Under the terms of the agreement with the Arkansas Department of Human Services (DHS), Summit Community Care must submit a documented procedure for certifying and re-exporting suppliers who have signed agreements to participate in their sleight of hand network. To continue to participate in the Summit Community Care network, suppliers must complete the Summit Community Care certification process by January 1, 2021. Anthem Inc. announced on June 6 that it had entered into an agreement to purchase Beacon Health Options of Boston. Beacon has joint responsibility in this unique, vendor-led model, and maintains a management services agreement with Empower to perform administrative services and help the organization adopt and implement management strategies to work as a sleight of hand. In addition to Beacon, Empower consists of the following partner organizations: Notwithstanding a vendor`s participation agreement, Summit Community Care did not provide registration information to suppliers until April 1, 2020. As a result, providers who have not filed a required notification file and received an initial notification letter on April 1, 2020 cannot be present on the network effective January 1, 2021. Anthem spokeswoman Leslie Porras said in an email that Summit and Empower would “continue to work independently” after the merger. From March to June 30, Medicaid payments to the three companies amounted to $540 million, an average of about $135 million per month, according to a State Department of Human Services report. The Managed Care Approval Act 2017 stipulates that each company must have at least 51% health care providers. As part of the innovative PASSE program, Empower`s care coordinators manage the care of beneficiaries across all individual providers, including medical health, pharmacy, behavioural health, mental and developmental disabilities and long-term support services. The Care Coordinator, which operates in the same way as a health home, is the central interlocutor for all providers, which ensures the development and effective execution of the member`s personalized service plan and proactively integrates the provision of services on the basis of the plan. Tom Masseau, director of Disability Rights Arkansas, a non-funded, federally funded nonprofit organization, said his group would monitor the impact of the acquisition on Medicaid beneficiaries and providers.
Look for the latest information on drugs, including hundreds of brands and generic drugs. Suzanne Tipton, Assistant Commissioner of the Department of Insurance, who chaired the hearing, said the department will “authorize” this based on the testimony and documents presented and the audit of Commissioner Allen Kerr. It is “a little uncertain” that she will be subjected to a “cooling phase” after she leaves for Anthem`s work, he said. Hymne might also have an incentive to favor Summit over Empower, as it has a bigger share in the summit, he said. He referred to the Arkansas Code 19-11-709, which prohibits former state employees from acting as general managers or agents for a non-state agency for a one-year lawsuit, request, judgment, decision, contract, claim, charge or controversy that was the person`s official responsibility with the state. The ACC meets quarterly and consists of individuals, family members, lawyers, community providers and Empower representatives.