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Home State Health Care Portal for Members Login Home

Details: Home State Health's Web site offers you many convenient and secure tools to assist–and give you–access to better health care. To enter our secure portal click on the login button. A new browser window will open where you can login or register. Member and Caregiver Secure Login/Registration.

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Health Management Home State Health

Details: Health Management. Home State’s Health Management programs are created with you in mind. We want you to have a place to do two important things: Get information about our programs. Get information about common illnesses. Find out more about these programs and services: Case Coordination & Disease Management. Medical Home.

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Medical Home Home State Health

Details: This means where you go to get medical care on a regular basis, your Primary Care Provider (PCP). Here are three easy steps to establish a Medical Home: Choose a PCP. Call member services if you need help with this. Make an appointment with your PCP within 30 days of becoming our member. Talk to your PCP about health problems you are having.

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Child Health Checks Home State Health

Details: Health Checks are important for your children’s health. Your Primary Care Provider (PCP) can give your child these Health Check (EPSDT/HCY) services. Child’s medical history. An unclothed physical exam. Blood and/or urine tests. Immunizations (shots). Screening and testing lead levels in blood. Checking the growth and progress of the child.

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Adult Medical Screenings Home State Health

Details: Some of the important adult screenings include the following. Mammogram – for women age 40 and older a yearly mammogram and a clinical breast exam by a healthcare provider is recommended. Pap Test – women age 21 and older (or sooner if sexually active) should have a yearly cervical cancer screening. Beginning at age 30, your healthcare

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Get Vaccinated Home State Health

Details: People with certain health conditions may also need: MMR (measles, mumps, rubella) Zoster (shingles) Pneumococcal (pneumonia caused by strep bacteria) Hepatitis A and Hepatitis B (liver disease) Meningococcal (meningitis) Your child needs to get regular checkups. Children between 6 months and 6 years old need to get checked for lead poisoning.

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Provider Information for Medical Services

Details: Home health care services including home hospice, home infusion, skilled nursing, and personal care services, and therapy Genetic Testing Orthotics/Prosthetics (code specific). Please refer to the online pre-screen tool to determine if prior authorization is required. Therapy – Occupational, Physical, Speech

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Allwell Medicare Advantage from Home State Health

Details: Allwell Medicare Advantage from Home State Health. Introducing Wellcare. Our health plans are getting a new look & name: Wellcare. The same great benefits and coverage you expect with a fresh new feel. Meet Wellcare. What you need to know: COVID-19 Info. Let us know your COVID vaccination status. Other Important Info.

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When to Use the ER Home State Health

Details: Important health maintenance visits (including mammograms, pap and pelvic exam and prostate exam). Follow-up visits for chronic problems such as diabetes and high blood pressure. Prenatal (pregnancy) visits. Smoking cessation (quit smoking counseling or medication).

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Clinical Policy: Durable Medical

Details: It is the policy of health plans affiliated with Centene Corporation® that durable medical equipment, orthotics, and prosthetics are medically necessary when …

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CMS Action Required Information

Details: The Centers for Medicare and Medicaid Services (CMS) require that Medicare Advantage Organizations inform network providers and practitioners about the requirements to complete annual training. In 2018, the required trainings for Allwell from Home State Health Plan are: General Compliance (Compliance) Fraud, Waste, and Abuse (FWA)*. For General

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Our Programs Home State Health

Details: Home State Health is committed to providing pregnant women, children and other members with regular maintenance plans that promote good health practices, prevent avoidable illnesses and teach children how to lead healthy lives. We recognize the importance of prevention to keep families safe and healthy.

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Managing Your Health

Details: Managing Your Health. Stay up to date on the latest plan information and resources to help you manage your health. Plan Coverages and Benefits. Travel Coverage. Member ANOC. If you have questions please, contact Member Services.

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Case and Disease Management Home State Health

Details: The Health Coach will listen to your concerns and help you take steps towards better health. The goal of disease management is to help you understand and take control of your condition. Better control means better health. Case Management Services. Our case managers are nurses that can help you understand your health problems.

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Medicare: Model of Care Training 2021

Details: • Members are reassessed if there is a change in health condition • Change(s) in health condition and annual updates are used to update the care plan Note: Physicians should encourage members to complete the HRA in order to better coordinate …

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Medicaid Pre-Auth

Details: » Behavior Health/Substance Abuse prior authorization request and questions, please call 1-866-864-1459. » Outpatient Physical, Occupational and Speech Therapy Services for <21 years of age, need to be verified by NIA » Alternative Therapy for Chronic Pain > age 21, need to be verified by Home State Health

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Annual Physical Home State Health

Details: Preventive healthcare means visiting a Primary Care Provider (PCP) and the dentist regularly, rather than waiting until you are sick. You may look and feel well but still have a health problem. Your PCP wants you to go to regular checkups, not just when you are sick. An annual physical helps find and treat health problems early.

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Our Health Plans

Details: Our Health Plans. Allwell from Home State Health offers Medicare Advantage plans. Our Medicare Advantage plans give you access to caring case managers, friendly, helpful member service representatives and a 24-hour nurse line for medical advice when you need it. See our plans. Y0020_21039WEBPRSPCT_M_2021_Accepted_10012020.

