News about our plans, authorizations, coding, billing, formularies and more.
Recent news
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
Aug. 12: Notice of Admission requirement postponed
Aug. 12: Five actions to take before the new Provider Portal launches on September 1
Aug. 12: Need access to past remittance advices? Take action today on the new Provider Portal
Aug. 6: Reminder: Medicare Bridge PA requests aren't processed through Priority Health
Aug. 6: We're encouraging select members to discuss biosimilars with their providers
Aug. 6: We've simplified our process for submitting Level 1 and 2 claim disputes
Aug. 6: Reimbursement available for Medicaid mental health screening assessments including telehealth
Aug. 3: We're postponing the removal of Medicare inpatient acute authorization requirements
Aug. 3: Reminder: Notice of Admission requirement starts Sept. 1
Aug. 3: Claim acknowledgement & status updates coming Sept. 1