Providers, data matches and MCOs: OHCA details claims timeliness, Equifax verification and early managed-care results Agency officials told the committee they monitor MCO claims timeliness and have used data exchanges (including Equifax "work number") to identify ineligible members; they said most clean claims meet contractual timeframes but some providers face claims churn and enrollment hurdles.

The Oklahoma Health Care Authority is tackling provider payment delays and eligibility verification by implementing advanced data matching techniques, promising to enhance claims processing and support for healthcare providers.

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#OK #ClaimsTimeliness #ProviderParticipation

Kansas advocates push to finish Medicaid dental rate increase, request $12 million to sustain provider growth Dental providers and advocates urged the Committee on Social Services Budget to fund the final $12 million SGF to complete a Medicaid dental rate increase, arguing early gains in provider participation require continued investment to preserve access for low‑income Kansans.

Kansas advocates are rallying for a crucial $12 million to complete a Medicaid dental rate increase, fearing that without it, access to dental care for low-income families could dwindle.

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#KS #PublicHealthInvestment #KansasMedicaid #ProviderParticipation #AccessToCare

Pharmacy concerns rise over Medicaid reimbursement levels at public testimony Experts discuss Medicaid reimbursement issues affecting pharmacy access and provider participation.

Frustration is mounting among pharmacists and healthcare providers over inadequate Medicaid reimbursement rates that threaten access to essential services for patients.

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#US #MedicaidReform #ProviderParticipation #HealthCommittee #CitizenPortal #HealthcareAccess