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Welcome! Here you will find useful resources such as guidelines and procedures, our provider directory and other forms and documents. We also provide accesss to online member eligibility and claims information. Look at the sub-tabs above (second row of tabs) to see what's available.
Most documents (such as PDF files) can be viewed by clicking on the apporpriate link. If you wish to download the document, you may need to right-click and select "Save Target as..." (or something similar depending on your browser).
Should you need to contact us, go to the "Contact Us" section and select the "Provider Relations" department.
Interested in becoming a provider? Call Gary Francis at (313) 871-7805.
Need an update on credentialing status? To ensure the quality of health care delivery to its members, Total Health Care recredentials participating providers every three years according to the standards set forth by the National Committee for Quality Assurance (NCQA).
If at any time a provider wishes to inquire about his/her credentialing status or review information obtained during the recredentialing process, s/he may do so by contacting the Credentialing Department at (313) 871-7806.
 IMPORTANT ANNOUNCEMENTS
PHYSICIAN ADMINISTERED DRUG NDC CODES
IMPORTANT VISION ANNOUNCEMENT FOR COMMERCIAL MEMBERS (Effective 6/1/10)
EDI CLAIMS SUBMISSION ANNOUNCEMENT
Effective July 1, 2010 all referrals issued by the PCP offices must be submitted electronically, handwritten referrals will no longer be accepted and will result in a denial of the claim.
Health Information Technology Update: The American Reinvestment and Recovery Act (ARRA) of 2009 establishes a program for payment to Medicare and Medicaid providers who adopt and become meaningful users of electronic health records (EHRs). Medicaid Eligible providers must meet the following requirements:
●Eligible Professionals: Non-hospital based with at least 30% Medicaid volume:
Physicians
Dentists
Certified Nurse Mid-wives
Nurse Practitioners
Physician Assistants (PA) practicing in a PA-led FQHC or Rural Health Clinic
See the attached information (*In Other Documents at the bottom of this screen*) for forums and background information prepared by MCEITA, the Michigan Center for Effective IT Adoption.
NOTICE TO THERAPY PROVIDERS
Please Note: You must obtain authorization for therapy services from Integrity Rehabilitation. The referral you have received from the member’s PCP is valid only for the evaluation. You may fax the authorization request to (810) 534-5037 or e-mail the authorization to THC@integrityrehabservices.com |