EDUCATING MEMBERS ON THEIR OWN HEALTH CARE

Bridgeway Health Solutions does not restrict or prohibit providers, acting within the lawful scope of their practice, from advising or advocating on behalf of a Member who is covered by Medicare and Medicaid. Providers can advocate for  the Member’s health status, medical care or treatment options, including any alternative treatment that may be self-administered. A provider can advocate any information the Member needs in order to decide among all relevant treatment options. The provider can advocate the risks, benefits, and consequences of treatment or non-treatment. And finally, the provider can advocate for the Member’s right to participate in decisions regarding his or her behavioral health care, including the right to refuse treatment, and to express preferences about future treatment decisions.

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ATTENTION ALL PROVIDERS….Restoration of Transplants Services for Adults

As part of the recently enacted budget, the Arizona Legislature adopted Governor Brewer’s Medicaid Reform Plan which restores funding of previously covered transplants for adults that were eliminated effective October 1, 2010. Retroactive to April 1, 2011, AHCCCS will once again cover the following transplants for members 21 years of age and older:

• Pancreas-after-kidney transplants
• Liver transplants in patients with Hepatitis C
• Allogeneic unrelated hematopoietic cell transplants
• Heart transplants in patients with non-ischemic cardiomyopathies
• Lung transplants
• Heart-lung transplants

For more information regarding the restoration, please visit the AHCCCS website.

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ATTENTION ALL PROVIDERS….

Please click on the link below to review the memo from AHCCCS regarding Well Exams. Please contact our Provider Relations department if you have any questions regarding these changes.

Well Exams Memo from AHCCCS

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IMPORTANT REMINDER!
As a registered provider with the AHCCCS Administration, (Arizona’s Medicaid Program), you are obligated under 42 C.F.R. §1001.1901(b), to screen all employees, contractors, and/or subcontractors to determine whether any of them have been excluded from participation in Federal health care programs. You can search the HHS-OIG website, at no cost, by the names of any individuals or entities. The database is called LEIE, and can be accessed at http://www.oig.hhs.gov/fraud/exclusions.asp

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As a Provider, why should you partner with Bridgeway Health Solutions? Bridgeway offers some additional assistance that will help Members in meeting their healthcare needs. Such assistance include:

Case Managers (available in all areas) – licensed professionals who assist assessed Members with coordination of healthcare services to meet a Member’s specific healthcare need.

Pet Therapists (Yuma area) – pets trained to provide affection and comfort to people in hospitals, retirement homes, nursing homes, schools and people with learning difficulties. Bridgeway specifically does dog therapy, which their primary job is to allow unfamiliar people to make physical contact with it and to enjoy that contact.

START Smart Cell Phones (Yavapai area) – available to pregnant women as an educational piece of pre-recorded pod-casts (voice-recordings) that can provide information on things like breastfeeding, immunizations, well-baby visits, what to expect each trimester of pregnancy and delivery, and many more topics!

Telemonitoring(qualified Members) – ability to monitor Members from their home when they are unable to physically go to the doctor. Members must meet certain conditions in order to be on this program.

Transportation - help get Members to their appointments when no one else is able to take them.