Scott And White Right Care Medicaid

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Ischemia Trial Leaders On Cvd Surgery Vs Optimizing Medication

Baylor Scott & White Health Primary Care Clinics: Everywhere you need us
  • Hattie Rees Hanley, MPP Director and Founder, Right Care Initiative, Center for Healthcare Organizational and Innovation Research, UC Berkeley School of Public Health Founding Member, CDC Hypertension Roundtable
  • California: Two Decades of Revascularization
  • William Bommer, MD, FACP, FACC Statewide Chairman, Right Care Initiative University of Best Practices Specialty Delegate, CA American College of Cardiology and CA Medical Association Director, California ePCI Program Director, Prevention Forward Program & Professor of Medicine, Division of Cardiovascular Medicine, Univ. of California, Davis Chairman, California Department of Public Healths 2022 CVD Master Plan Steering Committee
  • COURAGE & ISCHEMIA Clinical Outcomes
  • David Maron, MD C.F. Rehnborg Professor of Medicine Chief, Stanford Prevention Research Center Director, Preventive Cardiology, Stanford University School of Medicine
  • The Role of Revascularization in Optimizing Patients Symptoms, Function & Quality of Life
  • John A. Spertus, MD, MPH Clinical Director of Outcomes Research, Saint Lukes Mid America Heart Institute Professor of Medicine, Lauer Missouri Endowed Chair, University of Missouri-Kansas City
  • Federal Perspective & Economics
  • Steven H. Sheingold, PhD Director, Division of Health Financing Policy, Office of the Assistant Secretary for Planning and Evaluation , Department of Health and Human Services
  • Payer Perspective on Incorporating Scientific Evidence into Payment Decision Policy
  • Getting The Right Care In The Right Place Starts With Primary Care

    Deciding what care is needed and where to go to get that care was complicated by COVID-19 contagion concerns. Community Health Associate Medical Director for Express Care Dr. Jennifer Hanson said the broad categories still apply

    • Is this a chronic care visit with my primary care doctor?
    • Is this an Express Care visit where I can I just walk in?
    • What is an emergency situation that needs a higher level of care and should be seen in the emergency department at a hospital?
    • Would a virtual Telehealth visit with a smartphone or computer be sufficient?

    As a result of the pandemic, Hanson said there were safety and health modifications providers needed to make so they began to see patients outside, which became known as the car clinic.

    At our two Express Care sites which are designed for walk-in patients, those who have possible COVID symptoms are seen in an outside setting through our car clinic. And are cared for there, she said. If warranted, testing was ordered as necessary for the patient. The same protocol took place at other Community Health sites where patients are seen outside in their cars to make sure patients and staff are safe. Hanson said patient safety is always a priority.

    In general, where someone goes when they are sick depends on the kind of illness they have and the severity of that illness. A good place to start is with a primary care provider. is still a really good approach, Hanson said.

    Is Your Insurance Carrier Missing

    If your carrier is not listed here please contact the ARA Authorization Department at , option 2, as we update contracts daily.

    If you need to have your carrier send information to our authorization fax line, please use fax .

    Please note that this information is intended only as a guide. Insurance authorization guidelines are subject to change at any time and we recommend contacting the insurance company if further clarification on eligibility is needed.

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    Amga Htn Measure Up Pressure Down

    • Welcome & Introduction
    • Hattie Rees Hanley, MPP Director and Founder, Right Care Initiative, Center for Healthcare Organizational and Innovation Research, UC Berkeley School of Public Health Founding Member, CDC Hypertension Roundtable
    • William J. Bommer, MD, FACP, FACC Statewide Chairman, Right Care Initiative University of Best Practices Specialty Delegate, CA American College of Cardiology and CA Medical Association Director, California ePCI Program Director, Prevention Forward Program & Professor of Medicine, Division of Cardiovascular Medicine, Univ. of California, Davis Chairman, California Department of Public Healths 2022 CVD Master Plan Steering Committee
  • AMGA Measure Up Pressure Down Hypertension Campaign
  • Jerry Penso, MD, MBA President and CEO, AMGA Co-Founder Right Care Initiative University of Best Practices 2009 Right Care Leadership Award Winner
  • John Cuddeback, MD, PhD Chief Medical Informatics Officer, AMGA
  • Q & A Discussion
  • Mothers Day Monday Womens Cvd

