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Posted: 01/25/2022
BCC Will Cover COVID-19 at-Home Test Kits / Health Plan News
Blue Cross Complete covers COVID-19 at-home test kits under the pharmacy benefit for eligible members.
Posted: 01/21/2022
Updated Priority Eligibility Criteria and Prescribing Requirements for Authorized Oral Antiviral Medications for Outpatient Treatment of Mild to Moderate COVID-19 / OSP News
Because of the limited availability of these medications, certain requirements for prescribing are needed to assure that those at highest risk have access to these medications.
Posted: 01/18/2022
Molina Communication for January 2022 / Health Plan News
This article is a comprehensive communication of Molina operational updates as of January 2022.
Posted: 01/18/2022
Nonclinical Transitional Care Program Aims to Reduce Readmissions for Medicare Advantage Members / Health Plan News
Blue Cross Blue Shield of Michigan and Blue Care Network are contracting with naviHealth to reduce avoidable inpatient readmissions through a nonclinical, transitional care program.
Posted: 01/13/2022
Blue Cross Complete (BCC) of Michigan January/February2022 Newsletter / Health Plan News
Blue Cross Complete (BCC) of Michigan January/February2022 Newsletter.
Posted: 01/07/2022
BCC Has an Upcoming Annual HEDIS Medical Record Reviews / Health Plan News
Blue Cross Complete has contracted with CiOX and Optum to assist with the annual medical record review process.
Posted: 01/06/2022
HAP Updates for January 2022 / Health Plan News
HAP Updates for January 2022 can be found in the HAP Provider Newsroom.
Posted: 01/05/2022
Blue Cross Complete Announces COVID-19 Administration of Vaccine and Booster – Coding Update / Health Plan News
The U.S. Food and Drug Administration (US FDA) expanded use of the COVID-19 booster.
Posted: 01/05/2022
BCC Children’s Special Health Care Services Program 2021 Payments / Health Plan News
The payment is for each Blue Cross Complete CSHCS member assigned to the primary care providers’ panel from July 2021 through December 2021.
Posted: 12/30/2021
Priority Heath Has Made Enhancements to Prism / Health Plan News
The Priority Health team is continuously enhancing prism to make it even better.
Posted: 12/30/2021
Priority Health’s Annual Chart Reviews Beginning for Commercial Members / Health Plan News
Starting in the coming weeks, Inovalon and a new partner, CIOX Health, will perform a medical record review for risk adjustment services for Individual and Small Group members on Priority Health’s behalf.
Posted: 12/30/2021
Total Health Care Providers: How to Submit Your Healthy Michigan Patients’ HRA Forms / Health Plan News
Following the merger with Total Health Care (THC), there are instructions for legacy THC providers on how to submit their Healthy Michigan patients’ Health Risk Assessments (HRAs) and how their incentive payments will be made.
Posted: 12/30/2021
Priority Health Is Continuing Extended Prior Authorizations for Elective Procedures Delayed Due to COVID-19 / Health Plan News
Considering the recent surge in COVID-19 cases in the communities they serve, Priority Health is continuing their prior authorization extension for elective procedures.
Posted: 12/23/2021
HAP is Reprocessing 2021 Inpatient Claims / Health Plan News
Due to a recent technology update in the HAP claim system, they are reprocessing certain inpatient claims with 2021 dates of service.
Posted: 12/21/2021
ECHO Payment System Currently Unable to Produce 835 Files for Some Providers / Health Plan News
Blue Cross Complete uses Change Healthcare for Electronic Funds Transfer. Their ECHO payment system is currently experiencing issues with production of 835 remittance advice files for some providers. Change Healthcare is working to resolve this as quickly as possible.
Posted: 12/17/2021
Claims for Pfizer COVID-19 Vaccines for Children with Blue Cross Commercial Coverage / Health Plan News
Rejections when submitting claims for the Pfizer COVID-19 vaccines for children ages 5 through 11.
Posted: 12/17/2021
National Imaging Associates to Manage Diagnostic Imaging Services for Blue Cross Complete / Health Plan News
Blue Cross Complete of Michigan has entered into an agreement with National Imaging Associates, Inc.
Posted: 12/15/2021
Clinical Review Requirements Suspended for Admission to Skilled Nursing Facilities from All Michigan Hospitals Due to COVID-19 Surge / Health Plan News
Blue Cross Complete is temporarily suspending clinical review requirements for the first three days of admission to skilled nursing facilities from all Michigan hospitals due to the continuing surge of COVID-19 cases.
Posted: 12/14/2021
Michigan Collaborative for Type 2 Diabetes Resource Library / OSP News
The Michigan Collaborative for Type 2 Diabetes (MCT2D) is the first collaborative quality initiative (CQI) to be implemented at the primary care level. The mission of this CQI is to prevent and reverse the progression of type 2 diabetes using three key initiatives.
Posted: 12/08/2021
HAP Updates for December 2021 / Health Plan News
HAP Updates for December 2021 can be found in the HAP Provider Newsroom.
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