About UsPressNEW CHILD HEALTH PLUS BENEFITS, EFFECTIVE JANUARY 1, 2023, INCLUDING:

NEW CHILD HEALTH PLUS BENEFITS, EFFECTIVE JANUARY 1, 2023, INCLUDING:

  • Assertive Community Treatment Services (ACT)
  • Medical Supplies
  • Orthodontic Services for a Severe Physically Handicapping Malocclusion
  • Air Ambulance Services
  • Transportation Between Facilities
  • Children and Family Treatment and Support Services (CFTSS)
  • Core Limited Health-Related Services (in VFCA) / 29-I Health Facility)

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Availity Eligibility and Claim Inquiry Update

Effective on April 28, 2025, MetroPlusHealth starts a strategic partnership with Availity® to serve as our 270/271 (Member Eligibility Inquiry/Response)…

RE: eConsults Expansion

TO: All MetroPlusHealth Providers Effective as of March 1, 2025, MetroPlusHealth will reimburse eConsult services for Hospital Outpatient Departments (OPDs),…

RE: SBHC COVERED SERVICES

IMPACTED PLANS: MEDICAID & HIV SNP (also known as Partnership in Care) Dear MetroPlusHealth Provider, Effective May 1, 2025, onwards,…

URGENT MESSAGE FOR OUR MEMBERS AND THEIR PAID CAREGIVERS:

Make sure your caregiver continues to get paid for your Consumer Directed Personal Assistance Program (CDPAP) services for the month…
last updated: December 13, 2024

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