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HAP Updates November 2019 / Health Plan News
HAP Updates November 2019.
Priority Health Has Helpful Tips for Changing an Existing Authorization / Health Plan News
Priority Health Has Helpful Tips for Changing an Existing Authorization.
Priority Health’s Changes to Remittance Advice (RA) and Explanation of Benefit (EOB) Codes Effective October 7, 2019 / Health Plan News
In response to recent provider feedback, Priority Health has identified areas for improvement and made changes in how they’re using some claim adjustment reason codes (CARCs).
In 2016, the FDA published the final rules for the new nutrition facts label. The label will be mandatory for large manufactures to display on their packaged products by January 1st, 2020. The changes were created to assist consumers in choosing foods that best fit their health needs.
Meridian Health Plan Updates for October 2019 / Health Plan News
Meridian Health Plan Updates for October 2019.
National Prescription Drug Take-Back Day / OSP News
Mark your calendar for the DEA’s next National Prescription Drug Take-Back Day on Saturday October 26, 2019.
Rybelsus® (semaglutide) was approved by the FDA in September 2019.
Another Successful Year for POM ACO / OSP News
Michigan physicians save Medicare $43.1 million, while improving care for Michiganders.
HAP Updates October 2019 / Health Plan News
HAP Updates October 2019.
Michigan Medicaid Health Plan Management of Drug Therapies / Health Plan News
MDHHS will be carving in many drugs that are dispensed at the pharmacy that are currently carved out.
Blue Cross Complete (BCC) of Michigan October 2019 Complete Update / Health Plan News
Blue Cross Complete (BCC) of Michigan October 2019 Complete Update.
Eastern Equine Encephalitis Update / OSP News
The Michigan Department of Health and Human Services (MDHHS) has confirmed nine human cases of Eastern equine encephalitis (EEE) in southwest Michigan, including three deaths.
BCBSM/BCN Appointment Access Verification Calls by Quality Management / Health Plan News
Understanding BCBSM/BCN Appointment Access Standards.
Effective October 1, 2019, providers who prescribe drugs to Medicaid beneficiaries must be actively enrolled in the Community Health Automated Medicaid Processing System (CHAMPS).
The Blues Want to Remind Providers to Use In-Network Laboratories / Health Plan News
Using in-network laboratories helps BCBSM/BCN members save money while receiving high-quality, cost-effective testing services.
Meridian Health’s – Health Help Managed Code Updates / Health Plan News
Meridian sent a notification to all their providers informing them of an update to the prior authorization requirements that take effect November 1, 2019.
Flavored Vaping Products Banned by the State of Michigan / Health Plan News
Emergency rules banning flavored nicotine vaping products were released September 18, 2019 by Governor Whitmer’s office and were effective immediately.
Is exposure to anticholinergic medications associated with increased risk of dementia?
Effective October 1, 2019, the Michigan Department of Health and Human Services has announced that crisis residential programs that provide mental health services under the behavioral health benefit of the Healthy Michigan Plan will now be able to provide this service to individuals with substance use disorders.
Molina Announces Postponed Implementation Date for New Prior Authorization Requirements Through eviCore / Health Plan News
Molina Healthcare of Michigan (Molina) has postponed the original October 1, 2019 eviCore implementation date. The new effective date will be January 1, 2020.