News



Maintenance Window: Thursday, July 22, 2021 8pm - 8:15pm

Milan will be down briefly on Thursday, July 22, 2021 8pm - 8:15pm.


Keeping you informed
Milan Medical Team
Milan Update - Eligibility Issue fix 7/15/21

Milan will be down briefly on Thursday, July 15th, 2021 9:30pm - 10pm for an update.

Issue: Expansion Healthy Adult Program patients are reverting back to ineligible status.

Cause: OHCA changed the payor name which caused the issue.


Keeping you informed
Milan Medical Team
DMH PICIS Problems with CDC's 7/14/21

7/14/21 - DMH is still having issues accepting CDC's for patients that have the Expansion Healthy Adult Program. DMH instucted us to resubmit at a later time.
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7/13/21 - DMH is still having issues accepting CDC's for patients that have the Expansion Healthy Adult Program. You will get the "Recipient does not have eligibility for this transaction date" error which will come back in CDCUW. DMH stated that the issue should be fixed by tomorrow. Please resubmit the CDC's on 7/14/21.


Keeping you informed,
Milan Medical Team
Chart access issues resolved (July 7, 2021)

Thank you for your patience, we have found and fixed the issue with chart access.


Milan Medical Team.
Healthy Adult Program replaced EPIC with Medicaid on 7/1/21

Ensure OK (OK Epic) was expired on 6/30/2021 in our system. OHCA has informed us that the Healthy Adult Program will reimburse with the same Medicaid rates so going forward these patient will require the OK Medicaid payor.

Eligibility for Healthy Adult Program

Patients that had OK Epic in our system will automatically get a Medicaid payor line added if they qualify for the Healthy Adult Program. Also patients that qualified for Medicaid, but now qualify for the Health Adult Program will still keep OK Medicaid as their payor. Our weekly standard eligibility checks will handle this automatically.

Txplan Requests with OK Epic as the payor

You will need to create a modification on txplan requests that have OK Epic as the main payor. The effective date on these requests should be 7/1/2021 and have OK Medicaid listed as the main payor. The OK Epic authorizations on the requests need to be changed to OK Medicaid authorizations. The txplan requests can be taken to final.


Keeping you informed,
Milan Medical Team
da Vinci offices closed (4th of July) 7/5/2021

Please be advised that the Milan Medical staff will be unavailable on Monday, July 5, 2021 in observance of Independence Day.

This will not affect our billing system. Approved notes will automatically be posted on Monday night. As usual, any notes approved after Monday will need to be manually posted by an Admin.

**ALL VOICEMAIL & EMAIL SUPPORT REQUESTS FROM SATURDAY(7/3), SUNDAY(7/4), & MONDAY(7/5) WILL BE ANSWERED ON TUESDAY(7/6) MORNING**


Happy Holiday!
Milan Medical Management
Maintenance Window: Saturday, June 19, 2021 8am - 12pm

Milan will be down for hardware maintenance on Saturday June 19, 2021 from 8am to Noon.


Milan Medical Team
Chart access issues resolved (June 14, 2021)

6/14/21 2:36pm Thank you for your patience, we have found and fixed the issue with chart access.


Milan Medical Team.
Milan Issues 6/14/2021

6/14/21 12:44pm We are currently experiencing issues with opening charts. We are working to get this fixed as soon as possible.


Keeping you informed,
Milan Medical Team
What We Know About Managed Care (as of today, 5/26/21)

Dear Milan Users,

As you hopefully know by now, the Governor and the CEO of the Oklahoma Health Care Authority have decided to halt management of most Medicaid billing. The state will be transitioning to a Managed Care model, a system that is currently used in big and small ways by 40 other states, in hopes of improving our health outcome ranking of 46th in the country. The tentative soft transition to this new system is currently set to October 1 (yes, just 3 months after ACA Medicaid expansion).

We here at Milan Medical are doing everything we can behind the scenes to make sure that your experience in our software will be as similar and smooth as we can make it. However, you will be busy with very big changes outside of our system, you personally as a provider, and as an agency. As you know, updates to how this will all work have been frustratingly slow and mostly vague. We thought it would be a good idea to take you through some of the most important things we’ve learned that you need to know ASAP.

This information is all over, so you don’t have to take our word for it. Just some of the places you can go for information:
http://www.oklahoma.gov/ohca
http://www.oklahoma.gov/ohca/about/soonerselect
https://oklahoma.gov/ohca/about/soonerselect/soonerselect-providers.html
https://www.youtube.com/watch?v=y__168NbEpM

Let’s begin with some big basics.

