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News and Events
August 27, 2018
Effective August 24, 2018, Medica will be offering two new short-term products for individual and family plan (IFB) members in North Dakota, South Dakota, Wisconsin, Iowa, Nebraska, and Kansas.
January 09, 2018
Health Net Federal Services (HNFS) is now administering contracted services to TRICARE West Beneficiaries. PHO encourages all participating provider offices to attend a TRICARE webinar. Below are some key changes for TRICARE in 2018:
November 16, 2017
PHO is audited annually by payers who have delegated credentialing to PHO. This includes a review of policies and procedures in addition to a sample of initial and re-credentialing files to verify that all national requirements are being met.
October 26, 2016
Amerigroup completed an annual Delegated Credentialing Audit. PHO scored 100% compliance.
October 24, 2016
The release of the MACRA Final Rule on October 14, 2016 finalizes the Quality Payment Program (QPP). Along with the Final Rule, HHS launched a QPP resource page to help providers throughout the transition.