Recent news

Here is the news from the past month. For older news, click any news category.

(May 6) Learn about upcoming PIP deadlines and changes to our 2021 PIP manual

(May 5) Reminder to complete 2021 D-SNP Model of Care training 

(May 5) Read these tips to ensure successful Medicaid billing

(May 3) We’re welcoming Total Health Care to Priority Health 

(April 30) Priority Health Connect available to all members

(April 23) July 1, 2021 commercial formulary changes

(April 21) We're bringing automation to the provider information submissions

(April 16) Remind your ACN contacts to register for the May behavioral health collaborative care (BHCC) meeting

(April 16) Reminder: Sports, travel and work-required COVID-19 tests not covered 

(April 5) Don't forget to register for PRA training

(April 5) We're making improvements to our authorization processes in GuidingCare to make authorizations easier for your practice

(March 30) Celebrating National Doctors' Day

(March 23) COVID-19 treatment coverage with $0 cost-share extended to Sept. 30 

(March 19) Musculoskeletal prior authorizations and retro authorizations moving from eviCore to GuidingCare starting April 5

(March 17) Serving Cigna members in Michigan

(March 16) New provider portal coming this year

(March 05) Learn how to use our new tool to manage provider information for PIP settlement

(March 02) Musculoskeletal prior auths moving from eviCore to GuidingCare starting April 5

(March 02) We’re moving to eviCore criteria forcertain multi-gene panels

(February 19) Facilities: Starting March 1, you'll see newborns on mothers' remits

(February 15) Telehealth billing process and policy updates coming March 1

(February 11) Use our online portal to submit your post-claims appeals and medical records

(February 11) eviCore is now processing retrospective radiology and musculoskeletal authorizations up to 360 days

(February 10) Register for the behavioral health collaborative care (BHCC) meetings to remain eligible for the BHCC incentive measure

(February 5)  We’re making it easier for you to manage your provider data for PIP

(February 2) 2021 PriorityMedicare D-SNP Model of Care provider training is now available

(January 29) We’re transitioning our retrospective genetic lab authorizations to eviCore for in network providers and labs

(January 25) Preferred biosimilars for pegfilgrastim effective April 1 

(January 25) Supporting mental wellness with myStrength

(January 19) Expanding outreach for osteoporosis gaps in care

(January 19) 2021 PCP Incentive Program (PIP) webpage updates

(January 6) New scam alert: fraudulent prescription and certificates of medical necessity (CMN) requests

(January 6) COVID-19 vaccine billing and reimbursement