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Medicaid & Medicare in MO Healthy Blue MO

Details: Healthy Blue is a Medicaid product offered by Missouri Care, Inc., a MO HealthNet Managed Care health plan contracting with the Missouri Department of Social Services. Healthy Blue is administered by Missouri Care, Inc. in cooperation with Blue Cross and Blue Shield of Kansas City.

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Health and Wellness Healthy Blue Missouri

Details: Health A to Z is an online health resource. It is easy to use and provides information and answers on many health topics. You can also check your symptoms with our symptom checker and explore our interactive tools to help guide your health care decisions.

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MO HealthNet Managed Care Healthy Blue Missouri

Details: The Health Risk Assessment is a quick and easy health questionnaire. When we know more about your health, we can help you get the right care. Take your Health Risk Assessment. Interpreter and translation services available.

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MO HealthNet Benefits & Coverage Healthy Blue Missouri

Details: Healthy Blue is a Medicaid product offered by Missouri Care, Inc., a MO HealthNet Managed Care health plan contracting with the Missouri Department of Social Services. Healthy Blue is administered by Missouri Care, Inc. in cooperation with Blue Cross and Blue Shield of Kansas City.

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Missouri Providers Healthy Blue

Details: Behavioral Health Provider We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts, and other resources to successfully meet the needs of members with mental health, substance use, and intellectual and developmental disabilities.

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Behavioral Health Healthy Blue

Details: Integrated Health Care. Healthy Blue facilitates integrated physical and behavioral health services as a vital part of health care. Our mission is to address the physical and behavioral health care of members by offering a wide range of targeted interventions, education, and enhanced access to care and resources that ensure improved outcomes and quality of life for members.

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Contact Us Healthy Blue Missouri

Details: Behavioral Health Crisis Line. 833-405-9088 (TTY 711) 24 hours a day, seven days a week. Call us if you are experiencing emotional or mental pain or distress. We have licensed clinicians available to speak with you and to connect you to the support you need.

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Care Management Healthy Blue

Details: Care Management. Our care managers help make health care easier and less overwhelming for our members. They work with our members to provide education regarding their health, help them understand the types of services we offer to them, and how to participate in their own care. Your patients may already be working with one of our care managers.

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Contact Us Healthy Blue

Details: Healthy Blue is a Medicaid product offered by Missouri Care, Inc., a MO HealthNet Managed Care health plan contracting with the Missouri Department of Social Services. Healthy Blue is administered by Missouri Care, Inc. in cooperation with Blue Cross and Blue Shield of Kansas City.

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Home Healthy Blue

Details: The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer. At Availity, you can: Request authorizations

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Medicare Plans & Coverage in MO Healthy Blue MO

Details: Medicare is a health insurance program from the federal government, for people 65 or older, and younger individuals with disabilities or health conditions. It includes Part A (hospital care) and Part B (doctor services). Your Medicare eligibility is based on: Your age. Whether you’re retired or still working.

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Disease Management/Population Health

Details: A holistic, member-centered approach to disease management focusing on the needs of the member. Motivational interviewing techniques used in conjunction with member self-empowerment. The ability to manage more than one disease to meet the changing health care needs of our member population. Weight management and smoking cessation education.

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Medicaid Pregnancy & Women's Health Healthy Blue Missouri

Details: My Advocate® is a health program that makes your care personal. The program starts with a health screener meant to help us find out more about you. The answers you give during the screener inform us of how to provide you with the best level of support based on your health needs.

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Quality Management Healthy Blue Missouri

Details: Behavioral health (mental health and substance use disorder services) Sometimes, dealing with all of the tasks of a home and family can lead to stress. Stress can lead to depression and anxiety. It can lead to marriage, family, and/or parenting problems. Stress can also lead to alcohol and drug use.

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Find Doctors That Accept MO HealthNet Healthy Blue Missouri

Details: Whether it is 3 a.m. or a Sunday afternoon with the family, health issues happen at the most inconvenient times and places. Our 24-Hour Nurse HelpLine is a resource you can call any time, day or …

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MO HealthNet Managed Care Eligibility Healthy Blue Missouri

Details: MO HealthNet helps low-income individuals and families get health care benefits and long-term services and supports for those who need them. MO HealthNet is the name of the Medicaid program in Missouri. Healthy Blue is a health plan that serves MO HealthNet Managed Care members. We help coordinate and manage your health care needs.

