Posts & Newsletters

Provider Updates

Provider Quick Reference Guide
PDL Quick Reference Guide
Adult Immmunization Schedule 2010 (PDF)
Synagis letter – 2009
Tamiflu Update-September 2009
Physical/Occupational/Speech Therapy Prior Authorization

Newsletters

2011
Fall 2011

2010
Winter 2010
Spring 2010
Summer 2010

2009
Winter 2009
Spring 2009
Summer 2009
Fall 2009

Provider Fax Blast

2012
April 2012 – Pharmacy Top 10
April 2012 – PaySpan Webinars
April 2012 – SBIRT Training Workshops
April 2012 – Physician Office Lab Testing for ATC
March 2012 – Medicaid PDL Changes
March 2012 – Pharmacy Top 10
March 2012 – Gastroenteritis & Norovirus: Help Reduce the Risk
February 2012 – Web Site Enhancements
February 2012 – Behavioral Health
February 2012 – Pharmacy Top 10
January 2012 – Pharmacy Top 10
January 2012 – Medicaid PDL Changes

 

2011
December 2011 – Peer to Peer Reviews & FAQs
December 2011 – Physician Office Lab Testing
December 2011 – Pharmacy Top 10
November 2011 – Pharmacy Top 10
November 2011 – Genetic Testing
October 2011 – Medicaid PDL Changes
October 2011 – Pharmacy Top 10
September 2011 – EDI HIPAA Version 5010 Implementation
September 2011 – Pharmacy Top 10
August 2011 – Pharmacy Top 10
July 2011 – Pharmacy Top 10
June 2011-HCI Fraud Program
June 2011-Medicaid PDL Update
May 2011-New Fraud Detection & Prevention Procedure 
April 2011-Benefit Changes II (Update to previous Post)
April 2011-Benefit Changes
April 2011-Physician Office Stat Labs-Updated June 22, 2011
March 2011-Medicaid PDL Changes
January 2011- Medicaid PDL Changes

2010
November 2010-DME, Prior Authorizations, & Claims Adjustment Reminders

October 2010-Flu Vaccine
October 2010-Town Hall Meetings 2nd Notice

September 2010-Town Hall RSVP Form
September 2010-Town Hall Meetings Offered Throughout the State
September 2010-Birth Weight Documentation
September 2010-Avoiding Delays in the Claims Submission Process

July 2010-Update to Pharmacy Benefit
July 2010-Pediatric Intensivist Service Guidelines
July 2010-Preferred Laboratories for Absolute Total Care

June 2010-Membership Eligibility Verification

May 2010-VAFAC Services
May 2010-Vision Services

April 2010-Use of Progesterone to Reduce Preterm Birth- 17P

January 2010-Covering Primary Care Provider Reimbursement Changes

2009
December 2009- Private Rehabilitation Services
December 2009- Childhood Immunization Claims/Encounters

November 2009- Diabetic Test Strips Update
November 2009- Code Editing Software Update

October 2009-Service Standards