CommercialMarch 1, 2022

March 2022 Newsletter

Administrative

AdministrativeCommercialFebruary 28, 2022

Understanding your patients’ differences is lifesaving

AdministrativeCommercialFebruary 28, 2022

Updated Preventive Care Guidance regarding screening colonoscopies

AdministrativeCommercialFebruary 28, 2022

New! Vaccination resource page for providers

Digital SolutionsCommercialFebruary 28, 2022

Enhancements to the Availity Authorization application are now available

Digital SolutionsCommercialFebruary 28, 2022

Simplifying requests for additional information

Policy Updates

Medical Policy & Clinical GuidelinesCommercialFebruary 28, 2022

AIM Specialty Health Outpatient Rehabilitative and Habilitative Services clinical appropriateness guidelines updates
Material Adverse Change (MAC)

Products & Programs

Federal Employee Program (FEP)CommercialFebruary 28, 2022

Change to the Federal Employee Program® Clinical Grievance and Appeal Address

Federal Employee Program (FEP)CommercialFebruary 28, 2022

HEDIS 2022 Federal Employee Program® medical record request requirements

PharmacyCommercialFebruary 28, 2022

Specialty pharmacy updates – March 2022
Material Adverse Change (MAC)

PharmacyCommercialFebruary 28, 2022

Correction to February 2022 specialty pharmacy updates
Material Adverse Change (MAC)

PharmacyCommercialFebruary 28, 2022

Clinical Criteria updates for specialty pharmacy
Material Adverse Change (MAC)

State & Federal

State & FederalMedicare AdvantageFebruary 28, 2022

Keep up with Medicare news - March 2022

View these Medicare articles:

  • Medical step therapy updates

State & FederalMedicare AdvantageFebruary 28, 2022

Clinical Criteria updates

State & FederalMedicare AdvantageFebruary 28, 2022

Medication adherence

State & FederalMedicare AdvantageFebruary 28, 2022

Annual wellness visits for Medicare Advantage members

State & FederalMedicare AdvantageFebruary 28, 2022

New select plans on our HealthPlus Medicare network

State & FederalMedicaidFebruary 28, 2022

New Strategic Provider System will launch in April 2022

State & FederalMedicaidFebruary 28, 2022

Urinary tract infection toolkits are on the way

State & FederalMedicaidFebruary 28, 2022

It is CAHPS survey time!

State & FederalMedicaidFebruary 28, 2022

Required: Cultural competence training