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Provider and Billing Manual

Details: HEALTH PLAN INFORMATION Ambetter from Home State Health Ambetter from Home State Health 11720 Borman Dr. Saint Louis, MO 63146 Phone: 1-855-650-3789 . TTY/TDD: 711 ambetter.homestatehealth.com . Department Phone

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Physician’s Office Lab Testing

Details: The health plan’s automated claims adjudication system will deny in-office (location 11) laboratory procedures that are not included on the STAT lab list defined below. Documentation Requirements . Not Applicable. Coding and Modifier Information. This payment policy references Current Procedural Terminology (CPT ®). CPT ® is a registered

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Provider Training

Details: Provider Training Information. Training and Education Courses are offered through our comprehensive clinical training program. It is designed to enhance the knowledge, skills and performance of healthcare professionals who empower our members to make positive health behavior changes.

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About Centene Home State Health

Details: Home State Health is a wholly-owned subsidiary of Centene Corporation, a diversified healthcare enterprise operating commercial and government-sponsored programs for nearly four decades.A Fortune 50 company and a key leader in the Health Insurance Marketplace, Centene’s Medicaid, Medicare, and other managed care plans offer affordable …

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Provider Performance

Details: Home State Health offers a pay- for- performance (P4P) program to all participating primary care providers. The program is designed to enhance quality of care through a focus on preventive and screening services while promoting engagement with our members.

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Frequently Asked Questions Home State Health

Details: How Health Care Authorization Decisions Are Made. Home State Health reviews health care service requests to make sure they are medically necessary. This means getting the right care, at the right place, and at the right time. Home State Health uses standard guidelines to check medical necessity.

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Get Your Flu Shot

Details: You can also get it in pharmacies, clinics and health centers. Vaccines may also be offered at schools or your workplace. Is the nasal flu vaccine a recommended alternative to the flu shot? There is no preference expressed for any one vaccine over another. However, the nasal flu vaccine is only approved for use in non-pregnant individuals, 2

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Health Insurance Glossary Ambetter from Home State Health

Details: Health Insurance Marketplace: An online health insurance market where individuals, families, and small businesses can learn about their health coverage options, compare health insurance plans based on costs, benefits, and other important features, choose a plan, and enroll in coverage. Individuals and families can apply for coverage online, by

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Caregiver Resources

Details: If you are a caregiver and would like to learn more, please contact our Allwell from Home State Health at HMO: 1-855-766-1452, HMO SNP: 1-833-298-3361 (TTY: 711). Caregiver Resources Helping to care for a loved one is a rewarding experience.

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Better Health Center Healthy Living Tips Ambetter from

Details: Ambetter takes our commitment to you seriously, and is honored to keep you covered during this unprecedented health situation. For more details on COVID-19, Ambetter plan coverage, Telehealth, and prescription refills, please visit our FAQs page.. The Place for …

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List of Drugs (Formulary)

Details: The PDF document lists drugs by medical condition and alphabetically within the index. To search for your drug in the PDF, hold down the “Control” (Ctrl) and “F” keys. When the search box appears, type the name of your drug. Press the “Enter” key. You also have the option to …

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Medicare Extra Help

Details: Just complete the Social Security’s application for the Medicare Extra Help program in the following ways. Call 1-800-772-1213 between 7:00 a.m. and 7:00 p.m., Monday through Friday. TTY users call 1-800-325-0778.

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Prior Authorization Rules for Medical Benefits

Details: Prior Authorization is a request made by you or your doctor to get Wellcare by Allwell Medicare's approval before receiving treatment. During this process, we may request and review medical records, test results and other information so that we understand what services are being performed and also to determine if the services requested are

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Payment Policy: Facility Charges for

Details: A. Home State Health shall pay up to $50.00 for each daily instance of a facility charge for outpatient hospital clinics (revenue code 510). B. Home State Health will pay all other revenue codes in accordance with the provider participation agreement in place between Home State Health and the hospital. C.

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Coronavirus Information

Details: Coronavirus Disease 2019 (COVID-19) is a new disease that causes respiratory illness in people. It can spread from person to person. People of all ages can be infected. Older people and those with the following pre-existing conditions may become severely ill if infected: Asthma.

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Paying for Medicare

Details: Paying for Medicare premiums is simple but it is important to understand what you are paying for and to whom. Part A usually free.; Part B paid directly to the Federal Government.; Part C also known as Medicare Advantage; not all plans have premiums but if they do, the premium is paid to the health plan.; Part D also known as Prescription Drug Coverage; your …

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Quality Improvement Program Home State Health

Details: Your health plan website also has a lot of helpful information. Visit it to find the Member Handbook, Find-a-Provider tool, and the Preferred Drug List. You can also use it to help you manage your health. Creating an online member account is free and easy. With it, you can: Find or change your PCP

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Learn the Lingo (Glossary)

Details: The federal health insurance program for people 65 years of age or older, some people under age 65 with certain disabilities and people with end-stage renal disease (generally those with permanent kidney failure who need dialysis or a kidney transplant).

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Member Rights and Resources

Details: Member Rights and Resources. With Allwell from Home State Health, you’ll always have someone on your side to help you be in charge of your health. The friendly service and easy-to-understand information you receive from Allwell from Home State Health will help you feel confident about making healthcare decisions.

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Health Insurance Providers in MO Ambetter from Home

Details: Ambetter from Home State Health is underwritten by Celtic Insurance Company, which is a Qualified Health Plan issuer in the Missouri Health Insurance Marketplace. Celtic Insurance Company complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

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Organizational Tools

Details: You can also use a binder, files on a computer, or an online health record to stay organized, and visit the National Caregivers Library for other useful tools: Office Visit Checklist (PDF) Medical History Form (PDF) National Caregivers Library Caregiver’s Document Organizer; Planning. Taking some time to plan can help make your caregiving easier.

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