NewsFlash

January 2024

Email is the Primary Method of Communication

Our NewsFlash newsletter is the primary communication vehicle used to deliver critical information, educational tools, timely updates, and important deadlines to providers and their staff.


Be sure to add info@fulcrumhealthinc.org to your “safe list” to ensure the newsletters reach your inbox.


Please be on the lookout for any emails from Fulcrum Health that may address the following:

  • Fulcrum's Provider Portal
  • Special Bulletins
  • Credentialing / Recredentialing
  • Surveys
  • ChiroCare Centers of Excellence
  • Invitations to Fulcrum Health events

Provider and Credentialing Agreement with Evolent Health

Fulcrum Health reached an agreement with Evolent Health in December 2023.


As a result of this agreement, Fulcrum assumed their physical medicine provider networks and the credentialing of those providers previously operated by HSM/NIA in 21 states for chiropractic, occupational and physical therapy, and speech therapy as of January 1, 2024.

Provider Directory Verification

The federal No Surprises Act requires providers and health plans to verify the accuracy of provider contact information every 90 days.


In preparation of this requirement, it is necessary for all network providers to complete the following steps:

  1. Log into Fulcrum’s Provider Portal.
  2. Simply select the Demographic Updates tab on the home page.
  3. Review your current demographics on all clinic locations.
  4. Add or edit any information that needs to be updated.
  5. If no changes, no action is necessary at this time.


Please complete these steps no later than February 15th, 2024.

Disclore of Ownership and Cultural Competency Requirement

In accordance with regulatory requirements of the Minnesota Department of Human Services (DHS) and the Centers for Medicare & Medicaid Services (CMS) regulations, all payors, including Fulcrum Health, Inc. (Fulcrum) must collect and maintain information regarding disclosure of ownership and cultural competency from all providers in its network on an annual basis. To learn more about the cultural competency requirement, click here.

 

Fulcrum is requesting that each clinic complete the online form by March 28, 2024. 


Click here to access the Cultural Competency online form.


Click here to access the Disclosure of Ownership online form.


The online forms are located on a secure, encrypted webpage.


Contact us with any questions at providerservices@fulcrumhealthinc.org.

Accepting 2024 ChiroCare Centers of Excellence Applications!

We are now accepting applications from ChiroCare network providers who believe their clinics meet the Centers of Excellence (CCoE) criteria. The application period is open until March 31, 2024.

 

Fulcrum is excited to announce that the CCoE Self-Assessment, Application, and Attestation can now be completed online for administrative ease.

 

Please log into fulcrumproviderportal.com, go to Learning Hub tab and then the CCoE tab to access the necessary documents to apply and take the self-assessment.

If you have completed the CCoE self-assessment and received a passing score of 20 or higher, please consider completing the CCoE application.

 

Current CCoE's do not need to re-apply. Verification review of records begins March 2024.

 

We encourage you to take a close look at the CCoE program overview.

 

If you have any questions about the ChiroCare Centers of Excellence program, please contact Dr. Vivi-Ann Fischer v.fischer@fulcrumhealthinc.org.

Value of a CCoE Designation!

Healthcare in today’s world is focused on providing patient options that demonstrate high standards of quality and value. Consumers are demanding clinics that demonstrate this level of quality and affordability while primary care providers are seeking conservative care options to manage their patients’ back pain.



  • Visibility as a Center of Excellence clinic on the Find a Doc tool located on ChiroCare.com.
  • Position your clinic to be recognized for increased Pay for Performance incentives.
  • Award Plaque and digital media kit
  • New associates are tiered Bronze, without authorization requirements.
  • Recognized as a quality clinic, facilitating trust and referrals with other care practitioners and patients.
  • Opportunities to participate in pilot projects demonstrating conservative care value.

 

The CCoE program highlights ChiroCare clinics who achieve and maintain the highest standards of patient-centered care through record keeping, documented outcome measures, and collaboration with other health care providers to achieve the Triple Aim in health care. 

 

Attributes of Excellence

  1. Comprehensive Patient Intake and History
  2. Assessment and Outcome Tools
  3. Cognitive Behavioral Therapy
  4. Shared Decision Making
  5. Conservative Imaging
  6. Treatment Care Plans
  7. Coordination of Care Between Practitioners or Facilities
  8. Management of the Care Plan
  9. Established Referral List of Practitioners and Referral Procedures
  10. Active Care Instruction
  11. Patient Education on homecare and prevention
  12. Wellness Instruction
  13. Patient-Centered Approach to Care Plans and Care Management
  14. Demonstration of Collaboration with Other Practitioners
We appreciate your continued partnership!