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| IMPORTANT ANNOUNCEMENT FOR HOME HEALTH, PDN & PCS Providers - Monday, March 05, 2012Home Health Visits, Private Duty Nursing (PDN) and Personal Care Services (PCS) must be authorized prior to initiating or continuing services. Admission or initial requests for authorization must be submitted prior to, or within five business days of, the start of care. Continued stay requests may be submitted up to 14 calendar days prior to the end of the current authorization period. There is no grace period for late submissions.For continued stay requests that are submitted after the services are initiated, the authorization begin date will be the date the request was received, if medically necessary. If the certification period for which authorization is requested has ended, eQHealth will not review the request. Please refer to the table below for examples. Please remember, all supporting documentation must be submitted with each request.
If you have questions, contact customer service.
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Type of Request
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Requested Certification Period
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Request (Completed) Submission Date
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Request Reviewed?
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IF Medically Necessary, Service Authorization Date Begin Date
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Initial
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03/01/2012-07/31/2012
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02/28/2012
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Yes
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03/01/2012
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Initial
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01/01/2012-02/29/2012
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01/08/2012
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Yes
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01/08/2012
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Initial
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01/01/2012-02/29/2012
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01/02/2012
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Yes
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01/01/2012
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Initial
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01/01/2012-02/29/2012
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03/05/2012
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No
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N/A
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Continued Stay
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03/01/2012-05/31/2012
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02/16/2012
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Yes
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03/01/2012
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Continued Stay
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03/01/2012-05/31/2012
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03/07/2012
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Yes
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03/07/2012
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Continued Stay
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03/01/2012-05/31/2012
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06/01/2012
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No
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N/A
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| eQSuite Update - Monday, December 19, 2011 The planned therapy updates in eQSuite are completed. An updated "Issues Log" is posted on this website. |
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eQSuite Login
ISSUES LOG: /Portals/1/WebIssueLog.pdf- Contains a list of outstanding and resolved issues related the the eQSuite Provider Portal
eQSuite is our proprietary web-based, HIPAA compliant prior authorization system which offers providers 24/7 accessibility to the information they need.
eQSuite features include:
- Paperless workflow
- Secure transmission protocols - encryption of all data transfers
- System access control for changing authorized users
- Rules-driven functionality and system edits
- Generate review determination notifications
- Provider access to real time reports
- Help-line module for submission of inquiries and complaints
Internal Users Login
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eQHealth Solutions - Florida Division
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The Agency for Health Care Administration (Agency) entered into a contract with eQHealth Solutions, Inc. for utilization management, including prior authorization of the following Medicaid services:
Inpatient Medical and Surgical Services
Home Health Services
Prescribed Pediatric Extended Care (PPEC) Services
Therapy Services
eQHealth Solutions, Inc. is a non-profit health care quality improvement, utilization management and health information technology organization, providing a wide range of efficient and effective solutions to our clients. Services include: prior authorization and utilization review, care coordination, quality improvement activities, medical record review, health and wellness, and quality review services for home and community based waiver programs. eQHealth Solutions is a market leader in assisting health care providers to adopt information technology services to improve the quality of care offered to their patients.
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