Plans and benefits news
HMA landing page
We’ve created an HMA page in our provider manual for our Priority Health TPA product, including all relevant information and resources.
Southeast Michigan networks clarification
We’ve heard about some confusion between our Southeast Michigan Partners tiered network and our new narrow network, the Southeast Michigan Network. We want to clarify that these are two different networks attached to different plans. They do not share the same providers, and they are not available to members in all the same counties.
2025 product updates
We have a number of product changes taking effect on Jan. 1, 2025. To inform you about these updates taking effect across lines of business—commercial group, individual and Medicare—we’ve created a 2025 Product Guide for Providers.
At-home test kits for your Priority Health Medicare patients
We're sending at-home test kits to close care gaps for your Priority Health Medicare patients.
Medicaid rebid doesn't impact Medicare
Southwest Michigan providers: Changes impacting Priority Health Medicaid members resulting from the recent Medicaid rebid do not impact member eligibility for any other plan types, including Marketplace, Medicare, MAPD, D-SNP or Medigap plans.
Transportation assistance moving to SafeRide for Medicaid members
Starting September 8, all transportation assistance for your Priority Health Medicaid patients, including non-emergent medical transportation (NEMT), will be scheduled through SafeRide.
Find a Doctor functionality update
A recent change in functionality on the Find a Doctor tool means that you’ll need to do something slightly different to see whether a provider is accepting new patients and what tier a provider is in for tiered networks.
Medicaid rebid provider impacts
The first Medicaid rebid since 2015 was just finalized, and the results will impact your work with Priority Health Medicaid members if you’re a provider in Northern or Southwest Michigan. The changes take effect on October 1.
Extra Help for Medicare members
The Centers for Medicare & Medicaid Services (CMS) offers assistance to Medicare members for prescription drug coverage known as the Low-Income Subsidy (LIS) or Extra Help. Many members who qualify for LIS routinely don’t apply and receive it. You can help your Medicare patients afford the care they need by raising awareness of this program.
New features now available for Teladoc Health wellness tool
We recently added new features to the Teladoc Health Mental Health wellness tool to streamline the account creation process and provide members with additional support based their intake questionnaire and goals.