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HAP Updates for January 2022 / Health Plan News
HAP Updates for January 2022 can be found in the HAP Provider Newsroom.
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.
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.
Priority Heath Has Made Enhancements to Prism / Health Plan News
The Priority Health team is continuously enhancing prism to make it even better.
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.
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.
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.
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.
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.
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.
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.
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.
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.
HAP Updates for December 2021 / Health Plan News
HAP Updates for December 2021 can be found in the HAP Provider Newsroom.
Molina Communication for December 2021 / Health Plan News
This article is a comprehensive communication of Molina operational updates as of December 2021.
Blue Cross Complete (BCC) of Michigan December 2021 Complete Update / Health Plan News
Blue Cross Complete (BCC) of Michigan December 2021 Complete Update.
Total Health Care Members Newly Transferred to Priority Health Choice Medicaid May Have Benefit Changes / Health Plan News
Total Health Care (THC) members newly transferred to Priority Health Choice Medicaid on October 1, 2021, may have changes to their benefits.
Priority Health Clinical+ Access / Health Plan News
Priority Health recently announced the launch of a new HEDIS certified tool that will be used to view and close gaps in patient care. Submit your access form by December 10th to have access!
Oakland Southfield Physicians (OSP) would like to thank everyone that attended the final OSP Virtual Office Leadership Forum held on October 13, 2021. This article highlights the information presented and our upcoming 2022 event schedule.
Priority Health Wants to Remind You: You Can Still Serve THC Members with Commercial Group and Individual Plans / Health Plan News
Priority Health still has commercial group and individual members with Total Health Care (THC) coverage.