    Quality and Outcomes
    • Welcome & Introduction
    • Hattie Rees Hanley, MPP Director and Founder, Right Care Initiative, Center for Healthcare Organizational and Innovation Research, UC Berkeley School of Public Health Founding Member, CDC Hypertension Roundtable
    • Catrina Taylor, PhD, MSPH Chief, Health Information and Statistics Section, Chronic Disease Control Branch, California Department of Public Health Member, Right Care Initiative Technical Expert Group & Womens CVD Writing Group
  • Womens Cardiovascular Disease from the Veterans Administrations Perspective
  • Carolyn Clancy, MD, MACP Assistant Under Secretary for Health Discovery, Education and Affiliate Networks, Veterans Health Administration Former Director, Agency for Healthcare
  • Q & A Discussion
  • Broken-Heart Syndrome
  • Noel Bairey Merz, MD, FACC, FAHA, FESC Director, Barbra Streisand Womens Heart Center Director, Linda Joy Pollin Womens Heart Health Program Director, Preventive and Rehabilitative Cardiac Center Professor, Cardiology, Smidt Heart Institute Leader, Right Care Womens Cardiovascular Disease Writing Group
  • Q & A Discussion
  • Right Care Womens CVD Writing Group
  • Noel Bairey Merz, MD, FACC, FAHA, FESC
  • Catrina Taylor, PhD, MSPH
  • Sara Johnson, MD, FACOG Clinical Obstetrician & Gynecologist, Alta Bates Summit Medical Center-Alta Bates Campus
  • Recommended Reading: Does Anthem Medicaid Cover Dental

    Health Insurance Plan Information Applies To The Following Locations:

    Texas Childrens Hospital Locations

    • Texas Childrens Hospital
    • Texas Childrens Pavilion for Women
    • Texas Childrens Hospital West Campus
    • Texas Childrens Hospital The Woodlands

    Texas Children’s Health Center Locations

    • Texas Children’s Health Center – Sugar Land
    • Texas Children’s Health Center – Cy-Fair
    • Texas Children’s Health Center – Clear Lake
    • Texas Children’s Specialty Care – Upper Kirby
    • Texas Children’s Specialty Care – Kingwood Glen
    • Texas Children’s Pavilion for Women Pearland

    Community Maternal Fetal Medicine Clinic Locations

    • Community Maternal Fetal Medicine Clinic – The Woodlands
    • Community Maternal Fetal Medicine Clinic – Northwest Houston
    • Community Maternal Fetal Medicine Clinic – West Houston
    • Community Maternal Fetal Medicine Clinic – Sugar Land
    • Community Maternal Fetal Medicine Clinic – Baytown
    • Community Maternal Fetal Medicine Clinic The Methodist Hospital

    Below is a list of payers who are contracted with Texas Childrens Hospital, Texas Childrens Physician Service Organization, and Texas Childrens Anesthesiology. Please confirm Texas Childrens participation with your health plan as some benefit plans utilize narrow networks which may exclude Texas Childrens.

    Facility-based physicians bill and collect independently for their services, and may not participate in the same insurance plans as Texas Childrens Hospital. You may receive a bill from a facility-based physician for the amount unpaid by your insurance plan.

    Aetna

    Gundersen Healths Practical Tips For Excellent Htn Control & Pharmacy Techs As Health Coaches With Usc

    • Hattie Rees Hanley, MPP Director & Founder, Right Care Initiative, Center for Healthcare Organizational and Innovation Research, UC Berkeley School of Public Health Invited Founding Member, Centers for Disease Control & Prevention Hypertension Roundtable Cardiovascular Disease Master Plan Steering Committee Member, California Department of Public Health
    • William Bommer, MD, FACP, FACC Statewide Chairman, Right Care Initiative University of Best Practices Chairman, California Department of Public Healths 2022 CVD Master Plan Steering Committee Specialty Delegate, CA American College of Cardiology and CA Medical Association Director, California ePCI Program, Dept. of Health Care Access and Information Director, Prevention Forward Program & Professor of Medicine, Division of Cardiovascular Medicine, UC Davis
  • Practical Tips for Excellent Hypertension Control and Insights on Coronary Calcium
  • Michael Dolan, MD, FACP Executive Vice President & Chief Medical Officer, Internal Medicine Physician, Gundersen Health System
  • Utilizing Pharmacy Techs as Community Health Workers to Manage Hypertension
  • Introduction by: Cindy Giambrone, PharmD
  • Steve Chen, PhamD, FASHP, FCSHP, FNAP Associate Dean for Clinical Affairs William A. & Josephine A. Heeres Chair in Community Pharmacy Prof. of Clinical Pharmacy, University of Southern California Co-Chair, LA Region University of Best Practices
  • Q & A Discussion
  • Don’t Miss: How Do I Change My Primary Care Physician For Medicaid

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    Insurance Carriers That Will Allow Ara To Obtain Insurance Authorizations

    Baylor Scott & White Hospital Shooting in Irving, Texas

    ARA can obtain authorizations for the insurance providers below but the referring physicians office must provide ARA with the patients clinical information in order for us to obtain them.

