Priority Health news

Get our 2026 HEDIS Provider Guide

Our 2026 HEDIS Provider Guide is now available for providers.

January 20, 2026

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1/20/2026: January 2026 Epic announcement

To best serve you and your patients, today and in the future, we’re making changes to our online platforms and some processes. These changes, which include a new provider portal, will take effect on August 1 of this year.

January 12, 2026

12/22/25: Advanced Diabetes Supply is leaving the Priority Health network effective January 7

One of our diabetic supply providers, Advanced Diabetes Supply (also known as US Medical Supply and North Coast Medical Supply), will be leaving our network on Jan. 7, 2026. Providers who see Priority Health members who receive diabetes supplies through Advanced Diabetes Supply should begin transitioning prescriptions to an in-network provider.

December 22, 2025

12/1/25: Access Priority Health’s Medicaid Provider Manual

In addition to our digital Provider Manual, we also have a separate Medicaid Provider Manual in PDF form. It's accessible online and via mail.

December 1, 2025

11/14/2024: MA telehealth flexibilities extended through Jan 31, 2026

Congress recently extended the Original Medicare telehealth flexibilities through Jan. 31, 2026. Following CMS’s guidance, we’ll also extend those flexibilities for our Medicare Advantage (MA) plans through Jan. 31, 2026, for services provided by in-network providers.

November 14, 2025

11/12/2025: Helping your patients, our members, quit smoking

This year, the American Cancer Society is hosting the Great American Smokeout on Thursday, Nov. 20 — an opportunity for people to start the journey toward quitting smoking.

November 12, 2025

11/13/2025: Get our fall Physician and practice news digest and our Medicare/Medicaid Quality newsletter

Our fall 2025 Physician and practice news digest and Medicare/Medicaid Quality newsletter are here.

November 5, 2025

10/03/2025: Vaccine coverage effective Sept. 1, 2025

In alignment with our commitment to maintaining and ensuring affordable access to vaccines, we recently updated our Provider Manual’s vaccines section to reflect vaccine and administration coverage effective Sept. 1, 2025.

October 3, 2025

9/30/2025: National Prescription Drug Take Back Day coming Oct. 25 

We’re pleased to participate again in National Prescription Drug Take Back Day on Saturday, Oct. 25, 2025. We invite your patients and all community members to drop off their expired, unwanted or unneeded prescription medications for safe disposal from 10 a.m. – 2 p.m. at one of the locations listed below.  

September 30, 2025

Get our summer Physician and practice news digest and our Medicare/Medicaid Quality newsletter

Our summer 2025 Physician and practice news digest and Medicare/Medicaid Quality newsletter are here.

August 6, 2025

07/15/2025: Phishing scam warning

The Centers for Medicare & Medicaid Services (CMS) is warning of a phishing scam in which providers are being sent faxes requesting all Medicare patient information and records. The faxes generally demand this information in 72 hours.

July 15, 2025

07/15/2025: Mental Health Framework survey

The Michigan Department of Health and Human Services (MDHHS) recently announced the launch of the Michigan Medicaid “Mental Health Framework,” a new initiative to improve access to and the coordination of mental health care for Medicaid members in the state. More information on the initiative is coming, but the first step for behavioral health providers is to complete an MDHHS survey to inform upcoming state-required trainings.

July 15, 2025