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TO:  Delivering Healthcare Professionals (DHCPs)

RE:  Alabama Coordinated Health Network (ACHN)

Delivering Healthcare Professional Groups Required to Complete New Agreement

All ACHN Delivering Healthcare Professional enrollments established under the initial state’s planned ACHN program that began on October 1, 2019, will terminate on September 30, 2024.

The newly awarded ACHN procurement anticipated start date is October 1, 2024. Under the new ACHN procurement, Delivering Healthcare Professionals (DHCPs) have been renamed to Maternity Care Providers (MCPs). MCPs who want to receive or continue to receive, without delay, reimbursement and bonus payments for treating maternity patients must sign a new agreement to participate with an ACHN Entity. In the absence of this agreement, MCPs will not be eligible for reimbursement for maternity services and will not receive bonus payments for performing first trimester and postpartum visits.

The Participation Agreement Between the ACHN Entity and the MCP

• Replaces the current DHCP agreements
• Is an agreement between the ACHN and the individual MCP practitioner or MCP group
• Only one participation agreement with an ACHN Entity is required for an individual MCP practitioner or a MCP group to participate with all ACHN Entities.
• This agreement details the responsibilities for active participation with the ACHN. The participation responsibilities are:

a)    Provide data to the ACHN;

b)    Participate in the development of the recipient’s Care Plan; and

c)    Participate in the MCP selection and referral process.

The ACHN should contact your practice regarding this agreement in the near future or you may contact the ACHN in the region(s) where you practice.

Please submit your MCP agreement (without errors) to the ACHN by August 1, 2024, to ensure there is no delay in receiving reimbursement for providing maternity services and receiving maternity bonus payments.

The following provider types are eligible to participate with the ACHN as a MCP:

• OB/GYNs
• Nurse Midwives
• Other practitioners

For more information related to the ACHN Participation Agreement, please contact Gainwell Provider Enrollment at 1-888-223-3630 – select option one.

The Alabama Medicaid Agency has more information about the ACHN program at: https://medicaid.alabama.gov/content/5.0_Managed_Care/5.1_ACHN/5.1.3_ACHN_Providers.aspx.

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