Provider News Archives

Title Publication Date
Reminder Regarding Present on Admission Indicator 2022-02-23
Medicare Part B Precert Expansion November P&T - Effective June 1, 2022 2022-02-18
Exploring Implicit Bias in Healthcare for Historically Marginalized Communities 2022-02-16
No Surprises Act (Surprise Billing) and Impact to Claims 2022-02-14
Clinical Criteria Updates for Healthy Blue + MedicareSM (HMO D-SNP) 2022-02-02
Pharmacy Program Utilization Management Updates Effective April 1, 2022 2022-01-27
Update: Vyvanse Formulary Update Effective January 1, 2022 2022-02-14
Status Codes Reimbursement Policy Update – Codes 99050 and 99051 2022-01-21
Update: Discontinued IU65 ACA Members with Pharmacy Medical Authorizations Spanning into 2022 2022-01-21
Update: HEDIS Kickoff Call 2022-01-20
Update: Plan Transition for City of New York Retirees 2022-01-20
Medical Step Therapy Updates for Healthy Blue + MedicareSM (HMO D-SNP) 2022-01-20
New Update: Medicare Advantage Quality Incentive Program (MAQIP) Policy Effective January 1, 2022 2022-01-20
State Health Plan Member ID Change for 2022 2022-01-14
Coverage of Over-the-Counter (OTC) COVID-19 Tests for Members 2022-01-14
New Diagnosis Related Group (DRG) and Itemized Bill Review (IBR) Programs Starting May 2021 2021-12-10
Reinstating Temporary Prior Authorization Waivers for Skilled Nursing Facilities, Home Health Services and Residential Treatment Centers - Effective January 10, 2022 2022-01-07
New Update: Participating Laboratory List and a Reminder About Use of the Avalon Network 2022-01-05
Prior Authorization Changes for Inpatient Admissions Following Emergency Department Visit - Effective January 1, 2022 2021-12-30
IMPORTANT NEWS: Medicare Advantage Notifications Effective January 1, 2022 2021-12-27