    PLEASE NOTE: It can take up to 72 hours to obtain authorization after the insurance company has received clinical information.

    • BCBS Blue Advantage HMO & HMO Plus
    • BCBS Medicaid, CHIP & STAR Kids
    • BCBS Medicare Advantage HMO & PPO
    • BCBS Out-of-State
    • Dell Childrens Health Plan Medicaid and CHIP
    • Superior Medicaid / STAR Kids / CHIP
    • Texas Municipal League
    • Whole Foods Market
    • Wilco-Williamson County Indigent

    Also Check: What Do You Need For Medicaid

    Valentines Monday: Genetics Family History In Cvd & Hypertension Cac As A Risk Stratifier + Support For Covid

    • Welcome & Introduction
    • Hattie Rees Hanley, MPP Director and Founder, Right Care Initiative, Center for Healthcare Organizational and Innovation Research, UC Berkeley School of Public Health Founding Member, CDC Hypertension Roundtable
  • Family History as a Predictor of CVD Events & the Role of Genetics in Hypertension
  • Donna K. Arnett, PhD, MSPH Dean, University of Kentucky College of Public Health Professor, Department of Epidemiology Past Associate Dean & Chair, Department of Epidemiology, University of Alabama, Birmingham Past President, American Heart Association Elected Fellow, AHA, American College of Epidemiology, American Epidemiological Society
  • Introduction by: Robert Kaplan, PhD Research Director, Clinical Excellence Research Center, Stanford University Former Chief Science Officer US HHS SHRQ Former Associate Director, National Institutes of Health Co-founder and Leader, Right Care Initiative Technical Expert Group
  • Facilitator of Q& A: Catrin Taylor, PhD, MSPH Chief, Health Information and Statistics Section, Chronic Disease Control Branch, California Department of Public Health
  • Evolution of Coronary Calcium Screening as a Tool for Cardiovascular Risk Assessment Lessons Learned from MESA, CARDIA & Beyond
  • Nathan D. Wong, PhD, FACC, FAHA, FNLA, FASPC Professor, Director, Heart Disease Prevention Program, Division of Cardiology, UC Irvine President, InterAmerican Heart Foundation Past President, American Society for Preventative Cardiology
  • Introducing Pa Health & Wellnessyour Partner For Success

    We understand how important you and your familys healthcare needs are. Its important to us, too. PA Health & Wellness provides quality Medicaid & health insurance plans in Pennsylvania. Our coverage options include a variety of Pennsylvania insurance benefits, member handbooks, and wellness information.

    Established to deliver quality healthcare in the state of Pennsylvania through local, regional and community-based resources, PA Health & Wellness is a Managed Care Organization and subsidiary of Centene Corporation . PA Health & Wellness exists to improve the health of its beneficiaries through focused, compassionate and coordinated care. Our approach is based on the core belief that quality healthcare is best delivered locally. Invest in you and your familys health by enrolling in Pennsylvania Medicaid or Medicare today.

    Interested in a career with PA Health & Wellness? Learn about upcoming career fairs and register today!

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    Ckd Early Detection Cms Medicare Star Ratings Innovative Approach To Health Coaching With Undergraduates

    • Hattie Rees Hanley, MPP Director & Founder, Right Care Initiative, Center for Healthcare Organizational and Innovation Research, UC Berkeley School of Public Health Invited Founding Member, Centers for Disease Control & Prevention Hypertension Roundtable Cardiovascular Disease Master Plan Steering Committee Member, California Department of Public Health
    • William J. Bommer, MD, FACP, FACC Statewide Chairman, Right Care Initiative University of Best Practices Specialty Delegate, CA American College of Cardiology and CA Medical Association Director, California ePCI Program Director, Prevention Forward Program & Professor of Medicine, Division of Cardiovascular Medicine, Univ. of California, Davis Chairman, California Department of Public Healths 2022 CVD Master Plan Steering Committee
  • Chronic Kidney Disease & Screening: Identifying the Risks & Knowing Why it Matters
  • Despina Kayichian, MD, MsHCA, MHA Nephrologist, Former Chief Medical Officer, Venice Family Clinic
  • Centers for Medicare & Medicaid Services Update: Medicare Advantage Star Ratings
  • Introduction by: Cindy Giambrone, PharmD Co-Chair, Right Care Initiative Heart Failure Work Group Director, Performance Improvement and ACO Pharmacy Risk, Memorial Care Foundation and Medical Groups
  • Ashby Wolfe, MD, MPP, MPH Chief Medical Officer, San Francisco, Seattle & Denver Centers for Medicare & Medicaid Services
  • Training Undergraduate Students as Health Coaches to Promote Lifestyle Change and Improve Blood Pressure
  • Special Services For Star Medicaid Pregnant Members