1. October Might Not Happen

The Governor’s office technically has until July 1 to decide whether October 1 is a feasible start date for the transition. Factors include how many providers have signed up, how many agencies have signed up, and the level of administration and support the MCOs themselves have ready to go in-state. Also, if October 1 is deemed feasible, the state will reevaluate the individual companies, and the new MCO system as a whole, come September, and if there isn’t enough in place, a single company can decide to delay their portion of the population moving until January 2022. Yet another roadblock is the state has yet to actually receive approval from the federal Centers for Medicare and Medicaid Services (CMS) to go ahead with the transition. And finally, there are a number of lawsuits and injunctions from various legal and advocacy organizations that might delay the transition through an argument of time constraints, or cut out parts of the transition that will need to then be haggled over. To be clear, we don’t see a future where transitioning to Managed Care does not happen, but the point is that October 1 is what the two people in charge of this thing are hoping for, not necessarily what will definitely happen.

2. You Have A Lot To Do Anyways

Even if the transition is further away than October, it is YOUR RESPONSIBILITY to start the process of contracting with these companies ASAP. From what they’ve said in the Town Hall meetings they’ve posted on YouTube, the individual provider and agency applications take a while to submit and get approved. The officials at the OHCA say they will be reaching out to all providers pretty heavily this summer to help you in any way they can, spreading awareness, and inundating you with contact information and forms to fill out, so that hopefully none of you happen to miss what’s needed. To get you started:

• BlueCross BlueShield of Oklahoma: 866-634-5542 BCBSOKMedicaidNetworkManagement@bcbsok.com
• Humana Healthy Horizons in Oklahoma: 855-223-9868 OKMedicaidProviderRelations@humana.com
• Oklahoma Complete Health: 855-688-6589 contracting@oklahomacompletehealth.com
• UnitedHealthcare: 800-301-5547 Networkhelp@uhc.com

You will soon become familiar with these:

• Uniform Credentialing Application
• Oklahoma Universal Supplemental Credentialing Form
• Oklahoma Universal Organizational Providers Supplemental Credentialing Form

3. No One Knows Anything About Authorizations or Eligibility Yet

We want you to use the links we provided to go see details for yourself, along with watching one of the Town Hall videos. Us and other vendors slowly get nuggets of information leaked to us, but they’re tiny, mostly just for our technical uses, so we are stuck along with you waiting for big pieces to come from the official sources. The answers we are all waiting for are numerous and sundry:

• CDCs will still be required, but why, and will they be sent to the MCOs by the DMH?
• CDCs will NOT be used for approving Prior Authorizations, so how will they get approved?
• Will there be a standard request for authorization that applies to all 4 MCOs, or will there be a different process and place for each?
• Will eligibility be centralized through PICIS, the OHCA portal still, through a new central portal, or through 4 separate ones?
• Will DMH treatment plan clinical requirements change, if the individual MCOs are approving them instead of PICIS?

4. We Know A Little Bit About Billing

• The fee schedules from the individual companies will never be publically published, as they are proprietary, but you will get a copy of them once contracted.
• The rates cannot be lower than what you currently receive. Services as they are being provided currently are the required minimum, thanks to some hardballing on that by the state.
• Average payout for insurance claims with these companies sits around 30 days. You are used to getting paid every week. The state knew they could not require that big of a speed change, so they met them in the middle and gave them a 14-day minimum.
• Insure Oklahoma, AKA OK EPIC or O-EPIC, is going away, being folded in to Sooner Select.
• Despite wild early rumors, all provider types and service currently supported by the state will be supported by the companies, including Candidates billing psychotherapy, and Case Managers billing CM and/or Rehab.
• The state plans to follow the lead of CMS and embrace telehealth as fully as possible post-pandemic. No one sees that going away...ever.

We here at Milan seemed to have lucked out when it comes to billing all of this, because the state and Availity have been ready and willing to work with us. The setup and transition for this will be a lot more work for you than it will be for us. We wish we could be more of a help through the next several months, but almost all of it will be solely in your hands to figure out. Right now, it doesn’t look like much will change in the software, at least the side you see, so hopefully Milan will be one good rare thing that isn’t changing, while everything else does. However, as always, we are willing to guide you through anything we can.

Email us (support@milanmedical.com) any time, or call us 8-5 Monday through Friday.

Blessings and Well Wishes,

Your Milan Medical Team