Care management claims processing changes

Effective Jan. 1, 2018, all care management claims for Medicare and Medicaid will be paid through our claims processing system. Previously, G codes and phone visit claims were processed and paid every 60 days.

Commercial plan G code and QHP phone visit claims will keep using the special 60-day process. 

For more details

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Procedures & services > Medical/surgical > Care management
CPC+ Incentive Program Care Management incentive measure
PCP Incentive Program Care Management incentive measure