Tag: Managed Care Organizations

NEW YORK – Tomorrow Health has announced new technology that it says can help Medicaid managed care organizations move beyond analog fax and phone workflows for home-based care, get up-to-the minute insight into order status and better manage members with complex cases. The company says its technology can provide an extra layer of efficiency by providing care coordinators with important DME-related information, such as referring provider details, product category estimated delivery date, confirmed...

HALIFAX, Va. – The Home Care Alliance of Virginia seeks to expand its DME provider network to serve patients of the United Mine Workers of America Health and Retirement Funds. HCAV is one of seven contractors serving UMWA beneficiaries nationwide and is currently seeking providers in multiple areas, including Utah, Wyoming, Illinois, Pennsylvania, West Virginia, Kentucky, Tennessee, Alabama and Missouri. HCAV provider members can serve UMWA patients in their service areas under the HVAC contract....

TALLAHASEE, Fla. – Language that would have required managed care organizations in Florida to reimburse at no less than 100% of the state’s current Medicaid DME schedule was not included in the final version of an appropriations package, according to AAHomecare. “While we didn’t accomplish our top goal this time around, I am convinced that the extensive work engaging legislators, the Agency for Health Care Administration, the Governor’s office, the Florida Association...

ORLANDO, Fla. – Rotech Healthcare Holdings has filed for an initial public offering of up to $100 million and plans to list on the Nasdaq under the symbol ROTK.  The company had $534 million in sales for the 12 months ended March 31, 2021.  Rotech Healthcare offers a comprehensive range of home medical equipment and products and services across five core business lines: oxygen, ventilators, sleep therapy, wound care and DME. The company's payer mix includes commercial insurers,...

The Oklahoma Health Care Authority does not have the authority to implement a managed care plan for the state’s Medicaid system, according to a State Supreme Court ruling. The ruling was cheered by the Oklahoma Medical Equipment Providers Association and other health care providers who have been fighting the proposed move in the state legislature and in the courts. “OMEPA and other health care leaders in Oklahoma have done an exceptional job in spotlighting the potential impacts of the...

ALBANY, N.Y. – AAHomecare is calling on providers in New York to help build support for two new bills in the state legislature that would require Medicaid managed care organizations to reimburse for DME and complex rehab at no less than 100% of the published Medicaid fee schedule for the same services and supplies. A.5368 was introduced in the State Assembly on Feb. 16 and S.5118 was introduced in the State Senate on Feb. 24. “This legislation is critically needed to ensure...