Desma Rozovics
Fees:
$295 for full conference registration
$175 for one day only
$250 for New Physician members (less than 7 years post-residency training)
FREE for Residents!
Co-sponsored by
Illinois Academy of Family Physicians
Illinois Chapter American Academy of Pediatrics
SIU School of Medicine Department of Family and Community Medicine
SIU School of Medicine Department of Pediatrics
Register online: Online Registration is now open!
Springfield Essential Evidence Update
June 17 - 18, 2016
Schedule
Friday June 17
8:30 – 9:00 am Registration and Continental Breakfast
9:00 – 9:30 am Course introduction/Information Mastery
John Hickner, MD, MS, Professor and Head of Family Medicine at the University of Illinois at Chicago and Editor-in-Chief of the Journal of Family Practice
9:30 - 10:00 am Pediatric Potpourri 1
Kate Rowland, MD, MS, Assistant Professor at Rush-Copley Family Medicine Residency and at Rush University. Editor-in-chief of the Priority Updates from the Research Literature (PURLs) series, produced by FPIN and published in the Journal of Family Practice
10:00-10:30 am Cardiovascular Disease
Heather Laird-Fick, MD, Associate Professor of Medicine and clinician educator at Michigan State University College of Human Medicine. Program director of the Michigan State University Internal Medicine Residency Program
10:30-10:45 am Break
10:45-11:15 am What’s New in Women’s Health? John Hickner, MD, MS,
11:15-11:45 am Pediatric Potpourri 2 Kate Rowland, MD, MS
11:45-12:15 am Adolescent Medicine Heather Laird-Fick, MD
12:15-1:00 pm Lunch
1:00-1:30 pm Liver and GI Heather Laird-Fick, MD
1:30-2:00 pm Vitamin D: The New Vitamin E? John Hickner, MD, MS
2:30-3:00 pm Atrial Fibrillation Heather Laird-Fick, MD
3:00-3:15 pm Break
3:15-3:45 pm PURLS 2 Kate Rowland, MD, MS
3:45-4:15 pm Asthma Update John Hickner, MD, MS
4:15-4:45 pm PURLS 1 Kate Rowland, MD, MS
4:45-5:00 pm Summary and Adjourn John Hickner, MD, MS
Saturday June 18
Two tracks: Family Medicine (FM) and Pediatric (PED)
8:30 – 9:00 am Registration and Continental Breakfast
9:00 -9:55 am
FM: Behavioral Health Integration Mary Dobbins, MD, SIU DFCM
PED: Choosing Wisely® in Pediatrics Douglas Carlson, M.D.
10:00 – 10:55 am
FM: The Balancing Act of Health: Care coordination and Community Health Workers
Tracey Smith, DNP, PHCNS-BC, MS Director of Medical Education and Community Outreach & Janice Frueh, Pharm.D., BCPS, Clinical Associate Professor, at the SIUE School of Pharmacy, Adjunct Assistant Professor at the SIU School of Medicine, Department of Family and Community Medicine
PED: Asthma Population Health Sameer Vohra, MD
11:00 – 11:15 am Break
11:15 – 12:10 pm
FM: The Medical Legal Partnership and Social Determinants of Health
Charles Ellington, MD, SIU School of Medicine &Carolyn Pointer, JD, Assistant Professor, SIU School of Medicine
PED: Working with Schools to Support Children with Autism
Janet L. Patterson, MD, FAAP, Associate Professor of Clinical Pediatrics, Division of Developmental Behavioral Pediatrics, Southern Illinois University School of Medicine & Anna Hickey, MD
12:15-12:45 Lunch
12:45-1:45 Skills workshops (for both FM & PED) - Chose one and then take the other when they repeat!
