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New post-acute care program to start Sept. 5, 2017

09/14/2017

ConnectiCare has contracted with CareCentrix to manage post-acute care for our commercial and Medicare members, effective Sept. 5, 2017.

Here are some key details:

  • CareCentrix will manage authorization of services provided to ConnectiCare members being discharged to skilled nursing facilities, inpatient rehabilitation facilities and home health care providers.
  • CareCentrix’s services will last up to 90 days after discharge from acute-care facilities.
  • CareCentrix will also manage authorization of post-acute care durable medical equipment and non-specialty home infusion services.
  • ConnectiCare will continue to manage discharges to long-term acute care facilities.
  • ConnectiCare will continue to manage authorization of home health, durable medical equipment and non-specialty home infusion services when these services are not related to a post-acute episode of care.

If providers do not obtain authorization, as described above, from CareCentrix for acute-care discharges on or after Sept. 5, 2017, claims may be denied.

Claims and appeals processes are not changing: Please continue to submit claims, claims questions and appeals to ConnectiCare.

CareCentrix is contacting affected providers to arrange a convenient time for training on the authorization process.