Provider responsibilities & standards news
- 05/14/2025: May 2025 medical policy updates
- 04 30 2025: Monthly record retrieval for the 2025 DBM program
- 04/17/2025: You must complete our D-SNP MOC training
- 04/16/2025: We're collecting records for our Medicare retrospective chart review
- 03/26/2025: Reminder provider reenrollment for the VFC program closes on April 1
- 02/19/2025: February 2025 medical policy updates
- 02/5/2025: 2025 D-SNP MOC training is now available
- 01 22 2025: NCQAs 2025 HEDIS audit is underway
- 01/22/2025 provider news: Medicaid formulary changes coming Feb. 1, 2025
- 12/19/2024: You must complete our D-SNP MOC training
- 11/20/2024: Reminder to complete our D-SNP Model of Care training
- 11/20/2024: November 2024 medical policy updates
- 10/29/2024: Reminder of our technical denials policy
- 10/10/2024: Complete our DSNP Model of Care Training
- 08/21/2024: August 2024 medical policy updates
- 08/07/2024: pSA mandate, phase 1
- 08/07/2024: Reminder to complete our CMS-required D-SNP Model of Care training
- 07/25/2024: Unique NPI required for rehab groups to credential BH providers
- 07/24/2024: Mandatory pSA renewal reminder
- 06/18/2024: Reminder: you must refer members to in-network providers including labs
- 05/22/2024: May 2024 medical policy updates
- 05/22/2024: Mandatory annual pSA renewal process begins June 1
- 04/30/2024: Change to ACN enrollment rules
- 04/30/2024 Reminder to complete our CMS-required D-SNP Model of Care training
- 04/25/2024: ID.me identity verification now required for new prism users
- 03/08/2024: Enter Primary Specialty in CHAMPS
- 02/21/2024: February 2024 medical policy updates
- 02/02/2024: 2024 DSNP MOC provider training is now available
- 01/11/2024: Update to the patient discharge process
- 12/01/2023: Reminder to complete DSNP MOC training by Dec 31
- 11/22/2023: November 2023 medical policy updates
- 10/31/2023: New audit program for duplicate claims
- 10/26/2023: Observation stays policy update
- 10/26/2023: Out-of-network providers should submit medical records with claims
- 08/24/2023: August 2023 medical policy updates
- 08/09/2023: Reminder to complete DSNP MOC training by December 31
- 07/31/2023: Keep your practice name updated in our Find a Doctor tool
- 06/28/2023: Reminder: you must refer members to in-network providers, including labs
- 06/05/2023: Reminder to complete DSNP Model of Care training
- 06/19/2023: Enhancing our payment integrity program
- 05/24/2023: May 2023 medical policy updates
- 05/5/2023 provider news Medicaid redetermination is restarting June 1 2023
- 02/22/2023: February 2023 medical policy updates
- 02/13/2023: MDHHS restarts provider revalidation
- 02/01/2023: 2023 D-SNP Model of Care provider training is now available
- 12/15/2022: Network now open to LMFTs
- 12/06/2022: Final reminder to complete D-SNP Model of Care training
- 12/01/2022: November 2022 medical policy updates
- 11/11/2022: Complete your D-SNP Model of Care training by Dec. 31
- 10/26/2022: PriorityMedicare D-SNP Model of Care training
- 10/25/2022: Reminder: D-SNP Model of Care training due Dec. 31, 2022
- 09/19/2022: Reminder - Review your NPI data with NPPES
- 09/19/2022: Verify your Find A Doc listing with BetterDoctor
- 09/06/2022: Q4 reminder to complete 2022 PriorityMedicare D-SNP Model of Care training
- 05/25/2022: May 2022 medical policy updates
- 03/10/2022: Make sure to re-attest with CAQH every 120 days
- 03/04/2022: February 2022 policy updates
- 3/01/2022: 2022 D-SNP Model of Care training available
- 02/08/2022: New provider enrollment requires 90 calendar days
- 12/09/2021: Annual chart reviews beginning for commercial members
- 11/30/2021: November medical policy update
- 11/10/2021: Reminder to complete 2021 D-SNP Model of Care Training
- 10/27/2021: Improving provider credentialing and change request turnaround times
- 09/03/2021: Home care policy update
- 04/21/2021: Automated submission process
- 03/02/2021: Multi-gene panels moving to eviCore criteria
- 01/19/2021: Osteoporosis gaps in care