Recent news

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

(July 8) COVID-19 update for providers

(June 30) Reminder: Updated process for peer-to-peer reviews starts July 1

(June 30) Change to behavioral health immediate reconsideration reviews

(June 29) Acupuncture now covered for Medicare members with chronic low back pain

(June 18) Michigan auto insurance reform law goes into effect July 1, 2020

(June 18) Priority Health and Cigna enter strategic alliance

(June 15) CDC's Public Health Grand Rounds presents: "Smoking Cessation, Past, Present, and Future"

(June 9) Updates to July 1 commercial formulary changes

(June 8) Best practices for talking to your patients about pharyngitis testing

(June 1) We've updated the 2019 and 2020 PIP and CPC+ Manuals

(May 18) We're beginning outreach to Medicaid members due for immunizations and well child visits

(May 18) We're providing financial relief to members and employer groups in response to COVID-19

(May 14) May medical policy updates

(May 11) Claims tool now supports Microsoft Word and Excel files for appeals and medical record submissions

(May 4) We're removing prior authorization requirements for infliximab, effective May 6

(April 30) Commercial formulary changes coming July 1, 2020

(April 29) DRG uplift and suspending Medicare Advantage sequestration

(April 29) Biosimilars preferred over Herceptin, Avastin and Rituxan, effective July 1

(April 28) We've made changes to how we process and give updates on provider requests

(April 28) Change Healthcare to begin Medicare chart reviews

(April 14) Ranitidine recalled from the market

(April 13) Changes coming Jun. 15 to how we display corrected claims in remittance advices

(April 8) COVID-19 update: Moving providers to different locations and credentialing new providers to support COVID-19 volumes

(April 7) COVID-19 update: Care management codes billable virtually, additional telemedicine clarification

(March 30) Updated: Changes to CMS's National Correct Coding Initiative resulting in some claims reprocessing starting Apr. 1

(March 25) New process for submitting post-claim appeals and medical records now live

(March 25) COVID-19 update: We're following recommendations for HIPAA and telehealth

(March 23) COVID-19 update: Add CR modifier to COVID-19 diagnosis claims

(March 23) Faxes will no longer be sent for some transplant and out-of-network auth approvals

(March 23) Updated: COVID-19 information for providers

(March 16) We're working hard to reduce pharmacy call center wait times

(March 13) Hospitals: New Medicare Outpatient Observation Notice form required April 1

(March 13) Get smarter access to the information you need

(March 11) Updated: New process for submitting post-claim appeals and medical records coming soon

(March 10) Changes to remit codes for Federally Qualified Health Centers, Rural Health Clinics and Tribal Health Centers

(March 9) Healthy Michigan Plan work requirements canceled, effective immediately

(March 4) Updates to 2020 PIP and CPC+ program manuals