Association Executive Directors Community

  • 1.  State Expectations for Payer Response?

    Posted 09-17-2020 11:38
    It would be very helpful to hear what your MCO contracts or other state expectations are for payers/MBHOs to respond to provider inquiries OR how long your payers actually take. Our member data indicates that Optum takes 2+ weeks on average to respond to routine and urgent provider inquiries. We are interested in any information that compares or contextualizes this data to other payers' performance or state expectations.

    Shannon Hall


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    Shannon Hall
    Executive Director
    Community Behavioral Health Association of Maryland
    Catonsville MD
    410-788-1865 ext 2
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  • 2.  RE: State Expectations for Payer Response?

    Posted 09-17-2020 17:21

    I am not aware that TN has any expectations or timelines for MCO responses except for formal appeals and grievances. 

     

     

    Mary-Linden Salter, LCSW

    Executive Director

    Tennessee Association of Alcohol, Drug & other Addiction Services
    Airport Executive Plaza
    1321 Murfreesboro Pike Suite 155
    Nashville, TN 37217
    Office: 615-780-5901, ex     118 

    Note new phone extension

    Cell: 615-579-8808

    https://smile.amazon.com/

     

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