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BCBSM and BCN Will Pay Zero Out-of-Pocket Costs for COVID-19 Treatment Through September 30 / Health Plan News
Blue Cross Blue Shield of Michigan (BCBSM) and Blue Care Network (BCN) will continue to waive cost sharing for members who are diagnosed and treated for COVID-19 through September 30, 2021.
Medicare Star Ratings: More ICD-10 Codes Added to Exclusion List for SUPD Measure / Health Plan News
The Centers for Medicare & Medicaid Services (CMS) has revised its Medicare Star Ratings measure known as Statin Use in Persons with Diabetes, or SUPD.
Treatment Advances in Type 2 Diabetes / OSP News
An update on diabetes practice changes and new treatments.
Molina’s Monthly Provider Engagement for June 2021 / Health Plan News
Molina’s Monthly Provider Engagement for June 2021.
Molina’s Monthly Provider Engagement for May 2021 / Health Plan News
Molina’s Monthly Provider Engagement for May 2021.
BCC Has Updated Their Risk Adjustment Retrospective Review Project / Health Plan News
Blue Cross Complete (BCC) has initiated a retrospective review project to ensure complete data was reported to the Michigan Department of Health and Human Services.
Individuals with prediabetes may be at increased risk of suffering an adverse cardiovascular event.
Antibody Testing Is Not Currently Recommended to Assess Immunity After COVID-19 Vaccination / OSP News
A recently published FDA safety communication.
Blue Cross Complete Provider Portal NaviNet Temporarily Unavailable / Health Plan News
NaviNet Temporarily Unavailable Thursday, May 20, 2021 For Planned Upgrade.
BCC Announces New Opioid Medication Prescribing Limits / Health Plan News
This change aligns BCC with the fee for service cumulative MME edit transition, which will also take place as of July 1, 2021.
HAP Updates for May 2021 / Health Plan News
HAP Updates for May 2021.
Blue Cross Complete made changes to their prior authorization requirements that took effect April 1, 2021, for certain common medications.
Total Health Care (THC) officially joined the Priority Health family of products on January 1, 2020.
Priority Health Has Commercial Formulary Updates Coming July 2021 / Health Plan News
Priority Health Pharmacy and Therapeutics committee makes changes to the commercial formulary to ensure their members have access to safe, effective and affordable drugs.
Priority Health Connect Has Expanded To All Members / Health Plan News
This free tool allows your patients to instantly search for the resources that they need within their zip code.
Priority Health Is Bringing Automation to Provider Information Submissions / Health Plan News
Priority Health moved to an automated process for credentialing, provider enrollment and provider information change forms.
Michigan Medicine is doing this trial because some people (about 2 to 10 out of every million people vaccinated) have had severe allergic reactions to these vaccines.
Balance Billing Blue Cross Complete Members / Health Plan News
Claims for all billable, covered services must be submitted to Blue Cross Complete within 365 days after the date of service.
Blue Cross Complete's Risk Adjustment Retrospective Review Project 2021 / Health Plan News
Blue Cross Complete (BCC) is initiating a retrospective review project to ensure complete data was reported to the Michigan Department of Health and Human Services.
Blue Cross Complete (BCC) of Michigan May/June 2021 Newsletter / Health Plan News
Blue Cross Complete (BCC) of Michigan May/June 2021 Newsletter.