Medical News and Information

Important News

We have collected and categorized the most recent policy updates, product updates, and company information that may be useful to you.

Update: Discontinued IU65 ACA Members with Pharmacy Medical Authorizations Spanning into 2022
2022-01-21 -
Physicians/Specialists
Facilities/Hospitals
Pharmacy
Medical Step Therapy Updates for Healthy Blue + MedicareSM (HMO D-SNP)
2022-01-20 -
Physicians/Specialists
Facilities/Hospitals
Pharmacy
Update: Plan Transition for City of New York Retirees
2022-01-20 -
Physicians/Specialists
Facilities/Hospitals
Update: HEDIS Kickoff Call
2022-01-20 -
Physicians/Specialists
Facilities/Hospitals
New Update: Medicare Advantage Quality Incentive Program (MAQIP) Policy Effective January 1, 2022
2022-01-20 -
Physicians/Specialists
Facilities/Hospitals
State Health Plan Member ID Change for 2022
2022-01-14 -
Physicians/Specialists
Facilities/Hospitals
Coverage of Over-the-Counter (OTC) COVID-19 Tests for Members
2022-01-14 -
Physicians/Specialists
Facilities/Hospitals
Itemized Bill Review (IBR) Program Effective Date for Commercial Business
2022-01-13 -
Physicians/Specialists
Facilities/Hospitals
Reinstating Temporary Prior Authorization Waivers for Skilled Nursing Facilities, Home Health Services and Residential Treatment Centers - Effective January 10, 2022
2022-01-07 -
Physicians/Specialists
Facilities/Hospitals
Post-Service Provider Appeals Dates Extended
2022-01-07 -
Physicians/Specialists
Facilities/Hospitals
New Update: Participating Laboratory List and a Reminder About Use of the Avalon Network
2022-01-05 -
Physicians/Specialists
Facilities/Hospitals
Prior Authorization Changes for Inpatient Admissions Following Emergency Department Visit - Effective January 1, 2022
2021-12-30 -
Physicians/Specialists
Facilities/Hospitals
IMPORTANT NEWS: Medicare Advantage Notifications Effective January 1, 2022
2021-12-27 -
Physicians/Specialists
Facilities/Hospitals
Delays for Enrolling New Providers
2021-12-22 -
Physicians/Specialists
Facilities/Hospitals
New Update: Reinstating Medicare 2 Percent Payment Reduction
2021-12-22 -
Physicians/Specialists
Facilities/Hospitals
Ancillary
Pharmacy
Submitting Claims and Eligibility Inquiries for State Health Plan Members that Span 2021 and 2022
2021-12-22 -
Physicians/Specialists
Facilities/Hospitals
Availity Authorization app available to providers beginning in 2022
2021-12-22 -
Physicians/Specialists
Facilities/Hospitals
Medical Record Review for HEDIS Measurement Year 2021 Begins in February
2021-12-13 -
Physicians/Specialists
Facilities/Hospitals
New Diagnosis Related Group (DRG) and Itemized Bill Review (IBR) Programs Starting May 2021
2021-12-10 -
Physicians/Specialists
Facilities/Hospitals
Xolair Transition to Self-Administered Formulation
2021-12-09 -
Physicians/Specialists
Facilities/Hospitals
Pharmacy
Opioid Treatment Program (OTP) Update
2021-12-08 -
Physicians/Specialists
Facilities/Hospitals
State Supplied Vaccines
2021-12-08 -
Physicians/Specialists
Facilities/Hospitals
COVID-19-Related Treatment Cost Waiver Extension to Expire on June 30, 2021
2021-12-07 -
Physicians/Specialists
Facilities/Hospitals
Pharmacy
Latest from Our Webinars: Access to Slides, Register for Jan. 24, 2022
2021-12-06 -
Physicians/Specialists
Facilities/Hospitals
Ancillary
Pharmacy
Blue Cross NC Launches Newly Expanded High-Performance Network for 2022
2021-12-06 -
Physicians/Specialists
Facilities/Hospitals
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