Basic Skin Procedures for Primary Care
Christopher Gleason, MD, Associate Professor, Dept. of Family and Community Medicine, SIU School of Medicine & Tracy Aldridge, MD
Stabilizing Trauma and Critically Ill Patients
Christopher McDowell, MD & John Sutyak, MD
1:45 – 2:45 Skills workshops repeat
2:45 pm - Conference ends
Thursday, May 19, 2016
HMA article: Trauma Informed Care: The Benefits of Clinical Integration and Organizational Buy-In
| Trauma Informed Care: The Benefits of Clinical Integration and Organizational Buy-In |
 |
| Wednesday, June 8, 2016 1 to 2 p.m. EDT Healthcare organizations are beginning to recognize the benefits of integrating Trauma Informed Care initiatives into clinical protocols and best practices. Trauma Informed Care is an approach that helps providers and staff identify and address adverse experiences in individual’s lives. The return on investment is measureable, and the costs can be minimal with the right type of training, organizational support, and leadership. During this webinar, HMA experts Laurie Lockert, Jeffrey Ring, and Karen Hill will discuss how organizations can best support the transformation to Trauma Informed Care and how these initiatives improve patients’ outcomes, improve job satisfaction, and reduce costs – consistent with the Triple Aim.
Speakers
Laurie Lockert, MS, LPC, Senior Consultant, Portland, ORJeffrey Ring, PhD, Principal, Southern California Karen Hill, PhD, MSN, ANP-C, Senior Consultant, San Francisco Learning Objectives
Who Should Attend
Physicians, physician assistants, nurses, and other healthcare practitioners; executives of health systems, physician practices, FQHCs, and other provider organizations; behavioral health and substance use disorder practitioners and organizations; executives of Medicaid managed care plans; Medicaid directors and staff.Register now for this free webinar. |
| The content of these materials is for general informational purposes and does not constitute a guarantee of compliance or legal advice. Please contact HMA if you would like to learn more about this topic or to schedule a consultation. |
Wednesday, May 18, 2016
Mental Health Insurance Campaign Education Seminar Reminders
NEWS
BRUCE RAUNER, Governor
ANNE MELISSA DOWLING
Acting Director
Illinois Department of Insurance
FOR IMMEDIATE RELEASE: Wednesday, April 27, 2016
Department of Insurance
Launches Mental Health Insurance Awareness Campaign
DOI announces new toolkit to
help residents navigate insurance coverage requirements for behavioral health
and substance use disorders claims
SPRINGFIELD–April 27, 2016. The Illinois Department of Insurance (DOI)
launched a consumer education awareness campaign in partnership with other
state agencies and healthcare organizations across the state to help Illinois
families navigate health insurance coverage for mental health and substance use
disorders. DOI also announced that its new consumer mental health insurance
toolkit is now available on its website http://insurance.illinois.gov.
“We want to help families make
sound choices, get the right care from their coverage and be aware of the
resources available through their Department of Insurance,” said Acting
Director Anne Melissa Dowling. “Families are often dealing with mental health
issues and need support during vulnerable moments in their lives. Our goal is
to ensure that consumers gain a better understanding of their rights under
state and federal insurance laws.”
DOI’s Consumer Toolkit for Navigating Behavioral Health and
Substance Use Disorder Care Through Your Health Insurance Plan is a
free, step-by-step, plain-language template that families and providers can use
to submit requests for pre-authorization of medically necessary behavioral
health services to insurance companies. The toolkit includes easy-to-follow
instructions, a glossary of terms and a checklist for organizing information.
Additionally, DOI directed resources within the Office of Consumer Health
Insurance (OCHI) in
response to families looking for assistance in navigating access to mental
health and substance use disorder needs within their health insurance
plans. Illinois residents can call OCHI
toll-free at 1-877-527-9431, Mon-Fri, 8 a.m. to 5 p.m.
DOI’s consumer education seminars
kicked off at The Project of the Quad Cities in Moline on April 26. Upcoming seminars will be held at the
following locations
Crusader Community Health
1200 W. State St., Rockford Thurs, May 19, 2016 – 6 p.m. to 8
p.m.
Normal Public Library
206 W. College Ave., Normal Thurs, May 26, 2016 – 6 p.m. to 8
p.m.
