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Meridian Will be Consolidating Their Clearinghouse Come January 2021 / Health Plan News
Meridian is using Availity as the single clearinghouse (EDI Gateway) to receive all claims transactions.
Blue Cross Complete Scheduled Maintenance Notice – Reminder / Health Plan News
Please be advised that Blue Cross Complete’s Facets, JIVA, provider portals, member portal and health plan website will be temporarily unavailable due to a planned maintenance event.
HAP Updates for November 2020 / Health Plan News
HAP Updates for November 2020.
Molina 2020 MMP Provider Manual Update / Health Plan News
The 2020 MMP Provider Manual Section15 Member Grievances and Appeals has been updated.
As part of the state’s continued efforts to slow the increasing spread of COVID-19, the Michigan Department of Health and Human Services (MDHHS) and Michigan Department of Technology, Management and Budget (DTMB) today announced the statewide rollout of the COVID-19 exposure notification app MI COVID Alert.
Blue Cross Complete (BCC) of Michigan November/December 2020 Newsletter / Health Plan News
Blue Cross Complete (BCC) of Michigan November/December 2020 Newsletter.
Molina Monthly Topics November 2020 / Health Plan News
Molina Monthly Topics November 2020.
Molina’s Model of Care (MOC) Training 2020 Reminder / Health Plan News
Molina Healthcare of Michigan is required to provide annual training to their entire Medicare contracted provider network, regarding its MOC program for dual eligible enrollees.
Blue Cross Complete HEDIS Telehealth Guidelines / Health Plan News
Blue Cross Complete wants to let you know that you can close your member care gaps and meet the National Committee for Quality Assurance (NCQA) HEDIS guidelines by utilizing telehealth visits for your member.
HAP’s Anesthesia Reimbursement Policy Update / Health Plan News
HAP has updated the neuraxial labor analgesia reimbursement calculations section in their anesthesia policy to be consistent with industry standards.
Blue Cross Complete Prior Authorization Lookup Tool Available / Health Plan News
Blue Cross Complete (BCC) is excited to introduce the new Prior Authorization Lookup tool.
BCBSM Wants Physicians to Know They Can Use Telehealth to Help Close Patient Gaps in Care / Health Plan News
Physicians can use telehealth to help meet patients’ preventive care needs and provide treatment for patients with chronic conditions.
Priority Health Reminder: Submit Post-claim Appeals and Medical Records Through the Claims Tool / Health Plan News
Priority Health changed how you submit appeals and medical records related to an existing claim (i.e. post-claim), which allows them to return decisions faster.
HAP Updates for October 2020 / Health Plan News
HAP Updates for October 2020.
HAP Physician Incentive - Pharmacy Statin Therapy / Health Plan News
HAP’s pharmacy area is getting ready to send letters directly to physicians asking to partner with them and improve performance for the following two statin drug therapy related to the HEDIS quality measures.
Blue Cross Complete Payment Systems / Health Plan News
Blue Cross Complete will implement payment systems to meet providers’ requests for more payment options.
On-Demand Medication Adherence Reports / OSP News
OSP has developed and refined physician level reports that include patient-specific data to assist with medication adherence for incentivized drug classes.
Blue Cross Complete is implementing an obstetrical ultrasounds examination policy update and a non-obstetrical pelvic ultrasounds policy update, as of November 1, 2020.
The Centers for Medicare & Medicaid Services (CMS) Launches Groundbreaking Model to Lower Out of Pocket Expenses for Insulin / OSP News
The Part D Senior Savings Model allows Medicare Part D prescription drug plans to offer beneficiaries plan choices that provide a broad range of insulins at a $35 copay.
Oakland Southfield Physicians has rolled out some new functions and features on www.ospdocs.com.