Volume II - 2016

In This Issue:

Summa Health Network
168 E. Market St.
Akron, OH 44309
P: 330-996-8959
F: 330-996-8695

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REMINDER: Anthem MA Termination Notice

This is a friendly reminder that if you currently participate in SHN's agreement with Cleveland Health Network (CHN) to provide services for Anthem’s Medicare Advantage Plan members that this agreement will terminate at midnight on December 31, 2016.

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Fraud, Waste and Abuse Attestation

Summa Health Network (SHN) must maintain records for all SHN provider members and their staff on Fraud, Waste and Abuse (FWA) training as SHN contracted Medicare Advantage payers may request copies of these records at any time.

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2017 Summa Health Network Events and Seminars

Please mark your calendars and save the date for our 2017 Events and Seminars! These educational presentations are free of cost and open to all SHN provider members and office staff.  

Invitations with program details and registration instructions will be sent closer to each event.

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Buckeye Health Plan - Notice Of Effective Date and Loading Policy

Buckeye has experienced significant growth over the past few years, creating an impact on their ability to manage provider data in a timely manner.

To ensure the best service to their providers, they have implemented a policy to define provider effective dates and timelines for completion of loading new providers.

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HIPAA Patient Access Guidance

In an effort to remove obstacles that individuals may face when attempting to access their health information, the Department of Health & Human Services has recently added a Fact Sheet to their website under the section for Individuals’ Right under HIPAA to Access their Health Information 45 CFR § 164.524.

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Molina Healthcare Offers Provider Incentive for Timely Prenatal Care

On August 1, 2016, Molina Healthcare implemented a $50 provider incentive for timely prenatal care visits.

To receive the $50 incentive, complete a Prenatal Risk Assessment Form (PRAF) for each newly identified pregnant patient and meet the following...

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