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Patient Care Healthy Blue

Details: Behavioral Health. Healthy Blue behavioral health provider network includes psychiatrists, psychologists, social workers, psychiatric nurses, other mental health providers, and employee assistance health care professionals. Our facility network includes hospital inpatient units, residential treatment centers, partial hospitalization programs

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Provider Resources Healthy Blue

Details: Behavioral Health. Healthy Blue behavioral health provider network includes psychiatrists, psychologists, social workers, psychiatric nurses, and other mental health and employee assistance health care professionals. Our facility network includes hospital inpatient units, residential treatment centers, partial hospitalization programs, and

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Policies Manuals and Guides Healthy Blue

Details: Policies, Manuals, and Guides. Healthy Blue is committed to supporting you in providing quality care and services to the members in our network. Here you will find information for assessing coverage options, guidelines for clinical utilization management (UM), practice policies, and …

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Manage Your Condition Healthy Blue Missouri

Details: Tell us and your health care providers if you choose to opt out of the program. For a written version of your DM rights and responsibilities, or information on this website, you can print this page or call Member Services at 833-388-1407 (TTY 711) Monday through Friday from 8 a.m. to 5 p.m. local time.

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Member Materials and Resources Healthy Blue Missouri

Details: Preventive Health Guidelines - Spanish Update your communication preferences If you prefer digital over paper, you can get email and text notifications (data and messaging rates apply) whenever there is a new member material available to view online.

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Search Medical Policies and Clinical Guidelines

Details: Health plans or lines of business which determine there is not a need to adopt a clinical utilization management guideline may instead use the guideline for educational purposes or to review the medical necessity of services for any provider who has been notified that his or her claims will be reviewed due to billing practices or claims that

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Electronic Data Interchange (EDI) Healthy Blue

Details: Healthy Blue is a Medicaid product offered by Missouri Care, Inc., a MO HealthNet Managed Care health plan contracting with the Missouri Department of Social Services. Healthy Blue is administered by Missouri Care, Inc. in cooperation with Blue Cross and Blue Shield of Kansas City.

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Claims Overview Healthy Blue

Details: Healthy Blue is a Medicaid product offered by Missouri Care, Inc., a MO HealthNet Managed Care health plan contracting with the Missouri Department of Social Services. Healthy Blue is administered by Missouri Care, Inc. in cooperation with Blue Cross and Blue Shield of Kansas City.

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Full list of Medical Policies and Clinical Guidelines

Details: Healthy Blue is a Medicaid product offered by Missouri Care, Inc., a MO HealthNet Managed Care health plan contracting with the Missouri Department of Social Services. Healthy Blue is administered by Missouri Care, Inc. in cooperation with Blue Cross and Blue Shield of Kansas City.

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Emergency Preparedness Healthy Blue Missouri

Details: Enter your ZIP code to find help near you. Eligible members can schedule a ride to health care visits by calling Medical Transportation Management (MTM) at 888-597-1193 (TTY 711). Learn simple tips on how to prepare you and your family at Ready.gov. Get health and information and updates from the MO HealthNet website.

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Forms Healthy Blue

Details: Healthy Blue is a Medicaid product offered by Missouri Care, Inc., a MO HealthNet Managed Care health plan contracting with the Missouri Department of Social Services. Healthy Blue is administered by Missouri Care, Inc. in cooperation with Blue Cross and Blue Shield of Kansas City.

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Getting Care Healthy Blue Missouri

Details: Health issues can come up when you least expect them. Our 24-Hour Nurse HelpLine lets you talk with a registered nurse whenever you have health questions or need medical advice — day or night and even weekends. Our nurses can: Advise you on where to go when you need care. Help you with any health questions you have.

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How to Join for MO HealthNet Managed Care Healthy Blue

Details: Healthy Blue is a health plan that serves MO HealthNet Managed Care members. We help coordinate and manage your health care needs. Before you can choose Healthy Blue as your health plan, you will need to apply for MO HealthNet Managed Care benefits with the Missouri Department of Social Services Family Support Division. 1.

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Local Services Healthy Blue Missouri

Details: Healthy Blue is a Medicaid product offered by Missouri Care, Inc., a MO HealthNet Managed Care health plan contracting with the Missouri Department of Social Services. Healthy Blue is administered by Missouri Care, Inc. in cooperation with Blue Cross and Blue Shield of Kansas City.

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Claims Submissions and Disputes Healthy Blue

Details: Claims Submissions and Disputes. Healthy Blue uses Availity,* a secure, full-service website that offers a claims clearinghouse and real time transactions at no charge to health care professionals. Use Availity to submit claims, check the status of all your claims, dispute a claim decision, and much more.

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Appeals and Grievances for MO HealthNet Managed Care

Details: Grievances. If you are unhappy with your health plan, provider, care or your health services, you can file a grievance by phone or in writing at any time. To file by phone, call Member Services at 833-388-1407 (TTY 711). To file in writing, you can send your grievance to: Healthy Blue. P.O. Box 62429. Virginia Beach, VA 23466.

