Ascension

Health Insurance Coverage in Kansas

Health Plan Overview

Insurance CompanyAscension
StateKansas
Websitemysmarthealth.org
Number of Hospitals in Network1
Number of Plans Offered1

Network Hospital Locations

Hospitals in Network (1)
Scott County Hospital

Available Plans

OTHER

1 plan

Plan Details
Plan NamePlan Type
Ascension Health Alliance d/b/a Ascension SmartHealth Medical PlanOTHER

Recent News

2024-12-09
The 2025 SmartHealth Provider Manual is available, providing quick reference and detailed information for healthcare professionals in markets including Kansas. It outlines member information, eligibility verification, plan descriptions, utilization management, claim filing procedures, and how to contact Ascension Care Management and SmartHealth Provider Relations for provider changes. It also provides details on labs and the Pharmacy Benefit Manager, Maxor+. [9]
2024-10-22
SmartHealth is launching a new Exclusive Provider Organization (EPO) plan for eligible Ascension Kansas associates, primarily residing in Sedgwick County. This new plan aims to offer more predictable expenses and better care coordination, with services covered only within the Ascension SmartHealth Tier 1 Network, except for emergencies. Referrals are needed for services outside this network, which can be made to Blue Cross Blue Shield Network providers with SmartHealth approval. Additional details and sample ID cards were planned for a later newsletter. [3]
2024-02-XX
A SmartHealth Provider Newsletter from February 2024 shared important updates for healthcare professionals. Key points included information on the Medical Specialty Formulary and prior authorization process for medical benefit drugs, new criteria for Diabetes GLP-1 medications (Ozempic, Rybelsus, Mounjaro) effective January 1, 2024, and a reminder about providers being held accountable for billing with correct diagnosis codes for preventative services. It also noted the shift in the pharmacy benefit manager from Cigna to MaxorPlus effective January 1, 2024. [11]
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In response to the national outage at Change Healthcare, Ascension's claims clearinghouse for SmartHealth has migrated to a new trade partner, Smart Data Solutions (SDS). Providers are instructed to register on the SDS portal to submit electronic claims and are advised to connect with their current clearinghouse vendor to ensure claims are routed to SDS. [10]

State Leadership

No leadership information available for Ascension in Kansas.

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