Provider news & education
News about our plans, authorizations, coding, billing, formularies and more
Recent news
Here is the news from the past month. For older news, click any news category.
(September 20) MDHHS to host webinar on Healthy Michigan Plan changes coming Jan. 1, 2020
(September 17) Clarification: No changes to skilled nursing facility payments with CMS's Oct. 1 changes
(September 11) Reminder: Modifier 26 not payable for most lab services
(September 6) Michigan Medicaid formulary changes coming Oct. 1, 2019
(August 26) Reminder: Priority Health covers integrated medical and behavioral health care services in primary care
(August 26) 2019 Quality Awards
(July 30) Applied Behavioral Analysis codes to be adopted Oct. 1, 2019
(July 30) Step therapy added for select Medicare Part B drugs effective Oct. 1, 2019
(July 16) Medicaid CHAMPS prescriber enrollment requirement effective Oct. 1, 2019
(July 11) Medical policy updates
(July 3) Medicaid formulary changes for select asthma drugs effective Aug. 1, 2019
(June 26) Remember to refer members to in-network providers, including labs
(June 26) Priority Health launches a new online experience and mobile app for members
(June 11) Change Healthcare to begin chart reviews
(June 7) New Quality Improvement Organization selected for the State of Michigan
(May 14) Who is displayed on our Find a Doctor tool?
(May 3) Peer-to-peer hours are expanded for inpatient authorizations