• Biopharmacy Update

    Biopharmacy Update: As of 10.1.14, Perinatologists and OB/GYNs will not require authorizations for codes: J2791 (injection rho(d) immune globulin intramuscular or intravenous,100iu) J2792 (Injection rho(d) immune globulin, intravenous, human, solvent detergent, 100iu)

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  • Hospital Rate Reform

    TO:                       All IlliniCare Hospital Partners   Hospital Rate Reform:    All Patient Refined-DRG (APR-DRG) and Enhanced Ambulatory Patient Grouping (EAPG) HFS is currently undergoing hospital payment rate reform which includes updating of Inpatient (APR-DRG) and outpatient (EAPG) hospital payment methodologies.  IlliniCare Health has gone through several iterations of testing to ensure readiness under these new payment…

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  • IlliniCare Health Awarded NCQA Accreditation!

    Westmont, IL. (July 11, 2014) – IlliniCare Health, a subsidiary of Centene Corporation (NYSE: CNC), has earned NCQA accreditation for both its Medicaid and Exchange HMO plans. The National Committee for Quality Assurance (NCQA) has awarded accreditation to IlliniCare Health for service and clinical quality that meet or exceed NCQA’s rigorous requirements for consumer protection…

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