Triple-S Salud, Inc. is an independent licensee of BlueCross BlueShield Association.
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1 Circular Letter#M August 1, 2018 Action Required by September 15, 2018 in Order to Participate as a Provider in the Puerto Rico Medicaid Government Health Plan Program Dear Provider: Due to a recent change in federal law, all providers furnishing items or services, or ordering, prescribing, referring, or certifying eligibility for, services for individuals eligible to receive federal medical assistance through Medicaid must be appropriately screened by and enrolled with the Administración de Seguros de Salud ( ASES ). Even if you are already participating in a managed care organization network, you will still need to enroll as a provider with ASES by September 15, 2018 through a separate enrollment process. ASES has launched a new online provider enrollment application available on the ASES website at from August 1, The application includes a provider agreement that must be signed online in order to enroll as a Medicaid provider with ASES. Most providers should be able to complete this application form within approximately twenty (20) minutes. It is important that you prioritize early completion of this application in order to ensure minimal disruption in your status as a participating provider in the GHP program. In Triple-S Salud we are more than willing to help you through this process. If you have any questions about this new provider enrollment process, please contact us at or toll free number or visit any of our regional offices where access to the ASES website can be provided in order for you to complete the online application. You can also contact ASES directly at (787) extensions 3223 or Thank you in advance for your timely cooperation. Sincerely, Dionnel Pérez Morales Vicepresident Network Management PSGPROV_2018_029_E
2 Carta Circular#M de agosto de 2018 Acción requerida para el 15 de septiembre de 2018 para participar como proveedor en el Programa del Plan de Salud del Gobierno de Medicaid de Puerto Rico Estimado proveedor: Debido a cambios recientes en la Ley Federal, todos los proveedores que suministran artículos o servicios, que ordenan, prescriben, remiten o certifican elegibilidad para brindar servicios a las personas elegibles para recibir asistencia médica federal a través del programa Medicaid, deben ser examinados e inscritos apropiadamente bajo la Administración de Seguros de Salud ("ASES"). Incluso si usted ya está participando en la red de una organización manejo de cuidado, igual deberá inscribirse como proveedor de ASES antes del 15 de septiembre de 2018 a través de un proceso de inscripción por separado. Desde el 1 de agosto de 2018, ASES ha lanzado una nueva aplicación de inscripción en línea para proveedores, la cual está disponible en la página web de ASES: La aplicación incluye un acuerdo el cual debe ser firmado en linea por el proveedor para inscribirse como proveedor de Medicaid con ASES. La mayoría de los proveedores deberían poder completar este formulario dentro de aproximadamente veinte (20) minutos. Es importante que priorice la finalización de esta solicitud para garantizar una interrupción mínima en su estatus como proveedor participante en el programa del Plan de Salud del Gobierno. En Triple-S Salud, estamos en la mejor disposición de ayudarle a través de este proceso. Si tiene alguna pregunta sobre este nuevo proceso de inscripción, comuníquese con nosotros al o al número libre de cargos o visite cualquiera de nuestras oficinas regionales donde tendrá disponible el acceso a la página web de ASES para que pueda completar su solicitud en línea. También puede comunicarse con ASES directamente al (787) extensiones 3223 o Gracias anticipadas por su cooperación. Sinceramente, Dionnel Pérez Morales Vicepresidente División de Administración de la Red PSGPROV_2018_029_E
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Action Required by September 30, 2018 in order to Participate as a Provider in the Puerto Rico Medicaid Government Health Plan Program
CIRCULAR LETTER #M1807134 September 15, 2018 Action Required by September 30, 2018 in order to Participate as a Provider in the Puerto Rico Medicaid Government Health Plan Program Dear Provider, Greetings
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