CommercialNovember 1, 2022
November 2022 Newsletter
Administrative
CommercialOctober 31, 2022
Physician Office Lab (POL) Listing - Updates Effective February 1, 2023CommercialOctober 31, 2022
Support documentation for AIM prior authorization requestsCommercialOctober 31, 2022
Mail is being forwarded to new post office box addresses for one yearCommercialOctober 31, 2022
CAA: Keep your provider directory information up to dateCommercialOctober 31, 2022
Claims status message enhancements: Providing clear descriptions and actionable next stepsCommercialOctober 31, 2022
Authorization application enhancements: Faster, easier, and more efficientCommercialOctober 31, 2022
Submit digital attachments within 7 calendar days for claims filed with a PWK segment indicatorCommercialOctober 31, 2022
Now, you can submit one electronic claim dispute for multiple claims and access correspondence digitally, tooCommercialOctober 31, 2022
Visit the Provider Learning Hub to view our latest learning opportunitiesCommercialOctober 31, 2022
Remote EMR access service for HEDISPolicy Updates
CommercialOctober 31, 2022
Medical Policy and Clinical Guideline updatesMaterial Adverse Change (MAC)
CommercialOctober 31, 2022
Correction to reimbursement policy: Place of Service (Facility)Material Adverse Change (MAC)
Products & Programs
State & Federal
MedicaidOctober 31, 2022
Guidance for coding evaluation and management services for new and established patientsMedicaidOctober 31, 2022
Important information about utilization managementMedicaidOctober 31, 2022
Antipsychotic medications and diabetesMedicaidOctober 31, 2022
Alcohol use disorders often coexist with psychiatric disordersMedicaidOctober 31, 2022
Webinars for New York Department of Health behavioral health carve-in for Medicaid Advantage PlusMedicaidOctober 31, 2022
Keep up with Medicaid news - November 2022View these Medicaid articles:
- Medical drug benefit Clinical Criteria updates
- Prior authorization requirement changes effective November 1, 2022
Medicare AdvantageOctober 31, 2022
Webinars for New York Department of Health behavioral health carve-in for Medicaid Advantage PlusMedicare AdvantageOctober 31, 2022
Keep up with Medicare news - November 2022View these Medicare articles:
- Medical drug benefit Clinical Criteria updates
- New specialty pharmacy medical step therapy requirements (Avastin, Mvasi)
- New specialty pharmacy medical step therapy requirements (Zarxio)
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