1. Select Health Network Provider Meeting
December 11, 2018

2. Agenda Introductions Sagamore Health Network & Cigna – Cindy Railer
New Plans for 2019
Anthem Medicaid
Meridian
ACOs
St. Joseph County Government
School City of Mishawaka
Trinity Health Colleague Plan through Aetna

3. Select Medicaid Changes
MDwise Select HHW/HIP termination
Effective December 31, 2018
Anthem HIP and Hoosier Care Connect
Effective January 1, 2019
Anthem HHW
Effective February 1, 2019
Amendments to add Anthem Medicaid to your Select Agreements coming soon!

4. Anthem HIP and HCC
Providers must first have an Anthem Medicaid contract to participate through Select
No change in claims payment or claims address
Upside Shared Savings
Quality Measures
Reduce Spend
Bonus Potential

5. Anthem HHW
Providers must first have an Anthem Medicaid contract to participate through Select
Claims will be sent to and processed by CMCS
Enhanced Fee Schedule
Risk Contract
Quality Measures
Care Management
Reduce Spend
Bonus Potential

6. Meridian
Medicare Advantage Plan
Medicare Fee Schedule
Sample ID Card

7. St. Joseph County Government
Shared Risk ACO plan effective January 1, 2019
Dual Choice Network
Claims Payor – Auxiant
Claims Repricer – CMCS
Fee Schedule – PPO-R w/ withhold
Primary Care Provider Assignment
Health Risk Assessment
Select Care Management

8. St. Joseph County Government
Prior Authorization List – Coming soon!
Select Utilization Management
Phone: or
Fax:
Online authorizations

9. Online Authorizations

10. Online Authorizations

11. School City of Mishawaka
Shared Risk ACO plan
Claims Payor – SIHO
Fee Schedule – PPO-R w/ withhold
Primary Care Provider Assignment
No change in prior authorization list for 2019
Health Risk Assessment

12. SCM – Sample ID Cards

13. Trinity Health Colleague Plan
Claims Payor – Aetna
2019 Changes
Shared Risk Fee Schedule
Select Care Management

14. Questions?