Therefore, any requests submitted on or before July 31 Please refer to the Prior Authorization section of the Aetna Better Health of Florida Provider Manual for additional information. SafeGuard partners with eQHealth Solutions to provide utilization management for all services that require prior authorization. For additional information on ColoradoPAR, please see the ColoradoPAR website. New in 2020: Prior Authorization with eQHealth. *** ColoradoPAR does not review services for Behavioral Health Services, Dental/Orthodontia, Pharmacy, and Transportation. Effective Aug. 1, 2019, Alliant Health Solutions is now performing prior authorization reviews for the Mississippi Division of Medicaid as the agency’s new Utilization Management/Quality Improvement Organization (UM/QIO) vendor. Sign up for Kepro's 1.1 System Administrator Training, Sign up for Kepro's 2.1 and 2.2 Provider Portal, Atrezzo, User Training. 5802 Benjamin Center Dr., Suite 105, eQHealth Solutions is a market leader in assisting health care providers to adopt information technology services to improve the quality of care offered to their patients. As a reminder from a previous communication, eQHealth's PAR portal, eQSuite®, will be available through May 31, 2021. Kepro is replacing eQHealth Solutions, Inc. and will begin to receive Prior Authorization Requests (PARs) for all Fee For Service Health First Colorado Benefits that eQHealth Solutions, Inc. currently authorizes on May 1, 2021. Effective March 1, 2016, eQHealth Solutions began performing prior authorization reviews for advanced imaging services, in accordance with Mississippi Administrative Code Title 23, Part 220 Radiology Services. A third-party vendor, eQHealth Solutions, reviews Prior Authorization Requests (PARs) to ensure items and services requested meet medical necessity guidelines and are compliant with Federal regulations and Health First Colorado's policies. USHL partners with eQHealth Solutions to provide utilization management for all services that require prior authorization. Kepro will have access to historical PAR data from the last 3 years, but the information and documentation will not be available to providers. Kepro delivers care management and quality oversight solutions using clinical expertise and technology-driven solutions to improve quality and clinical outcomes for vulnerable populations. Kepro is replacing eQHealth Solutions, Inc. and will begin to receive Prior Authorization Requests (PARs) for all Fee For Service Health First Colorado Benefits that eQHealth Solutions, Inc. currently authorizes on May 1, 2021. eQ to Kepro Transition Timeline. Allow providers to easily track the status of their prior authorization requests (PARs) using a web portal, rather than a paper process. eQHealth Solutions was selected by the Department to provide utilization management services beginning September 1, 2015. eQHealth Solutions reviews and authorizes prior authorization requests (PARs) for the ColoradoPAR Program. eQHealth Solutions is a population health management and IT solutions company that is accredited by URAC in Health Utilization Management and has more than 30 years of experience providing utilization management expertise in all 50 states. The program will also assist with providing improved care coordination between the Colorado Hospitals and the Regional Accountable Entities (RAEs). For additional information on IHRP, please visit the IHRP Provider page. These services were previously authorized through MedSolutions (eviCore). Prior to March 1, 2016 advanced imaging services were prior authorized through MedSolutions (eviCore). Utilization Management. For more information about the CHCBS waiver please review the Health First Colorado CHCBS Information page, and for additional information about CES please review Health First Colorado CES Information page. Member Contact Center1-800-221-3943 / State Relay: 711. We apologize for the confusion. Prior Authorization. Any updates will be noticed via Provider Bulletins and the Department's project web page. eQHealth Solutions operates this website, which provides Care Coordination Software as a Service. The Department will be completing a phased-in implementation and will provide sufficient notice about when PARs will be required and how the requirement will be implemented. Effective April 3, 2020, Health First Colorado is waiving prior authorization requirements for oxygen therapy, positive airway pressure devices, respiratory assist devices, ventilators, suction devices, nebulizers and oxygen-related supplies that are emergently provided for COVID-19 treatment. Effective March 1, 2016, eQHealth Solutions (eQHS) began performing prior authorization reviews for advanced imaging services, in accordance with Mississippi Administrative Code Title 23, Part 220 Radiology Services. prior authorization (PA) requests from providers on Aug. 1, 2019, and the implementation will be complete by Sept. 1, 2019. Health Details: eQHealth Solutions is the new vendor partner that is providing utilization management services for Ascension SmartHealth beginning Jan. 1, 2020. eQHealth has a portal to submit prior authorization requests which allows for immediate authorization in certain cases when criteria is met based on clinical documentation provided. EQHealth Solutions Sponsored By New Rules Let Floridians Raise Disabled Kids At Home The new rules, announced by Florida healthcare regulators, will affect hundreds of parents of disabled children. Visit "Where can I get vaccinated" or call 1-877-COVAXCO (1-877-268-2926) for vaccine information. If a PA request does not contain documentation clearly establishing that the requested services are medically necessary, … Hearing Care Solutions 1-877-583-2842 . Please note: PARs do not need to be submitted to the Department's Utilization Management (UM) vendor, eQHealth Solutions for dates of service beginning July 1, 2020. Prior Authorization Requests (PARs): Providers request authorization for services before providing certain services. step of what is being asked in the online Prior Authorization (PAR) portal, eQSuite Portal. Visit Mississippi Envision's website here. Access Forms; Provider Manuals; Codes that require prior authorization •eQHealth began processing Prior Authorization requests for beneficiaries with a Tier 1 determination on January 1, 2019 for Inpatient and Outpatient Services •eQHealth processes prior authorizations for services under the Retro OBHS program for Tier 2 and 3 determinations received prior to March 1, 2019