Provider Educational Sessions
Provider Onboarding
The session will cover key topics including:
- An overview of 海角社区 First鈥檚 history and service area
- The lines of business we offer
- Provider responsibilities
- Provider resources
- Texas Health Steps requirements
- Introduction to STAR+PLUS
- Authorization and claims processes
- Recent updates and policy changes
LTSS/EVV Overview
The session will cover key topics including:
- Resources
- Requirements
- Responsibilities
Cultural Competency Overview
Health Plans are required to provide annual Cultural Competency by the National Committee for Quality Assurance (NCQA).
Model of Care
D-SNP Providers must complete this Model of Care (MOC) training annually, as required by the Centers for Medicare and Medicaid Services (CMS), to understand the plan鈥檚 framework for care coordination.
Provider Portal and Authorization Overview
Topics include:
- Creating an account
- Navigating the platform
- Utilizing all features, including:
- Submitting authorizations and claims
- Streamline business with 海角社区 First
PROVIDER OFFICE STAFF ADVISORY COMMITTEE
海角社区 First invites in-network Medicaid providers to join our quarterly Provider Office Staff Advisory Committee (POSAC) meetings. These virtual sessions are a great opportunity for providers and office staff to share feedback, learn about current initiatives, and shape the overall provider experience.
海角社区 First Provider Portal
Register for a 海角社区 First Provider Portal account to access 海角社区 First U, an online learning hub with self-guided trainings, on-demand sessions, and more. Use the Portal to verify Member eligibility, streamline claims, submit authorizations, and more.
