CommercialMedicare AdvantageMedicaidMarch 1, 2025

March 2025 Provider Newsletter

Featured Articles

Digital SolutionsCommercialMedicare AdvantageMedicaidMarch 1, 2025

Reminder: provider data attestation

Administrative

AdministrativeCommercialMarch 1, 2025

Direct HMO now serving southern California counties

AdministrativeCommercialMarch 1, 2025

Practices improve patient access using NPs and PAs

Education & Training

Education & TrainingMedicaidFebruary 20, 2025

Initial Health Appointment Coding Guidance

Education & TrainingCommercialMedicare AdvantageMedicaidJanuary 1, 2025

Enhance billing and coding accuracy with new Payment Integrity training

WebinarsCommercialFebruary 21, 2025

Start 2025 with an easy way to earn continuing education credits

Policy Updates

Policy UpdatesMedicare AdvantageFebruary 14, 2025

Clinical Criteria updates

Effective March 24, 2025

Policy UpdatesMedicaidJanuary 30, 2025

Clinical Criteria updates

Effective May 8, 2025

Medical Policy & Clinical GuidelinesMedicaidFebruary 17, 2025

MCG Care Guidelines 29th edition

Effective June 1, 2025

Medical Policy & Clinical GuidelinesMedicare AdvantageFebruary 20, 2025

MCG Care Guidelines 29th edition

Effective June 1, 2025

Medical Policy & Clinical GuidelinesMedicaidMarch 1, 2025

Update to Clinical Practice Guidelines

Products & Programs

Federal Employee Program (FEP)CommercialMarch 1, 2025

Changes in Postal Service Health Benefits for 2025

PharmacyCommercialFebruary 20, 2025

Weight management program overview

PharmacyMedicaidFebruary 3, 2025

Prior authorization updates for medications billed under the medical benefit

Effective June 1, 2025
Anktiva, Hercessi, and Imdelltra

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