Knowledge Share

MyCare Ohio: Providers NEGOTIATE BEFORE YOU SIGN!

MyCare Ohio is a Managed Care program for patients receiving both Medicare and Ohio Medicaid.  You should evaluate managed care providers (Aetna, Buckeye, CareSource, Molina, UnitedHealthcare).  Note that plan choices are based on each patient’s county of residency.  NEGOTIATE  BEFORE YOU SIGN a Provider Enrollment agreement or you may end up receiving less (20% less!) than current Medicare allowed amounts.  BEWARE!

“Providers who have entered into contracts with MyCare Ohio plans must refer to payment schedules within those contracts.” 

Primary Care Physician Rate Increase for 2013-2014 – per Affordable Care Act

You must attest in MITS to be paid at Medicare rates.  If you didn’t register prior to May 2, 2013, this increase is paid only from date of attestation forward.  So, attest TODAY!

ICD-10 — full implementation delayed now until at least October 1, 2015