Total Health Care integration with Priority Health

Integration Underway!

Use this page as your main resource for all Priority Health integration news. We’ll post current news items here, as well as list out all necessary resources to ensure you and your practice are ready for the transition to Priority Health.

 

Current Integration News

 

 

Welcome to Priority Health

Total Health Care (THC) officially joined the Priority Health family of products on January 1, 2020. The work of merging THC with Priority Health has been ongoing ever since. Throughout 2021, we’ll transition THC providers and many members to achieve our shared commitment to the southeast Michigan community in keeping care affordable and accessible.

 

Transition Timeline

 

Date

Action

May 1, 2021

THC will adjust their commercial claim filing limit to 180 days. The Medicaid filing limit will remain at 365 days.

August 2021

THC Medicaid members will be notified through MDHHS of their plan change.

August 1, 2021

THC commercial members begin to transition to Priority Health plans as they renew their medical coverage. This process will continue through July 2022.

August 1, 2021

THC providers are added to Priority Health’s Find a Doc tool for members shopping for 2022 coverage.

October 1, 2021

THC’s Medicaid plan transitions to Priority Health Choice.

January 1, 2022

THC group and individual plans fully transition to Priority Health products.

 

Look for additional key dates to be shared throughout 2021.

 

Why are we making this change?
We want to make sure we’re continuing to keep care affordable and accessible by maintaining long-term sustainability while delivering viable solutions in the southeast Michigan market.

 

What are the benefits to THC providers?
You’ll gain access to:

 

  • Tools and platforms – We’re upgrading the tools we use to support our provider network in 2021. You’ll benefit from these enhancements, which will allow you to quickly update provider information changes in our Provider Roster Application (PRA), easily identifying gaps in care through our patient registry, and better understand your performance in key quality measures using Filemart.
  • Online and webinar communications – You’ll have access to our digital content and education, including our Virtual Office Advisory webinars and much more.
  • PCP Incentive Program (PIP) – Starting January 1, 2022, you can earn incentive dollars for meeting key quality thresholds through our PIP program.
  • Patient panel growth – You’ll transition to Priority Health participating providers for our members, including Medicare Advantage.
  • Specialty provider network – You’ll experience greater accessibility to specialists for Medicaid patients through Priority Health’s specialty and ancillary provider network.

 

You can learn more about this transition by reading the THC Integration plan FAQ.

 

What do providers need to do?
In June 2021, we’ll share registration information with you for our virtual onboarding training. You’ll want to attend this training to ensure you understand our process, procedures, and tools.

 

 

Integration Resources

 

Provider Type

Resources

All providers

Ancillary

You will be prompted to login to view agreements.

Fee Schedules

You will be prompted to login to view schedules.

 

 

Additional Questions? We’re here for you. Contact us at 844-THC-DOCS or email us at Providerupdate@thcmi.com