Recent news

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

(January 10) Changes to our Secure Mail options

(January 2) 2020 PriorityMedicare D-SNP MOC training now available

(January 2) MDHHS releases new PHI consent resources for providers

(January 1) Easy to access information for out-of-state providers

(December 31) Medicare therapy cap changes effective March 1, 2020

(December 26) Medical policy updates

(December 23) Flublok vaccine now covered for commercial members

(December 12) How to submit home health claims beginning Jan. 1, 2020

(December 12) 2020 CPC+ and PCP Incentive Program manuals available

(December 10) MDHHS to host webinar on Jan. 1, 2020 HMP changes

(December 4) Changes to RA and EOB codes effective the week of Dec. 2

(December 4) Preventive guidelines update: counseling for pregnant and postpartum women at-risk for depression 

(November 22) Register now for our 2020 Virtual Office Advisory webinars

(November 20) Change Healthcare to begin chart reviews for commercial members

(November 19) Skilled nursing facility claims are being incorrectly denied

(November 18)  Auth requirements for commercial substance use services removed 

(November 18) New! View front-end rejections and reasons online

(November 11) Facilities: 340B drug pricing program is changing to a post-payment review

(November 6) Prior auth requirements for Medicaid outpatient behavioral health therapy removed

(November 1) 2020 commercial plans fee schedules are now online

(November 1) New Medicare Advantage routine vision benefit effective Jan. 1, 2020

(October 30) We'll no longer mail approval letters for urgent/emergent admissions for Medicare 

(October 29) Home health prior auth changes coming Jan. 1, 2020

(October 28) Commercial and Medicare formulary changes coming Jan. 1, 2020 

(October 24) Helpful tips for changing an existing authorization

(October 21) Changes to Medicare Advantage routine hearing benefits and network, effective Jan. 1, 2020

(October 16) MDHHS to host community forums on upcoming Healthy Michigan Plan work requirements