CIGNA VACCINE DENIALS
Since January 1, when the new state vaccine mandate went into effect, several practices were denied vaccine reimbursement by CIGNA:
- Denials of HPV vaccine and Rotateq - CIGNA claimed that these vaccines are not covered by the state mandate.
- Denials during the month of January - CIGNA claimed that they were not under obligation to reimburse for vaccines during this month. In fact, January was understood to be part of a "grace period" agreed to by CIGNA and other health insurance companies.
- Denials for vaccines for patients over 19 - CIGNA claimed that the state does not provide vaccines for patients over 19.
CTAAP contacted CIGNA to attempt to resolve these problems. CIGNA determined that the problem originated with an IT issue and that they have corrected it. They plan to pull the histories of all Connecticut vaccine providers to make sure that they have been paid correctly and they will not require practices to reprocess any claims.
If you experience any other unusual denials or payments that don't seem right with any insurance company, please contact the CTAAP office.
National Emergency Room Pediatric Readiness Project
Beginning in March 2013, emergency departments in Connecticut hospitals will receive invitations to participate in the first national assessment of pediatric readiness in EDs across the United States. Open this link to read a summary of the Connecticut initiative.
Are your patients visiting an emergency department that is pediatric ready? Visit www.PediatricReadiness.org for more information.
The CT Chapter of the American Academy of Pediatrics and our Foundation for Children received second year funding for a special grant from Dentaquest. The multi-state project entitled "Engaging Medical Clinicians in Oral Health" will develop, implement and evaluate an in-depth oral health training program for physicians in Massachusetts, Rhode Island and Connecticut.
The goal of this program is to more effectively engage physicians in oral health care and fluoride varnish application.
The role of the pediatrician's office in oral health has demonstrated promising results for decreasing the occurrence of early childhood tooth decay. This is particularly important for children on Medicaid who tend to be at high risk for developing cavities.
Congratulations to Kathleen Marinelli, a CTAAP Board Member, for her recent selection as Chair-Elect to the Board of Directors of the United States Breastfeeding Committee (USBC). The USBC works to improve the nation's health by working collaboratively to protect, promote, and support breastfeeding. Dr. Marinelli will take over as Chair of USBC for one year beginning August 2013.
In addition, Kathie has served on the Academy of Breastfeeding Medicine for 10 years now and is currently on the Executive Board of Directors, as the Secretary of the Board. She is also the Chair of the Protocol Committee which creates highly-regarded clinical protocols that are used worldwide.
Dr. Marinelli is a tireless advocate for breastfeeding and a dedicated CTAAP volunteer.
University of Vermont's Child Psychiatry in Primary Care Conference
Thursday, May 31, 2013
7:30AM - 4:45PM
MDs - $250
Other Professionals - $180
This conference is specifically designed to equip primary care practitioners with practical and updated stsrategies for the diagnosis and treatment of many of the most common childhood psychiatric conditions and problems.
More information can be found by opening this link.
UPDATE on CME and CEU Certificates
The CTAAP is happy to announce that the majority of the CME and CEU certificates for the 2012 Teleconference Series have been finished and sent out. If you paid for a teleconference and filled out an evaluation you should have received or will be receiving your certificate in the mail. Due to the large number of topics we covered last year and the number of participants, we took a little extra time getting the certificated processed and out to you. A special thanks to our new staff member Kathryn Senk for getting the job done!!!
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