Medicaid MCO Universal Provider Roster Template Training: July 26

Time: 8:00 AM

Location:

Webinar
8:00-10:00am

Registration:

This program is complimentary for Illinois Health and Hospital Association members and affiliated credentialing verification organizations.

Register Online

To address a significant member issue in the Medicaid Managed Care program, IHA engaged the Illinois Association of Medicaid Health Plans (IAMHP) to create a universal “provider roster.”

The provider roster is the document submitted by providers to the Medicaid Managed Care Organizations (MCOs) for:

  • Use in claims payment and in their directory;
  • Care coordination efforts; and
  • In a number of instances, to address the Centers for Medicare and Medicaid Services requirements as part of their updated federal regulations’ guiding information provided to Medicaid enrollees.

The MCOs began accepting the universal provider roster on June 15, 2018.

In collaboration with IAMHP, IHA will be hosting three complimentary webinars to assist members in understanding the new template.

During each webinar, MCO roster experts will provide a live demonstration of the new template and walk participants through the roster instructions. Members will have an opportunity to ask questions during a live question-and-answer session.

Take advantage of this opportunity to learn about the form from the people who created it and to ask compliance questions of those who will implement it.

IHA members are encouraged to participate in one of these three webinars led by IHA and IAMHP staff.

Who this is for

  • Individuals who collect and submit provider information to MCOs
  • Individuals responsible for provider enrollment and credentialing
  • Medical staff personnel
  • Staff from credentialing verification organizations who work with provider enrollment information

Speakers

Paula Dillon, Director of Managed Care, Illinois Health and Hospital Association
Paula has over 24 years’ experience in the healthcare industry. Her background includes experience from both the payer and the provider side, with 16 years focused on hospitals and healthcare systems. Paula’s areas of expertise include concentrations in managed care contracting and implementation, managed care rate analysis and recommendations, strategic planning and execution of managed care strategies, including shift to value- or risk-based arrangements and managed care performance measurement.

Samantha Olds-Frey, Executive Director, Illinois Association of Medicaid Health Plans
Prior to joining the association, Samantha was Speaker Michael J. Madigan’s Human Services & Medicaid budget analyst. During her tenure on the Speaker’s staff, she helped negotiate and craft the Medicaid Reform Act of 2010, the $2.7 billion Medicaid reform package known as the SMART Act of 2012, and the Medicaid Expansion package authorized by the Affordable Care Act in 2013.

Samantha earned her Bachelor’s Degree in Economics from St. Louis University and her Master’s Degree in Public Policy and Administration from Northwestern University.

Roster Experts, Medicaid MCOs