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Rights and Responsibilities Healthy Blue

Details: Refuse health care (to the extent of the law) and understand the consequences Decide ahead of time the care they want if they become sick, injured, or seriously ill by making a living will Be able to make decisions about their children’s health care if members are younger than age 18 …

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Reimbursement Policies Healthy Blue

Details: Healthy Blue is a Medicaid product offered by Missouri Care, Inc., a MO HealthNet Managed Care health plan contracting with the Missouri Department of Social Services. Healthy Blue is administered by Missouri Care, Inc. in cooperation with Blue Cross and Blue Shield of Kansas City.

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Mobile App & Other Helpful Apps Healthy Blue Missouri

Details: Manage your health on the go. You can manage your health from your smartphone with these apps. The Healthy Blue mobile app. With the mobile app, you can: Log in easily and securely with Touch ID/Android Fingerprint/Face ID. Find a doctor, hospital, pharmacy or specialist that serves your plan. Always have your Healthy Blue member ID card with you.

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Reimbursement Policy Definitions Healthy Blue

Details: An approval process for requested medical services, either by a servicing health care provider or the patient, to determine if a service is covered for reimbursement; prior authorization is determined by eligibility, plan benefits, and medical necessity of the service being requested. Recoupment of payments:

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Quality Measures Desktop Reference for Medicaid Providers

Details: • Health education including anticipatory guidance. • Vision services. • Dental services. • Hearing services. • Other necessary health care — diagnostic services and treatment to correct or ameliorate defects, physical and mental illnesses, and conditions discovered by the screening services. Lead Screening in Children (LSC)

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Maternal Child Services Healthy Blue

Details: ProgenyHealth* is a population health management company specializing in neonatal care coordination for NICU infants. ProgenyHealth’s care coordination team includes neonatologists, pediatricians, nurses, and social workers with a deep understanding of the latest evidence-based protocols needed to manage the care of medically complex newborns.

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Coronavirus (COVID-19) Healthy Blue Missouri

Details: Good health habits can also help prevent and fight COVID-19. Here are some tips: Wear a face covering over your nose and mouth and social distance by keeping six feet between yourself and others. Washing your hands is the best way to avoid getting sick. Wash often with soap and water for at least 20 seconds.

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Privacy Healthy Blue Missouri

Details: Healthy Blue is a Medicaid product offered by Missouri Care, Inc., a MO HealthNet Managed Care health plan contracting with the Missouri Department of Social Services. Healthy Blue is administered by Missouri Care, Inc. in cooperation with Blue Cross and Blue Shield of Kansas City.

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Provier ervices -833-405-9 Pro Nwsletter

Details: * AIM Specialty Health is an independent company providing some utilization review services on behalf of Healthy Blue. BMO-NL-0022-21 COVID-19 information from Healthy Blue Healthy Blue is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners. Our

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Healthcare Effectiveness Data and Information Set (HEDIS

Details: The Healthcare Effectiveness Data and Information Set (HEDIS ®) is a tool used by more than 90% of America’s health plans to measure performance on important dimensions of care and service.Altogether, HEDIS consists of 92 measures across six domains of care. Because so many plans collect HEDIS data, and because the measures are so specifically defined, HEDIS makes it possible to compare the

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Proe ervices -833-405-9 Pro Nwsletter

Details: ealthy lue is a Medicaid roduct offered by Missouri Care nc. a M ealthet Managed Care health lan contracting with the Missouri eartment of Social Services. ealthy lue is administered statewide by Missouri Care nc. and administered in the Kansas City service region by Missouri Care nc. in cooeration with lue Cross and lue Shield of Kansas City.

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Network Relations consultants

Details: Healthy Blue is a Medicaid product offered by Missouri Care, Inc., a MO HealthNet Managed Care health plan contracting with the Missouri Department of Social Services. Healthy Blue is administered statewide by Missouri Care, Inc. and administered in the Kansas City service region by Missouri Care, Inc. in cooperation with Blue Cross and Blue

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Training Academy Healthy Blue

Details: Healthy Blue is a Medicaid product offered by Missouri Care, Inc., a MO HealthNet Managed Care health plan contracting with the Missouri Department of Social Services. Healthy Blue is administered by Missouri Care, Inc. in cooperation with Blue Cross and Blue Shield of Kansas City.

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MO HealthNet Managed Care (Medicaid) Provider Manual

Details: MO HealthNet Managed Care (Medicaid) https://provider.healthybluemo.com Healthy Blue is a Medicaid product offered by Missouri Care, Inc., a MO HealthNet Managed Care health plan contracting with the Missouri Department

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