Collinsville Memorial Library
408 W. Main St., Collinsville Tues, May 31, 2016 – 6 p.m. to 8 p.m.
Komed-Holman Health Center of Near North Health Service
Corporation
4259 S. Berkeley Ave., Chicago Wed, June 1, 2016 – 6 p.m. to 8 p.m.
Friday, May 13, 2016
Illinois Medicaid Program Advanced Cloud Technology (IMPACT) Provider Enrollment Data Exchange "Doing Business"
Provider Notice issued 05/13/16
This notice is to provide information regarding the data exchange of information between the Healthcare and Family Services (HFS) IMPACT system and the HFS legacy Medicaid Management Information System (MMIS) system. The Department is currently transferring data from the IMPACT provider enrollment system into the system that processes provider claims known as the Legacy MMIS system. This data exchange of information updates Legacy MMIS files from the completed and approved IMPACT enrollment data. Provider information sheets are mailed upon enrollment approval in IMPACT and completion of data transfer into the MMIS system. NOTE: Provider information sheets are mailed to providers at the office address on file and to all “payee addresses” if different from the office address,
Illinois Medicaid Program Advanced Cloud Technology (IMPACT) Provider Enrollment Data Exchange
| To: |
Participating Medical Assistance Providers
|
| Date: | May 13, 2016 |
| Re: |
Illinois Medicaid Program Advanced Cloud Technology (IMPACT) Provider Enrollment Data Exchange
|
This notice is to provide information regarding the data exchange of information between the Healthcare and Family Services (HFS) IMPACT system and the HFS legacy Medicaid Management Information System (MMIS) system. The Department is currently transferring data from the IMPACT provider enrollment system into the system that processes provider claims known as the Legacy MMIS system. This data exchange of information updates Legacy MMIS files from the completed and approved IMPACT enrollment data. Provider information sheets are mailed upon enrollment approval in IMPACT and completion of data transfer into the MMIS system. NOTE: Provider information sheets are mailed to providers at the office address on file and to all “payee addresses” if different from the office address,
Providers are responsible to review information for accuracy. Claims submitted with information that is different from the most recent provider information sheet, may be delayed in processing or rejected.
Record evaluation has identified several situations where the “Doing Business As” provider name entered in IMPACT is different than the name entered on claims for both new providers and providers who have revalidated. It is critical for payment of claims that the provider name matches the “Doing Business As” name in IMPACT. Please be sure to check billing systems to make sure that the names are the same. At this time, providers will see a warning on the remittance advices which will state “Provider Name does not match Provider Number”. In the near future, the ”warning” message will no longer be informational messages on the remittance advice, but will generate an error code that the provider must correct and then resubmit the claim.
NOTE: Do Not change the historical provider name submitted on claims to match the “Doing Business As” name in IMPACT until you have received the provider information sheet from HFS, as our systems will not have had the name changed until that time. All changes to provider information must be electronically submitted through the IMPACT provider enrollment as a modification and are not effective until approved by HFS staff and transferred to the Legacy MMIS system.
For additional information on the IMPACT system including frequently asked questions, webinars and other training guides visit the IMPACT website.
If you have additional questions or need assistance, please contact the IMPACT Help Desk:
- By email: IMPACT.Help@Illinois.gov
- By phone: (877) 782-5565 Select option #1.
Felicia F. Norwood
Director
Illinois Medicaid Program Advanced Cloud Technology (IMPACT) Provider Type Selections Provider Notice
Provider Notice issued 05/13/16
The purpose of this notice is to remind providers to select ALL of the correct Specialty/Subspecialty combinations upon completion of the initial application or revalidation in the IMPACT system. Failure to select all of the correct Specialty/Subspecialty combinations could result in delay and/or rejection of claims.
Illinois Medicaid Program Advanced Cloud Technology (IMPACT) Provider Type Selections
| To: | Enrolled Medical Assistance Providers |
| Date: | May 13, 2016 |
| Re: | Illinois Medicaid Program Advanced Cloud Technology (IMPACT) Provider Type Selections |
The purpose of this notice is to remind providers to select ALL of the correct Specialty/Subspecialty combinations upon completion of the initial application or revalidation in the IMPACT system. Failure to select all of the correct Specialty/Subspecialty combinations could result in delay and/or rejection of claims.
It is important to make the correct selection of specialties/subspecialties in the IMPACT system in order to be reimbursed for all of the categories of services currently provided to Medicaid participants. The Department transfers this data from the IMPACT provider enrollment system into the system that processes provider claims known as the Legacy MMIS system. This data exchange of information updates Legacy MMIS files from the completed and approved IMPACT enrollment data. Therefore, if the data is omitted or incorrect on a provider’s IMPACT application, it will then be transferred into the Legacy system incorrectly. Claims submitted with information that is different from the most recent provider information sheet, may be delayed in processing or rejected. The provider information sheets are mailed upon enrollment approval in IMPACT and completion of data transfer into the MMIS system. Providers are responsible to review information for accuracy.
