Our work advances healthcare and improves health for people in Alabama through our expertise in utilization management and quality review. From our Birmingham office, we collaborate with the Alabama Medicaid Agency (AMA). Our staff is composed of Alabamians who provide services within their own community to support the needs of Alabama residents. We are privileged to provide this vital work for the state of Alabama.
Our current work in Alabama includes medical and quality review for the AMA for the following healthcare services, equipment and supplies provided to Medicaid recipients:
March 19, 2020: COVID-19 and Business Continuity
During the current COVID-19 emergency, Comagine Health is fully staffed and business operations are not interrupted.
For utilization review, case management and related activities, we are continuing to process requests and answer calls via our toll-free numbers during standard business hours. We have business continuity plans in place to serve our clients, health care providers, patients and communities while also protecting our staff and minimizing the spread of the illness.
April 2014: We have created a provider manual for inpatient hospital quality assurance. You can also find it on the Provider Resources page.
As of November 1, 2013, Qualis Health has begun a new scope of work with the Alabama Medicaid Agency for hospital inpatient quality reviews.
In January 2014, Qualis Health will send requests for medical record documentation for quarterly retrospective reviews of inpatient admissions. The first review timeframe will cover dates of service from April 1, 2013, through June 30, 2013, and July 1, 2013, through September 30, 2013.
We will also send requests for your Hospital Utilization Review Plan (UR Plan) and Medical Care Evaluation (MCE) study.
Phone:
(888) 213-7576
Fax:
(888) 213-8548
Medicaid Providers Helpline:
(800) 688-7989