Magnolia Health Plan’s (Magnolia) decisions regarding the provision of health care services are based solely on appropriateness of care and services and the existence of coverage.

Magnolia does not:

• Employ incentives to encourage barriers to care and services

Read more on Magnolia Health Plan’s Affirmative Statement about Incentives…

Wednesday, February 13th, 2013 – 2PM EASTERN TIME

https://payspan.webex.com/payspan/onstage/g.php?t=a&d=746515630

Wednesday, February 20th, 2013  – 2PM EASTERN TIME

https://payspan.webex.com/payspan/onstage/g.php?t=p&d=740419307

Magnolia will be conducting new provider orientations over the next few weeks.  Please review the chart below for locations and times.

To register for an orientation, please click here.  Click on the “Provider” Tab.   In the “subject” line, please enter “other” and in the “message” box, please enter the location you will be attending and number of participates.

Read more on New Provider Orientations…

As state and federal governments move toward a healthcare industry that is driven by quality, HEDIS rates are becoming more and more important, not only to Magnolia, but to its providers as well.  Please click on the links below to access the HEDIS Quick Reference Guides.

Read more on Health Employer Data Information Set (HEDIS)…

As a reminder, providers have 45 days to make corrections to a submitted claim from the date of the EOP.  Please refer to page 5 in the Claims Filing Manual.

Magnolia only accepts the red and white CMS 1500 (8/05) and CMS 1450 (UB-04) paper claims forms.  Other claim form types will be rejected and returned to the provider.

Read more on Important Claims Information…

Triage reports are a brief summary of a member call to the NurseWise line and the call was deemed as a medical/triage call.  NurseWise is one of the benefits that members receive from Magnolia Health Plan.  NurseWise is a 24/7/365 health information line staffed with Registered Nurses.

Read more on NurseWise Triage Report…