AFMC welcomes Phyllis Rogers, CPA, CGMA, our new chief financial officer (CFO), and Shannon Edwards, MD, associate medical director.
Ms. Rogers previously served as CFO of Delta Dental of Arkansas for 17 years, as CFO for ForeverCare and as vice president and controller for Suntrust Credit of Little Rock. She earned a bachelor’s degree in accounting from the University of Arkansas Little Rock in 1986. In 2013, she was honored by Arkansas Business as CFO of the Year for Large Private Companies and by the Arkansas Society of CPAs as Outstanding CPA in Business and Industry.
Dr. Edwards received her medical degree from UAMS in 2008 and is board-certified in internal medicine. She has more than 10 years of experience in various health care settings and will work from AFMC’s Fort Smith campus. She served as medical director for Humana’s central region Medicare Advantage, and works as a hospitalist for the Veterans Affairs Medical Center in Fayetteville and Mercy Medical Center in Fort Smith. Edwards was also an inpatient physician for palliative care at the Circle of Life Hospice in Bentonville.
Provider-led Arkansas Shared Savings Entity (PASSE), the new organized care model for people with developmental disabilities or behavioral health needs, now has three entities providing care: Arkansas Total Care, Empower Healthcare Solutions and Summit Community Care.
ForeverCare has withdrawn and, effective March 1, its former clients were reassigned to another company. Former ForeverCare clients received a letter reassigning them and can expect to receive a welcome packet, new ID card and phone call from their new care coordinator. They will have 90 days to choose a different PASSE, if they wish. Clients can call 1-833-402-0672 for more information or visit PASSE.arkansas.gov.
New Quality Assurance Contract
AFMC has a new quality assurance contract with the Arkansas Department of Human Services’ (DHS) Div. of Provider Services and Quality Assurance (DPSQA) to provide performance evaluations. DPSQA is responsible for health and safety certification, licensure and quality of care reviews for five of DHS’ divisions: aging, behavioral health, developmental disabilities, youth services and medical services. AFMC will provide inspections of care, outcomes review and determination of compliance. AFMC will evaluate ARChoices, outpatient behavioral health services and substance abuse treatment providers and inpatient psychiatric services for the Division of Youth Services. By consolidating certification, licensure and performance review, DHS expects to achieve efficiencies, more consistent quality assurance, and provide technical assistance and training to division staff.
Prior Authorization Changes
Beginning May 1, Arkansas Medicaid prior authorizations (PAs) must be submitted through the HealthCare Provider Portal. Previously, PAs were submitted electronically through AFMC ReviewPoint. PAs submitted by phone or on paper should also be submitted through Medicaid’s portal, but will continue to be accepted as they are now. Use the PA Process Type listed on the Create Authorization page on the Care Management tab of the portal. PAs that must now be submitted through the HealthCare Provider Portal include extension of benefits, durable medical equipment, molecular pathology, physician drug reviews, continued hospital stays, surgical procedures, assistant surgeon, targeted case management and personal care.
Providers must register to use the portal. Clerical staff must register as a delegate.
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