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Total Health Care August 2019 Updates / Health Plan News
Total Health Care August 2019 Updates.
Blue Cross Complete of Michigan Current Formulary Changes / Health Plan News
Please see the attached Blue Cross Complete Current Formulary Changes.
Priority Health Announces Step Therapy Added for Some Medicare Part B Drugs / Health Plan News
Effective October 1, 2019, before prescribing a new start for a medication on the step therapy requirement list, providers must first receive prior authorization and proceed through the required steps.
Molina Model of Care (MOC) Required Training / Health Plan News
Molina faxed out a memo notification that practices are required to complete the 2019 Model of Care (MOC) Training by October 31st, 2019.
UPDATE!!! Anesthesia Group Announces Intention to end BCBSM PPO and HMO participation beginning July 16, 2019 / Health Plan News
The Blues previously informed everyone that Anesthesia Associates of Ann Arbor terminated the contracts of 125 providers of anesthesia services with Blue Cross and Blue Care Network, effective July 16.
Molina Announces New Prior Authorization Requirements Through eviCore / Health Plan News
Molina Healthcare of Michigan (Molina) has contracted with eviCore healthcare (eviCore), an independent specialty medical benefits management company, to provide outpatient utilization management services.
The Michigan Department of Health and Human Services (MDHHS) Division of Immunization in collaboration with the Michigan State University – Extension will be kicking off the 2019-2020 flu season with the 8th annual Pediatric and Adult Influenza Webinar.
Dario Blood Glucose Monitoring System / OSP News
A pocket-sized all-in-one glucose monitoring system.
Total Health Care’s: How To Report Confirmation of Pregnancy During Initial Visit Claim Billing Requirement / Health Plan News
Generating better health outcomes and improving HEDIS scores is a positive outcome for everyone.
Total Health Care has annoucned PCP Referrals for PT/OT/ST Services Update / Health Plan News
As you know, Total Health Care modified their referral processes for PT/OT and ST services as of 7/1/19.
Blue Cross Complete Claims Submission and Processing Reminder / Health Plan News
Blue Cross Complete Claims Submission and Processing Reminder
Meridian Health Plan Monthly Provider Update / Health Plan News
Meridian is making improvements to help make providers jobs easier.
Blue Cross Complete CSHCS 1st Reporting Period 2019 Payments / Health Plan News
Blue Cross Complete is making payment on the Children’s Special Health Care Services (CSHCS) Program on August 1, 2019 through the capitation cycle.
Anesthesia Group Announces Intention to end BCBSM PPO and HMO participation beginning July 16, 2019 / Health Plan News
Please be advised Anesthesia Associates of Ann Arbor (A4), with exclusive contracts to provide anesthesia services at BCBSM-participating facilities listed below, has informed BCBSM and BCN of its intention to terminate its participation with all BCBSM product lines, starting July 16, 2019.
Total Health Care is changing its process for physical, occupational and speech therapy. / Health Plan News
Providers are no longer required to send requests for clinical review and approval to Navant for dates of service beginning July 1, 2019.
HAP Updates July 2019 / Health Plan News
HAP Updates July 2019.
McLaren Medicaid Health Plans and PIHPs have developed protocols specifically for members who have schizophrenia or bipolar disorder who are using antipsychotic medications that may need screening for diabetes – goal is to ensure diabetes screening for these members.
Sepsis is a clinically complex condition which requires early and appropriate treatment.
State of Michigan offers free nicotine patches, gum, and lozenges through September 30, 2019.
Expanded Indication for Xarelto / OSP News
A new indication for the Factor Xa inhibitor Xarelto (rivaroxaban) has been approved by the FDA.