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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 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.
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.
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.
Blue Cross Complete (BCC) Provides Coverage for Rental Breast Pumps for Hospitals / Health Plan News
Effective September 1, 2019, Blue Cross Complete will provide coverage for rental breast pumps for hospitals.
Meridian Sent an Announcement on How to Request for Claim Dispute / Health Plan News
In an effort to better route your claim disputes, MeridianHealth (Meridian) is reminding providers to use the Request for Claim Dispute form for all provider claims with Meridian that are being disputed.
The Michigan Summary of Care Report, highlights care management strategies implemented by leading physician organizations (POs) across the State of Michigan.
High Fructose Corn Syrup and Health / OSP News
High Fructose Corn Syrup (HFCS) is a sweetener found in food products that is made from corn starch. The debate continues about whether HFCS is worse than other sources of sugar in the diet. To support client/patient health goals, health professionals should recommend decreased intake of products with added sugars.
HAP Primary Choice Medicare HMO / Health Plan News
Oakland Southfield Physicians (OSP) is proud to partner with HAP and United Physicians (UP) to offer a new Medicare Advantage plan called HAP Primary Choice Medicare HMO.