Record evaluation has identified situations where providers have NOT included all of their Specialties/Subspecialties under one IMPACT enrollment. Instead, some providers have incorrectly completed a separate enrollment for each Specialty/Subspecialty. When a separate application is completed for each Specialty/Subspecialty, additional Legacy Medicaid Provider ID numbers are generated for the provider. Consequently, claims reject because the system does not recognize the ID numbers that were subsequently created. For example, a Hospital should enroll choosing provider type “Hospital”. Then, in the same IMPACT enrollment application, select all applicable Specialty/Subspecialties, such as Inpatient, Laboratory/X-ray, Dialysis, etc. It is critical for payment of claims that only one IMPACT application is submitted that includes all services that will be billed under the single Legacy Medicaid Provider ID.
Providers are encouraged to review the table of IMPACT Provider Types, Specialties and Subspecialties. This reference guide on the IMPACT website, provides important information for providers who may have questions regarding these issues. If providers have an approved application in IMPACT, it may be necessary to review and correct information based on the instructions discussed in this notice. All changes to provider information must be electronically submitted by the provider through the IMPACT provider enrollment as a modification and are not effective until approved by HFS staff and transferred to the Legacy MMIS system.
Providers are encouraged to review IMPACT presentations and materials regarding provider enrollment and revalidation on the HFS website. The downloadable files are available to guide you through the process to complete a new enrollment or revalidation in the IMPACT system. The enrollment type definition is listed with each link to help you choose the proper steps to follow.
For additional information on the IMPACT system including frequently asked questions and other training guides visit the IMPACT website. Click on the “Provider Types” tab for additional information regarding provider types, specialties and subspecialties.
If you have additional questions or need assistance, please contact the IMPACT Help Desk:
- By email: IMPACT.Help@Illinois.gov
- By phone: (877) 782-5565 Select option #1.
Felicia F. Norwood
Director
Monday, May 9, 2016
The ALF Great Lakes Division
May Liver Symposium is 2 WEEKS AWAY!
Space is limited! Register today!
This event will take place on Thursday, May 26th 2016 at the Illinois Medical District Commission (2100 W Harrison St, Chicago) from 5:30 pm - 9:00 pm for the audience of patients/public and healthcare professionals.
This event offers a complimentary dinner, free Hepatitis C screening, and 3 CME credits to healthcare professionals.
Register here!
The topics and speakers are as followed:
Thursday, May 5, 2016
New Guide – How to Get a Medical Card and a Primary Care Provider (PCP) for Your Baby
To: Enrolled Medical Assistance Providers
Date: May 4, 2016
Re: New Guide – How to Get a Medical Card and a Primary Care Provider (PCP) for Your Baby
Date: May 4, 2016
Re: New Guide – How to Get a Medical Card and a Primary Care Provider (PCP) for Your Baby
The Department has issued a new guide that explains how to get a medical card and a Primary Care Provider (PCP) for newborns. The information on the guide is relevant to all newborns whether their mothers are covered by managed care organizations or in fee-for-service.
The Department recommends that the guide be given to women receiving prenatal care. Based on prenatal care guidelines from the American Congress of Obstetricians and Gynecologists (ACOG), the appropriate times to educate women on the selection of a primary care provider (PCP) and medical home for their newborns are during the first prenatal care visit and again during the third trimester.
The guide, HFS Form 4691 (N-02-16); How to Get a Medical Card and a Primary Care Provider (PCP) for Your Baby, is available on the department’s Medical Programs Forms Page as well as on the For Pregnant Women & Infants page.
The guide provides links and contacts along with clear instructions on how to add a baby to a Medical case to get a medical card, and once the baby is added, how to choose a health plan or a PCP for the baby. It is very important to assure that newborns have health care coverage as soon as possible. We hope you will share this guide with your patients and encourage them to take the necessary steps to get a medical card and PCP for their babies immediately after delivery, ideally before they are discharged from the hospital.
Felicia F. Norwood
Director
Monday, May 2, 2016
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