Responsibilities and standards news

February 2025 medical policy updates
June 27, 2025

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

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2025 D-SNP MOC training is now available
June 27, 2025

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.   

Medicaid formulary changes coming Feb. 1, 2025
June 27, 2025

New Medicaid formulary changes coming Feb. 1, 2025

NCQA's 2025 HEDIS audit is underway
June 27, 2025

2025 HEDIS audit is happening now