Iowa is quickly moving towards Managed Care. While there are still several issues yet to be resolved by the governing parties involved, Therap, like you, is preparing for the January 1st start date. We anticipate no insurmountable issues with this change. Therap is very comfortable in an MCO environment.
Heather Thornton, our Billing Specialist who is deeply engaged with this Iowa change reports the following…
“Therap is in the process of establishing the electronic links for the Iowa MCO’s with the clearinghouse, Emdeon. We expect to have this completed towards the end of the December.
When these links are established, Therap will then proceed with testing of claims submission through each of the MCO’s, to make sure everything is ready to “Go Live”.
Once Therap establishes that these links are fully functional, we will make them available as funding sources in Therap.
In turn, providers can then begin working on Service Authorizations for the Managed Care Organizations. Providers will need to create new Service Authorizations in order to apply these new funding sources.
When this process can advance, providers will expire existing service authorizations for 12/31/15.
Please wait to expire your current service authorizations until further notice.”
This is all predicated on the responsiveness of the MCO’s and whether or not CMS approves the Managed Care initiative for Iowa and the 1/1/16 start date.