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ICD-10 Codes Required Beginning October 1, 2015
To be compliant with Federal regulations Senior Whole Health will be implementing ICD 10 effective October 1, 2015. Senior Whole Health will require ICD-10 codes on all transactions with dates of service or dates of discharge on or after October 1, 2015. ICD-9 codes can no longer be used for services provided on or after October 1, 2015. Learn more.

Integrated care made simple.

Senior Whole Health is dedicated to providing our members with the best care possible and keeping them healthy and independent.

Senior Whole Health Nurse Care Managers are assigned to each member. These nurses help plan, organize and arrange services to effectively coordinate medical, behavioral, pharmaceutical, and social and community based services with the providers, local elder services agency and others involved in our members' care. Senior Whole Health Nurse Care Managers are available by phone 24/7 to both our providers and members in order to best facilitate treatment.

The result is a comprehensive, team-based care plan that anticipates and adapts to the changing needs of each member, striving to keep them secure, independent and living in the comfort of their own home.

Click here to view the Senior Whole Health Provider Manual (PDF).

Click here to view Senior Whole Health's 2015 HEDIS® Measures of Focus (PDF).


First Tier, Downstream, and Related Entities (FDR) Compliance Guide & Attestation: Click here to review and complete the FDR Annual Compliance Attestation

Click here to view information about False Claims Act laws. Senior Whole Health encourages you to report fraud or suspected fraud by calling our anonymous hotline, available 24 hours a day at 1-866-260-2456.

Click here to view Senior Whole Health's Fraud Waste and Abuse Policy.


Last Updated 08/26/2015