News about our plans, authorizations, coding, billing, formularies and more.
Recent news
Sept. 8: Account registration for the new Provider Portal is still open
Sept. 1: ETS exclusivity expanding to Medicare and Medicaid
Aug. 31: Updated 2026 PIP Manual now available
Aug. 31: Check out our new provider education videos on Risk Adjustment
Aug. 31: Reminder: Access to care standards apply
Aug. 31: Diabetes drug Rybelsus® discontinued, to be replaced by Ozempic® tablets
Aug. 24: New Provider Portal and payment vendor launch delayed
Aug. 17: Retrospective authorizations limited effective Nov. 1
Aug. 17: August 2026 medical policy updates
Aug. 17: August 2026 billing policy updates
Aug. 17: Upcoming deadlines for the 2026 PIP Transformation of Care incentives
Aug. 17: Reminder: You must complete your 2026 HIDE-SNP and D-SNP MOC training by Dec. 31
Aug. 17: Get our summer Quarterly Newsletter and Quality Newsletter