Tier Assignment A
What does it mean for my clinic?
- No changes to your clinic process at this time
- Watch for additional communication directed to your tier assignment in March
Tier Assignment B & C
What does it mean for my clinic?
Prior authorizations are now required for initial notifications and ongoing treatment request
- Beginning 02/19, required reporting of OATs, we encourage reporting of OATs immediately to
support initial and ongoing treatment decisions
- Continue billing for medically necessary services
- Please use Fulcrum’s QConnect Learning Hub, as a resource to answer questions, download
assessments, access the training video and manual, to help integrate QConnect into your clinic
- Please note: If your QConnect account has not been accessed in more 30 days, your account will be
deactivated to protect health plan members. Please login routinely.
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