Circular 34 of 2021: Administrators and Managed Care Organisations Accredited by the CMS Council

The Council for Medical Schemes (CMS) hereby confirms that the Executive Committee (EXCO) of Council considered and resolved to approve the renewal of accreditation/compliance certificate of the organisations /medical scheme listed below, at its meeting of 28 May 2021.

Managed Care Organisation – Renewal Applications

1. HaloCare (Pty) Ltd: Renewal of accreditation was granted for a period of 2 years from 27 July 2021, in respect of the following services, with the conditions as stipulated on the CMS website:
a. Active Disease Risk Management Services
• Oncology
• HIV
• Diabetes Mellitus (Type 1 and 2)
• Asthma/COPD/Bronchiectasis
• Depression
• Hypertension
• Maternity
• Cardiac Failure/Cardiomopathy/Sysrhythmias
• Hyperlipidaemia

Integrated Clinical Management Services (Pty) Ltd t/a Khula Clinical Care Services: Renewal of accreditation was granted for a period of two years from 27 June 2021, in respect of the following service, with the conditions as stipulated on the CMS website:
a. Active Disease Risk Management Services:
• HIV

Third-party Administrator: Renewal Application

1. Professional Provident Society Healthcare Administrators (Pty) Ltd: Renewal of accreditation was granted for a period of two years from 6 June 2021, subject to compliance with the conditions as stipulated on the CMS website.

 

Self-administered medical scheme: Compliance Certificate Renewal Application

1. Cape Medical Plan (Self-administered): Renewal of the compliance certificate was granted for
a period of three years from 31 June 2021, with no conditions.

The above-mentioned Managed Care and Administrators conditions and status can be viewed here.

The Council for Medical Schemes (CMS) hereby confirms that the Executive Committee (EXCO) of Council
considered and resolved not to approve the accreditation of the organisation listed below, at its meeting of 28
May 2021.

 

Managed Care Organisation: New application

1. HearConnect (Pty) Ltd: The application was not approved as the organisation does not meet the requirements in terms of Regulation 15B(2)(d) in that it does not provide managed care services as defined and therefor need not be accredited as a managed care organisation.

Download the Circular here