Responsibilities and standards news

Provider reenrollment for the VFC program closes on April 1

Provider reenrollment for the VFC program closes on April 1

June 27, 2025

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February 2025 medical policy updates

Our Medical Affairs Committee (MAC), comprised of Priority Health network physicians, met in February and approved a series of medical policy updates.

June 27, 2025

2025 D-SNP MOC training is now available

Providers play an integral role in the care teams that support our dual-eligible special needs (D-SNP) members. That's why the Centers for Medicare and Medicaid Services (CMS) requires us to make sure providers who are contracted with us to see PriorityMedicare patients are trained on our Model of Care (MOC) every year.   

June 27, 2025

Medicaid formulary changes coming Feb. 1, 2025

New Medicaid formulary changes coming Feb. 1, 2025

June 27, 2025

NCQA's 2025 HEDIS audit is underway

2025 HEDIS audit is happening now

June 27, 2025