Read Article
May 15, 2020
Hospital Experience Program Boosts Patient Satisfaction and Provides Critical Services during COVID-19 Outbreak
Recognizing that hospital admission can be stressful and confusing for patients and that hospital-based care is often fragmented and marred by poor communication, CDPHP created a Hospital Experience Program. Offered at no cost to CDPHP members, the program deploys an in-hospital patient care team to work in collaboration with hospital staff to coordinate members’ care…
#Network in the Know
Read Article
April 23, 2020
Mental Health Support from Four Winds Saratoga
During the coronavirus outbreak, your patients who need behavioral health services may be reluctant to go to a general hospital or clinic for treatment. Four Winds Saratoga would like you to know that their programs ̶ both inpatient and outpatient ̶ are available to support them.
#Network in the Know
Read Article
April 09, 2020
April 2020 Code Auditing Changes (Effective April 8)
Quarterly, Capital District Physicians’ Health Plan, Inc. (CDPHP®) implements appropriate code auditing changes to remain current with industry standard coding updates. Updates are made to our code auditing software Change Healthcare Technologies, LLC ClaimsXten™ based on recommendations from a variety of sources, including the American Medical Association (AMA), Centers for Medicaid and Medicare Services (CMS)…
#Network in the Know
Read Article
February 24, 2020
ER Anywhere: Emergency Room Services without the Wait
The health care app ER Anywhere, developed by United Concierge Medicine, aims to reduce health care costs, relieve stress on emergency personnel and agencies, and improve patient care by offering CDPHP Medicaid members a convenient alternative to emergency room (ER) visits. By downloading the ER Anywhere app via Apple Store or Google Play, or by…
#Network in the Know
Read Article
February 24, 2020
Health Disparities in Women: Cancer Screenings
CDPHP® strives to enhance awareness and empowerment related to health care and to address barriers that affect the community, internal staff, and medical providers. To this end, CDPHP created an internal Diversity Matters workgroup, which focuses on cultural competence, health literacy, and health disparities. The goals are to investigate the challenges that impact the social…
#Network in the Know
Read Article
January 07, 2020
Prior Authorization Requirements for Psychotropic Medications in Children and Adolescents
New York state requires CDPHP, as a Medicaid Managed Care plan, to implement a Children’s Behavioral Health Pharmacy Program that includes the monitoring and oversight of key medications for children. Effective February 1, 2020, prior authorization will be required for:
#Network in the Know
The Daily Dose