    STAT
    • Start Smart® For Your Baby Program. Diaper bag, diapers and educational materials for pregnant members who complete the Notification of Pregnancy form and attend Superiors baby shower.
    • Up to $150 My Health Pays® rewards each year for completing prenatal and postpartum visits. Visit My Health Pays ® for more rewards information.
    • Extra dental benefits. This includes up to $250 for pregnant women ages 21 and older.
    • In-home OB assistance from non-clinical community caregivers for pregnant members in Obstetrician Care Management.
    • Home visits for members who are pregnant.
    • Telephonic outreach, education and support services offered to reduce the health risks associated with smoking during pregnancy through Superiors Puff-Free Pregnancy program.
    • Extra help getting a ride.

    Value-added Services are extra health care services offered by Superior. Services may vary by area. These services are valid through 8/31/23.

    *Restrictions and limitations may apply.

    Read Also: Give Me The Number To Medicaid

    Health Effects Of Wildfire Smoke

    • Welcome & Introduction
    • Hattie Rees Hanley, MPP Director and Founder, Right Care Initiative, Center for Healthcare Organizational and Innovation Research, UC Berkeley School of Public Health Founding Member, CDC Hypertension Roundtable
  • The Need for Low Literacy Health Education Material
  • Susan L. Ivey, MD, MHSA Co-Chair, Right Care Initiative University of Best Practices Professor, Adjunct, UC Berkeley School of Public Health Director of Research, Health Research for Action
  • William J. Bommer, MD, FACP, FACC Statewide Chairman, Right Care Initiative University of Best Practices Specialty Delegate, CA American College of Cardiology and CA Medical Association Director, California ePCI Program Director, Prevention Forward Program & Professor of Medicine, Division of Cardiovascular Medicine, Univ. of California, Davis Chairman, California Department of Public Healths 2022 CVD Master Plan Steering Committee
  • Joseph Sky, MD, FACP, FACC Co-Chair, Right Care Initiative University of Best Practices Chief of Preventative Cardiology, Deputy Chief of Medical Staff, David Grant Medical Center, US Air Force
  • Pulmonary, Cardiovascular & metabolic Effects of Air Pollution
  • Pediatric Asthma & Exposures to Particulate Matter, Pollution & Wildfire Smoke
  • Stephanie Holm, MD, PhD, MPH Co-Director of the Western States Pediatric Environmental Health Specialty Unit Assistant Clinical Professor Volunteer, Medicine, UCSF
  • Summary and Q & A Discussion
  • Texas Medicaid Contract: Rightcare From Scott & White Health Plan January 1 2016

    Texas has four managed care programs that serve subsets of the Medicaid population. The STAR, STAR+PLUS, and STAR Kids programs operate statewide, with plans available regionally in 13 service areas. STAR Health is a statewide program served by a single health plan, Superior . Eligible individuals who choose not to enroll in STAR Health must enroll in STAR or STAR Kids.

    This Texas Medicaid Contract is for RightCare From Scott & White Health Plan, signed January 1, 2016.

    For more information on Texas Medicaid managed care programs, and to view other contracts, visit Texas Medicaid Managed Care Contracts.

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    Insurance Carriers That Will Not Allow Ara To Obtain Insurance Authorization

    Payer guidelines require the referring physicians office to obtain authorizations for these plans. Please consider the risk of allowing outside entities to obtain authorization on your behalf without the approval of the insurance company. Only the companies listed above allow ARA to obtain authorization. All others require you as the provider to obtain authorization.

    BCBS Initiate a request online at aimspecialtyhealth.com or call .

    Care Improvement Plus Initiate a request online at UHCprovider.com/radiology or call .

    City/Travis County MAP Card Can be obtained by calling .

    UHC & UHC Medicare & Medicaid* Initiate a request online at UHCprovider.com/radiology or call .

    *Includes AARP Medicare Complete, Secure Horizons, UHC Community Medicaid, UHC Community Medicare, UHC Dual Complete, United Healthcare, United Healthcare West

    Veterans Administration Can be obtained by calling .

    Veterans Choice/TriWest Can be obtained by calling .

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