Resources

MPP contracts with many different payers across our service area. Contracting efforts are done on a regional basis and not all plans are available in all regions.

Many of our health plans have incentive programs in place to reward providers for their performance on certain clinical measures and/or additional reimbursement for designated services performed in the office. The individual measures, dollar amount and frequency of payment can vary between each plan. Below we have included available information from each plan on their specific programs for your reference.  If you have questions on any of the information below, please call MPP @ (248) 484-4928.

Health Plan Information
Blue Care Network (BCN) (click to open)
Blue Cross Blue Shield (BCBSM) (click to open)
Blue Cross Personal Choice PPO (click to open)
HAP (click to open)
Humana (click to open)
McLaren Health Plan (click to open)
Molina (click to open)
Priority Health (click to open)
United Health Care Community Plan formerly Great Lakes Health Plan (click to open)

MPP is committed to linking our members to community resources within their surrounding counties. On a biannual basis our staff reviews a variety of sources and compiles a list of common community services by county. The following quick reference guides allow MPP members to easily link people with low cost to free programs in their area. The use of this material is intended for assisting the needs of the person and not to promote any one particular service. If you have any questions on the information provided in the resource guides please contact MPP @ 248-484-4928.

Linkage to Community Services
Counties A - E (click to open)
Counties F - J (click to open)
Counties K - O (click to open)
Counties P - Z (click to open)
Humana’s risk adjustment and STARS 2018 education schedule

Humana’s risk adjustment and STARS provider education team is pleased to offer the following live WebEx learning sessions in 2018. Some presentations contain free continuing education unit (CEU) opportunities for certified coders; a coding certification is not required to attend. Those employed with any Humana-contracted physician or other health care providers are welcome.


Quarter 1

CEU topics

April

Risk Adjustment and STARS

Risk Adjustment: Diabetes (CEU available)
April 17, 2018 at 1pm Register Here
April 19, 2018 at 2pm Register Here

STARS:  Diabetes (CEU not available)
April 17, 2018 at 2pm Register Here
April 19, 2018 at 3pm Register Here

May

Risk Adjustment and STARS

Risk Adjustment: Myocardial Infarction (CEU available)
May 15, 2018 at 1pm Register Here
May 17, 2018 at 2pm Register Here

STARS:  Cardiovascular Measures (CEU not available)
May 15, 2018 at 2pm Register Here
May 17, 2018 at 3pm Register Here

June

Risk Adjustment and STARS

Risk Adjustment: Seizure Disorder (CEU available)
June 12, 2018 at 1pm Register Here
June 14, 2018 at 2pm Register Here

STARS:  Preventive Care Module (CEU not available)
June 12, 2018 at 2pm Register Here
June 14, 2018 at 3pm Register Here

July

Risk Adjustment and STARS

Risk Adjustment:  COPD (CEU available)
July 10, 2018 at 1pm Register Here
July 12, 2018 at 2pm Register Here

STARS:  Hospital Risk-Based  (CEU not available)
July 10, 2018 at 2pm Register Here
July 12, 2018 at 3pm Register Here

August

Risk Adjustment and STARS

Risk Adjustment:  Peripheral Vascular Disease (CEU available) August 14, 2018 at 1pm Register Here
August 16, 2018 at 2pm Register Here

STARS:  Member Experience-Flu Focus  (CEU not available) August 14, 2018 at 2pm Register Here
August 16, 2018 at 3pm Register Here

September

Risk Adjustment and STARS

Risk Adjustment: Obesity (CEU available)
September 11, 2018 at 1pm Register Here
September 13, 2018 at 2pm Register Here

STARS: Diabetes (CEU not available)
September 11, 2018 at 2pm Register Here
September 13, 2018 at 3pm Register Here

October

Risk Adjustment and STARS

Risk Adjustment: Neoplasms (CEU available)
October 9, 2018 at 1pm Register Here
October 11, 2018 at 2pm Register Here

STARS: Preventive Care Module (CEU not available)
October 9, 2018 at 2pm Register Here
October 11, 2018 at 3pm Register Here  

November

Risk Adjustment and STARS

Risk Adjustment: Rheumatoid Arthritis (CEU available)
November 13, 2018 at 1pm Register Here
November 15, 2018 at 2pm Register Here

STARS: Musculoskeletal (CEU not available)
November 13 2018 at 2pm Register Here
November 15, 2018 at 3pm Register Here  

December

Risk Adjustment and STARS

Risk Adjustment: Pressure Ulcers (CEU available)
December 11, 2018 at 1pm  Register Here
December 13, 2018 at 2pm Register Here

STARS:  Medication Management  (CEU not available)
December 11, 2018 at 2pm Register Here
December 13, 2018 at 3pm Register Here

How to attend:
You may register at any time prior to the event by:

  1. Clicking the link while holding the control button
  2. Selecting “Register” at the bottom of the WebEx page (WebEx will send an invitation that can be

      added to an Outlook calendar.)
Please register for only one session per topic, as space is limited. Also, please register each attendee separately, as the presentation is limited to one continuing education unit (CEU) per registration.

If you have questions, email PRCE@humana.com.

Join us for Humana’s Risk Adjustment and STARS Learning Series

What:          
A series of presentations focused on risk adjustment and STARS offered by Humana for physicians, coding and billing staff, office managers and care coordinators.

When and where:           

Risk Adjustment

MRA Overview (CEU Available)

June 19, 2018 at 1pm
Virtual WebEx Register Here

June 21, 2018 at 2pm
Virtual WebEx Register Here

STARS

STARS 101 (CEU not available)

June 19, 2018 at 2pm
Virtual WebEx Register Here

June 21, 2018 at 3pm
Virtual WebEx Register Here

Risk Adjustment

MRA Overview (CEU Available)

October 16, 2018 at 1pm
Virtual WebEx Register Here

October 18, 2018 at 2pm
Virtual WebEx Register Here

STARS

STARS 101 (CEU not available)

October 16, 2018 at 2pm
Virtual WebEx Register Here

October 18, 2018 at 3pm
Virtual WebEx Register Here

How to attend:
You may register at any time prior to the event by:

  1. Clicking the link while holding the control button
  2. Selecting “Register” at the bottom of the WebEx page (WebEx will send an invitation that can be

      added to an Outlook calendar.)
Please register for only one session per topic, as space is limited. Also, please register each attendee separately, as the presentation is limited to one continuing education unit (CEU) per registration.

If you have questions, email PRCE@humana.com.

MIPS reporting

Quality Payment Program Website:https://qpp.cms.gov/

In order to submit or access QPP data you will need an Enterprise Identity Data Management (EIDM) account. Here is the link to the EIDM User Guide.

CMS QPP reporting Video:https://youtu.be/q0Cvke6fnrg