Note: New Content Noted with Asterisks*** and Highlighted
Dear KHF Providers and Practice Administrators,
We have several updates to share regarding payor updates, programs and upcoming events. There is a lot of information, and we want to make sure we are keeping our membership informed. We recommend reading through this communication in its entirety and please reach out to us with any questions you may have!
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TCCN OSHA Webinar Replay***
The replay for the 2023 TCCN OSHA webinar held earlier this month is now available to view.
Click here to view the presentation.
Click here to view the slides.
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States Obtain Special Waivers to Help With Medicaid Unwinding Efforts**
According to the Kaiser Family Foundation and Larry Levitt, the executive vice president for health policy, "The Biden Administration announced that 30 states were conducting Medicaid renewals incorrectly, and that nearly 500,000 people will have coverage restored, many of them kids."
To read more click here.
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Checklist for Planning and Implementing a Flu Vaccination Clinic***
Flu season is just around the corner! The AAP released a planning checklist for practices to prepare for setting up flu vaccine clinics in their office.
You can access the checklist by clicking here.
For additional resources, many flu vaccine manufacturers typically also have resources available on their websites.
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The Tridemic: Flu, RSV and COVID- New Social Media Posts***
Fall has arrived, and the virus season is here. The CDC recommends a flu shot for every child six months of age and older. Also, there is an updated COVID vaccine to protect everyone against the latest strain of COVID, and the CDC has advised all eligible family members to receive one.
A new immunization called Beyfortus will be available in October to protect babies and other children against RSV(Respiratory Syncytial Virus).
Click here to view the PDF file.
Please visit the Member section of KidsHealthFirst.com for additional resources.
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Q&A for Parents- RSV
KHF has created a new Q & A for Parents addressing commonly asked questions regarding RSV, how parents can help their children who get RSV, and information on the new medicine for RSV. Please feel free to copy the information to share with parents or share on your website.
See the latest Q&A for parents on the KHF intranet here.
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New AAP Clinical Practice Guidelines for Obesity- Live Training October 10th***
TCCN is excited to host this educational webinar scheduled for Tuesday, October 10, 6:30-8:00 pm, on the new AAP guidelines for obesity, with a special focus on patients with diabetes.
Attendance at this webinar is an additional opportunity to fulfill the TCCN practice education requirement. As a bonus, those participating in real time will receive 1.5 CME credits.
You can register via the TCCN communication sent earlier this week, or REGISTER HERE
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TCCN Asthma Flu Recall Lists
Asthma Flu Recall lists were distributed through secure emails to practices last week. Please use this list as a tool to help you start recall efforts early for the upcoming flu season. The flu vaccine continues to be one of the best ways to help provide the greatest protection possible against the flu and other communicable diseases, especially for vulnerable populations including Asthmatics.
If you have any questions about your Flu recall list, please reach out to Laura Baldwin at laura.baldwin@tccn-choa.org.
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Webinar Replay Available: TCCN Antibiotic Stewardship Webinar: Prescribing Guideline
This lunchtime series presents the new Georgia Pediatric Antibiotic Stewardship website, gpas-online.org, designed to help you in your busy practices with guidelines and a new antibiogram visualization tool.
If you missed it, click here to watch:
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Adams Keegan Live Webinar- 3 More Things That Can Go Wrong in HR
Please join us for a discussion on common manager missteps in classifying, compensating, and separating employees and the consequences employers can face. We'll touch on important details in paid time off regulations in various states; what we can expect from the new overtime and classification challenges; and what the NLRB's newest guidance for non-union businesses tells us.
Presenters: Charles Rodriguez (VP of Human Capital Advisory), Brandon Roland (Human Resources Advisor), and Justin Brown (HR Operations Manager)
Date and Time: Friday, September 29 at 11:00 AM EST. Click here to register.
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TCCN Risk Management Webinar: Top 10 Risk Management Issues for Pediatric Practices
This webinar is for ALL pediatricians, advance practice providers, and practice administrators. Attendance is highly recommended.
We encourage all TCCN members to attend, whether they are in the Malpractice Program or not. This webinar will have useful information for all practices.
