Managed Health Services Blog

To increase satisfaction related to the timeliness and consistency of claim payment, MHS is changing our check run schedule. Beginning September 1, 2010, MHS’s check run date will change to Wednesday of each week. To support your continued cash flow schedules, MHS will provide two check runs the last week in July. The week of August 29, the check run will occur on Wednesday and thereafter on a weekly basis. Payment will be released from our bank on Thursday for immediate EFT deposit (EFT availability is subject to specific banking institution timeframes). Hard copy checks will be mailed on Friday.

An enhanced electronic payment software called Payformance will be implemented in July which will further compliment timely payment, specifically electronic payment capabilities.

This entry is filed under News.

An Evansville pediatrics physician has received a national award for providing quality care and clinical excellence to Hoosier children and adults enrolled in Managed Health Services’ statewide health plan.

Dr. W. Michael Crecelius has received a 2010 Summit Award for Excellence in Care from MHS and parent company Centene Corp.

The award honors Crecelius, a board-certified pediatrician with Deaconess Clinic in downtown Evansville, for demonstrating exemplary performance when following up with examinations and consultations after patients’ emergency room visits, providing routine preventive and well-care services for children and adults and establishing a medical home for new enrollees in the MHS healthcare plan.

“MHS is proud to recognize Dr. Crecelius for the outstanding service and quality of care he provides to Managed Health Services members in the greater Evansville community,” said Dr. Robert Baker, vice president of medical affairs at MHS. “Our primary focus is on delivering the best possible care to our members and we could not do that without strong relationships with our plan’s physicians. The Summit Award is one way we can thank Dr. Crecelius for his ongoing dedication to helping children live healthy lives.”

Crecelius graduated Indiana University’s School of Medicine and completed his pediatric internship and residency at Riley Hospital for Children in Indianapolis. He is a Fellow, American Academy of Pediatrics, and a member of the Indiana State Medical Association and the Vanderburgh County Medical Society.

A total of 16 physicians from around the country were awarded a 2010 Summit Award by Centene Corp.

“These honors underscore Centene’s distinction as a physician-driven company that provides quality care to our healthcare plan members,” said Centene Corp. Chairman and CEO Michael Neidorff. “Physicians are selected for exemplary performance in several areas.”

This entry is filed under News, Press Release, Providers.

The Office of Medicaid Policy and Planning (OMPP) recently announced changes for mental health partial hospitalization coverage effective July 1, 2010. For MHS members, this service will now be provided by our partner – Cenpatico Behavioral Health (Cenpatico).

Cenpatico has prepared and mailed a letter to its Indiana provider network outlining this change.
July 1, 2010 Changes for Mental Health Partial Hospitalization Letter to Providers from Cenpatico (PDF)

OMPP has published a Bulletin (BT201019) reviewing the change: IndianaMedicaid.com Bulletins.

For questions about this benefit change, please contact Cenpatico at (877) 647-4848 or visit www.Cenpatico.com.

This entry is filed under Blog, Providers.

An Indianapolis pediatrics physician has received a national award for providing quality care and clinical excellence to Hoosier children and adults enrolled in Managed Health Services’ statewide health plan.

Dr. Sharon Gilliland has received a 2010 Summit Award for Excellence in Care from MHS and parent company Centene Corp.

The award honors Gilliland, a board-certified pediatrician who runs Rainbow Pediatrics in Indianapolis, for demonstrating exemplary performance when following up with examinations and consultations after patients’ emergency room visits, providing routine preventive and well-care services for children and adults and establishing a medical home for new enrollees in the MHS healthcare plan.

“MHS is proud to recognize Dr. Gilliland for the outstanding service and quality of care she provides to Managed Health Services members in the greater Indianapolis community,” said Dr. Robert Baker, Vice President of Medical Affairs at MHS. “Our primary focus is on delivering the best possible care to our members and we could not do that without strong relationships with our plan’s physicians. The Summit Award is one way we can thank Dr. Gilliland for her ongoing dedication to helping children live healthy lives.”

Gilliland opened Rainbow Pediatrics in 1996 and also maintains a solo practice supported by call partners. After earning an undergraduate degree from Northwestern University, she graduated Indiana University’s School of Medicine and completed her pediatric residency at Methodist Hospital in Indianapolis. From 1989 to 1996, Gilliland provided community pediatric care at HealthNet, a Federally Qualified Health Center located in Indianapolis before opening Rainbow Pediatrics.

Rainbow Pediatrics is located at 5711 N. Michigan Road in Indianapolis and online at www.rainbow-pediatrics.net. The center is open 9 a.m. to 4 p.m. Mondays, 9 a.m. to 5 p.m. Tuesdays, 1-7 p.m. Wednesdays, 9 a.m. to 3 p.m. Thursdays and 10 a.m. to 4 p.m. Fridays.

A total of 16 physicians from around the country were awarded a 2010 Summit Award by Centene Corp.

“These honors underscore Centene’s distinction as a physician-driven company that provides quality care to our healthcare plan members,” said Centene Corp. Chairman and CEO Michael Neidorff. “Physicians are selected for exemplary performance in several areas.”

This entry is filed under News, Press Release, Providers.

A South Bend physician has received a national award for providing quality care and clinical excellence to Hoosier children and adults enrolled in Managed Health Services’ statewide health plan.

Dr. Binod Balakrishnan has received the 2010 Summit Award for Excellence in Care from MHS and parent company Centene Corp.

The award honors Balakrishnan, a primary care physician in the MHS healthcare plan who specializes in pediatric medicine at the Navarre Pediatric Group, located at 100 Navarre Place, Suite 4440 in South Bend, for demonstrating exemplary performance when following up with examinations and consultations after patients’ emergency room visits, providing routine preventive and well-care services for children and adults and establishing a medical home for new enrollees in the MHS healthcare plan.

“MHS is proud to recognize Dr. Balakrishnan for the outstanding service and quality of care he provides to Managed Health Services members in his South Bend community,” said Dr. Robert Baker, vice president of medical affairs at MHS. “Our primary focus is on delivering the best possible care to our members and we could not do that without strong relationships with our plan’s physicians. The Summit Award is one way we can thank Dr. Balakrishnan for his ongoing dedication to helping people live healthy lives.”

Balakrishnan received his medical degree from the All India Institute of Medical Sciences in New Delhi, India. He completed his pediatric residencies at the All India Institute of Medical Sciences and at Women’s and Children’s Hospital of Buffalo, N.Y. He is board-certified by the American Board of Pediatrics and his interests include acute care, infectious diseases and asthma.

A total of 16 awards were awarded by Centene health plans throughout the nation.

“These honors underscore Centene’s distinction as a physician-driven company that provides quality care to our healthcare plan members,” said Centene Chairman and CEO Michael Neidorff. “Physicians are selected for exemplary performance in several areas.”

This entry is filed under News.