The Provider Resource Center is a central repository on CarePartners of Connecticut’s public Provider website where providers and office staff can find provider documentation including, but not limited to, the Provider Manual, payment policies, forms, and clinical and prior authorization criteria.
This spring, CarePartners of Connecticut is offering a series of orientation webinars for provider office staff. Each webinar will cover a variety of topics including plan descriptions, policy overviews and online resources for providers. Additionally, attendees will have the opportunity to ask in-depth questions about the topics that are important to their practice.
CarePartners of Connecticut offers three Medicare Advantage plan options, Preferred, Prime and Premier, which offer more extensive benefits than Original Medicare coverage alone. These Medicare Advantage plans are not a supplement to Original Medicare.
Providers logged in to the secure Provider website are able to use the MedHOK system to complete requests for inpatient and outpatient services, attach documentation, check authorization requests, and in some cases, receive a real-time determination online.
Management of member transitions is key to maintaining continuity of care and ensuring appropriate follow-up post-acute discharge, as well as to reducing inpatient readmissions. CMS, NCQA and subsequently CarePartners of Connecticut measure performance on important dimensions of transition management.