Topic: Top 10 Risk Management Issues for Pediatric Practices
This presentation will focus on the top 10 risk management issues that pediatric practices need to know.
Topics Include:
- Minor Consent
- Vaccine Errors
- Use of Medical Chaperones
- Mandatory Reporting Requirements
- Involuntary Drug Testing
When: October 3, 2023 6:30 p.m.
You can register via the TCCN communication sent earlier this week, or Click Here To View The Program Flyer and REGISTER HERE
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CME Opportunity for Kids Health First Providers
The DEA recently announced that physicians renewing their DEA license from late June onward will need to demonstrate that they have completed 8 hours of training in opioid prescribing and treatment of opioid use disorder. This training is mandated by the MATE Act.
KHF has identified a free, online, Pediatric-specific course that satisfies the DEA requirement. This course has been vetted by Dr. Lori Desoutter, KHF’s Medical Director.
Please click here to learn more and register for the class.
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PeachState
Georgia Pathways to Coverage Program
Georgia residents can apply for the program starting on July 1, 2023, with coverage starting the 1st of the month after approval is given.
Included is the introduction flier, FAQ and example ID card.
Virtual Credit Card
Beginning 7/1/2023 providers not enrolled in EFT will receive claim payment through the Virtual Credit Care (VCC). Please click here to read more.
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Aetna
Aetna CPT 96160 Error
Aetna implemented a claim processing edit on 4/30/2023 causing CPT 96160 to deny in error. This edit was removed on 7/7/2023.
Aetna confirmed a project will be completed to reprocess CPT 96160. All claims within the date span of 4/30/2023-7/7/2023 will be reprocessed. There is no ETA on the project completion at this time, but KHF will continue to track this issue until it is resolved.
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Anthem
Requests for Additional Information are now digital
Use your Attachments Dashboard to access notifications about documents needed to process your claim. Starting in June (2023) Anthem Blue Cross and Blue Shield began sending notifications to you through your Attachments Dashboard on Availity.com, when medical records, itemized bills, or other documents are required to process Commercial members claims.
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Georgia Medicaid
Medicaid Unwinding Toolkit Resources
Beginning April 1, 2023, all Georgia Medicaid and PeachCare for Kids® members will undergo an eligibility review. For more information, please visit https://staycovered.ga.gov or https://dhs.georgia.gov/medicaid-unwinding.
Georgia Medicaid Provider Revalidation
Provider revalidation has also been voluntary due to the PHE. However, in 2023 the revalidation will become mandatory.
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DCH to post Member Redetermination Date on GAMMIS
GAMMIS will now be including a member’s date of redetermination within the information posted when checking a member’s eligibility.
As shown in this screenshot, within the section Member ID Information the field titled, “Redetermination Date” is listed under the field titled “Gender” in the second column in the right-hand portion of the screen.
As a reminder, a screen shot noting the child’s eligibility on the date of service will ensure payment of services provided. Additionally, practice staff can also alert families of their child’s redetermination date.
This flyer and coloring sheet from Stay Informed, Stay Covered can help explain this process to families.
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Georgia Department of Community Health Shares Additional Coverage Options for Medicaid/PeachCare for Kids® Members as Redetermination Process Continues
As Georgia processes its first full batch of Medicaid/PeachCare for Kids® eligibility redeterminations in three years, the Georgia Department of Community Health (DCH) is re-sharing options for Medicaid members to maintain, regain, and explore other options for healthcare coverage.
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Members who are no longer eligible for Medicaid or PeachCare for Kids® can see if they are eligible for coverage through the Georgia Pathways to Coverage program, which launched July 1, 2023 by applying at gateway.ga.gov.
Click here to download the full press release.
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TCCN Roundup:
The TCCN Roundup is designed to be a twice weekly information hub for all things TCCN.
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Please to check out the latest issue
- Please note that the link above only accounts for some TCCN updates. In order to view the full TCCN Newsletter with your contracted payor updates please check your TCCN inbox!
TCCN Quality Steps Newsletter
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