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:

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
• Humana Healthy Horizons in Oklahoma: 855-223-9868
• Oklahoma Complete Health: 855-688-6589
• UnitedHealthcare: 800-301-5547

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 ( any time, or call us 8-5 Monday through Friday.

Blessings and Well Wishes,

Your Milan Medical Team
UPDATE: Milan with Manage Care 5/25/2021

Billing Manage Care: We have already contracted with Availity to handle our private insurance billing. We are in the final QA phase of testing billing submission files with Availity. There will be longer delays for claim results, since Availity does not provide EDI based Claim Status updates, and we will have to wait for the RAs to get billing results. We will be rolling that out this summer for Blue Cross Oklahoma prior to the MCO system changeover. This will be happening no matter the final disposition of the MCO process.

Availity is a clearing house that handles private insurance billing. They currently process billing for 3 of the 4 MCOs. United Healthcare is the only MCO that is currently not billable thru Availity. However, we believe United is looking into going thru Availity as well. That means that we will be able to submit billing to all 4 MCOs when that time comes.

Eligibility Checks: DMH may possibly have eligibility available thru their website.

CDC submissions: We know that CDC submissions will be required, but they have not released all of the details to the vendors.

Keeping you informed,
Milan Medical Team
da Vinci offices closed (Memorial Day) 5/31/2021

Please be advised that the Milan Medical staff will be unavailable on Monday, May 31, 2021 in observance of Memorial 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.


Happy Holiday!
Milan Medical Management
Chart access issues resolved (May 23, 2021)

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

Milan Medical Team.
Milan Issues 5/23/2021

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
Managed Care - MCO Town Hall

Here is more information about Manage Care.

Managed Care OKC Town Hall -

Keeping you informed,
Milan Medical Team
Extended Server downtime Saturday 05/8/21 8am - 12pm

Milan will be down for an extended time due to hardware enhancements for up to 4hrs at 8am on Saturday, May 8th, 2021. We apologize for the inconvenience.

Keeping you informed,
Milan Medical Team