Recent news

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

(November 24) Ongoing support for you and your patients in the fight against COVID-19

(November 20) Medicare and Medicaid member engagement and support programs

(November 16) Update to salpingectomy coverage

(November 13) Inovalan to begin chart reviews for commercial members

(November 6) Updated PIP and CPC+ manuals

(November 5) Reminder: D-SNP Model of Care training due Dec. 31, 2020

(November 3) Jan. 1, 2021 commercial and Medicare product information

(November 3) Turnaround times for processing your credentialing and enrollment requests now available

(October 29) 2021 commercial fee schedules now available

(October 27) Jan.1, 2021 commercial and Medicare formulary changes

(October 20) Drug recall: Nature Throid® and WP Thyroid®

(October 15) Reminder: Submit post-claim appeals and medical records through the Claims tool

(October 6) Reminder: D-SNP Model of Care training due Dec. 31, 2020

(October 2) ePA for pharmacy now available through the Surescripts portal

(October 1) 2021 PIP preliminary manual 

(September 29) Claims processing for providers at temporary locations for COVID-19 ends Sept. 30

(September 22) GuidingCare tips: InterQual® and expedited authorization requests

(September 21) Do you provide acupuncture services? Let us know.

(September 16) GuidingCare reminder: no longer accepting in-network authorization faxes and tips for quicker authorization processing

September 13) Alert message displaying in error for PriorityMedicare Edge PPO members in GuidingCare

(September 8) 2020 AHA claims submission deadline is Feb. 28, 2021

(September 4) New authorization tool launches September 14

(September 3) Reminder: Cost Estimator available to all providers

(September 3) MDHHS announces $25M PPE grant 

(September 2) Mandatory blood lead testing for children covered under Medicaid and WIC

(August 28) Congratulations to the 2020 Priority Health Quality Award recipients

(August 14) Non-Medicare outpatient services moving to 90-day window for retro authorizations

(August 13) FDA recalling select desmopressin nasal spray products

(August 12) Coming August 31: ePA for pharmacy

(August 5) Some COVID-19 test claims denied, to be reprocessed

(August 4) Reminder: Complete your PriorityMedicare D-SNP Model of Care training