News

Case Management Payments for PMPs and April 10, 2015 Deadline

3/31/2015

  PDF Version

TO:  Primary Medical Providers (electronic notification only)

The Alabama Medicaid Agency appreciates the many providers who submitted updated Patient 1st Enrollment Agreements in March.

 

This ALERT is to update all Patient 1st PMPs regarding payment of case management fees for April 2015 and an important deadline impacting Patient 1st recipient assignments.

 

1.    All error free Patient 1st Enrollment Agreements received before the March 1, 2015,   deadline have been processed. These PMPs will receive their case management fees in April. 

 

2.    Payment of case management fees for April will be delayed until May for all Patient 1st PMPs whose Enrollment Agreements were received after the March 1, 2015, deadline, and were not processed by March 24,  2015.   

 

Medicaid and HP have been working together to get the enrollments entered into the system as they have come in.  Therefore, if your error-free agreement was processed by March 24, 2015, your case management fee will be paid in April. If your agreement was not processed on or before March 24, 2015, your April case management fee will be paid in May.

 

3.    In order to receive your capitation payment retroactive for April, HP MUST have your complete, error-free Enrollment Agreement on or before close of business April 10, 2015. 

 

4.    If your complete, error free Enrollment Agreement is not received by April 10, 2015, the patients in your panel will be reassigned.  

 

If you need further assistance, you may contact HP Provider Enrollment at (888) 223-3630.