My Account: Sign in Register Home Shop Plans & Services Already a Member? For Brokers For Providers News & Tips About Provider News Home For Providers Provider News Quality Results An e-newsletter for doctors, other health care experts and facilities affiliated with QCA Health Plan, Inc., and QualChoice Life and Health Insurance Company, Inc. Subscribe Today Quality Results 2021 Summer 2021 Updated Telehealth & Virtual Services Guide COVID Update Effective June 1, 2021 Updated MCG Guidelines Providing Quality Care Updated Provider Manual Medical Coverage Policies Updates Spring 2021 COVID Waiver Updates Upcoming Changes to Clinical Editing Rules High Tech Imaging Change Lawrence Health Hospital Services Pre-authorization List Avoid Imaging for Lower Back Pain Medical Coverage Policies Updates 2020 Winter 2020 New Requirements for Availity 270/271 Eligibility Request CMS Guidance on COVID-19 Vaccine Coverage Coverage for COVID-19 Acute Transfers Members to Receive New ID Cards New Drug Formularies Medical Coverage Policies Updates Fall 2020 Practices Awarded Performance Payments Flu Immunizations Claims Timely Filing Requirements Required Pre-Authorizations COVID-19 Coverage Coming Soon: Eligibility Verification Change NovaSys Network Transition New Office Location Inpatient Antibiotic Prescribing Medical Coverage Policies Updates Summer 2020 Eligibility Verification Change COVID-19 Coverage Update QualChoice Telehealth Services Value-Based Care Programs Performance Data Antibiotic Prescribing for Children We're Moving! Medical Coverage Policies Updates Spring 2020 COVID-19 Coverage Updates Telehealth Services During COVID-19 Outbreak Centene Announces Provider Support Program Network Change Helping Our Members Quit Tobacco and Nicotine Antibiotic Prescribing and Use for Outpatients Medical Coverage Policies Updates 2019 Winter 2019–2020 QualChoice Individual Plans ONLY Transferred to Ambetter Two New Services Added to AutoAuth New Change Healthcare/ECHO Health URL Value-Based Care Programs Quality Data Medical Record Review—HEDIS 2019 Data Medical Coverage Policies Updates Fall 2019 QualChoice Exchange Members Moving to Ambetter CPC+, PCMH Performance Payments AMS Conferences Fetal/Genetic/Genomic Testing Wellness Appointment Outreach Medical Coverage Policies Updates Summer 2019 New QualChoice Ownership Change in ACH Payment System Risk Adjustment Data Validation Audit Requests for Urgent or Expedited Pre-authorization 2018-2019 Flu Shot Campaign Successful Keeping the Quality in QualChoice Medical Coverage Policies Updates Spring 2019 High-Tech Imaging Pre-auth and Appeals Coverage UPDATE: Mental Health and Substance Use Disorder (BI273) Transitional Care Management Services Member Termination Policy Update HEDIS Medical Records Review It Pays to Use AutoAuth! Members Can Win Cash by Getting a Flu Shot Medical Coverage Policies Updates Provider Quick Alert 2021 Medical Coverage Policies Updates for November 2021 Medical Coverage Policies Updates for October 2021 COVID-19 Post-Acute Transfer Policy Extension Providing Quality Care COVID Update Effective June 1, 2021 Medical Coverage Policies Updates for June 2021 Updated MCG Guidelines Medical Coverage Policies Updates for May 2021 Medical Coverage Policies Updates for April 2021 Medical Coverage Policies Updates for March 2021 NIA Imaging Services Training Medical Coverage Policies Updates for February 2021 NIA Online Training for Providers High-Tech Imaging Change Medical Coverage Policies Updates for January 2021 2020 Change in Eligibility Verification Service Medical Coverage Policies Updates for December 2020 Medical Coverage Policies Updates for November 2020 COVID-19 Coverage Guidelines Extended Medical Coverage Policies Updates for October 2020 Medical Coverage Policies Updates for September 2020 Medical Coverage Policies Updates for August 2020 Medical Coverage Policies Updates for July 2020 270/271 Eligibility Verification Change Medical Coverage Policies Updates for June 2020 Medical Coverage Policies Updates for May 2020 Medical Coverage Policies Updates for April 2020 Telehealth Coverage for COVID-19 Medical Coverage Policies Updates for March 2020 Medical Coverage Policies Updates for February 2020 Medical Coverage Policies Updates for January 2020 2019 Individual Plans Moving to Ambetter Medical Coverage Policies Updates for December 2019 Medical Coverage Policies Updates for November 2019 Medical Coverage Policies Updates for October 2019 Medical Coverage Policies Updates for September 2019 Medical Coverage Policies Updates for August 2019 Medical Coverage Policies Updates for July 2019 Medical Coverage Policies Updates for June 2019 Medical Coverage Policies Updates for May 2019 Clinically Urgent Pre-auth Requests Medical Coverage Policies Updates for April 2019 Medical Coverage Policies Updates for March 2019 Medical Coverage Policies Updates for February 2019 Medical Coverage Policies Updates for January 2019 CPC+ QuickNews 2021 Deadline for Quality Data is June 15 2020 Deadline for Quality Data is June 15 Improve Your Quality Score 2019 2018 Performance Payments Announced CPC+ 2018 Year-End Reminders CPC+ Updates and Reminders QualChoice is committed to giving great customer service! 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